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If you are wondering how that is possible, you should know that the right Richmond VA Home Buyers are going to contact you as soon as you find their website and leave your contact details there. It is the mandate of every practicing nurse to ensure that they record the daily experiences with the patients. The data helps to make a follow-up care to the patient in the subsequent visits to the hospital. Among the different records kept are the SOAP Notes that have detailed information about the process of diagnosing a disease condition. Women suffer from different health problems, hence important to keep track of them all. The SOAP note provided regard a patient I examined in my practicum experience having Urinary Incontinence.
Subjective
A 42-year-old Caucasian female complains of urine leakage that occurs on a daily basis. The condition has been evident for an approximate of two years and has progressed forcing her to use more than two pads per day. Her main concern is due to the condition that distracts her daily chores. At some instances, she has involuntary loss of urine upon forceful squeezing, coughing, and jumping. She gave birth normally to all her children and without any complications. She takes a healthy diet Bo Jackson Royals Jersey , but her medical history reveals that she had high blood pressure and diabetes. Her current medication is hydrochlorothiazide. According to her personal history, the lady is not active, takes alcohol, does not smoke, and performs no exercise. Her mother passed on due to diabetes.
Objective
The Vital signs indicated that her temperature was 36.9 掳 C, and heart rate of 87 with Blood pressure 13090. She was alert George Brett Royals Jersey , healthy, and in good posture. Her skin had a uniform color and did not have a foul smell. A pelvic examination showed that she did not have any inflammation, infection or paleness. However, there was the presence of urine leakage during her daily chores. A pyridinium test reveals that she has a urine loss.
Assessment
The differential diagnosis for the patient is stress urinary incontinence, High blood pressure levels, Urinary obstruction Wily Peralta Youth Jersey , and acute urinary tract infection. The primary diagnosis for the patient is Stress Urinary Incontinence. The condition involves leakage of the bladder during physical activity or excretion. It may occur during coughing, or lifting something heavy. The main cause is weakening of the muscles that control the ability to hold. The pelvic floor muscles and the sphincter muscle are the main controls of the flow of urine. The weakening of the muscles may be due to injury of the urethra region, childbirth, and other complex cases (Schuiling & Likis, 2013). The lady had a previous diagnosis of controlled hypertension and diabetes, and the recommended medication was hydrochlorothiazide.
Plan
The goal of the treatment is to reduce the number of incontinence cases by combining different treatments. The patient underwent a Physical examination to assess vaginal prolapses Danny Duffy Youth Jersey , vaginal turgor, and neurologic condition evaluation. Also performed was Cystoscopy for visualization of urethral and bladder lumen鈥檚 signs of anatomical abnormalities. The non-pharmacological therapy involves the use of lifestyle modifications, behavioral therapies, pelvic floor muscle training, electrical stimulation, and use of intraurethral occlusive devices. Lifestyle modifications help to manage the weight and also a change of diet. The behavioral therapies comprise of educating the patient about the lower abdomen urinary tract functions Ian Kennedy Youth Jersey , training of the bladder, time voiding, and dietary management. Electrical stimulation provides a passive contraction to reenergize the pelvic floor (Tharpe, Farley & Jordan, 2013).
The pharmacological therapy involves the use of 伪-Adrenergic Agonists that helps in muscle contraction upon stimulation. Also prescribed was Imipramine, which is antidepressant to help in storage of urine; and Duloxetine that enhances urethral activity by suppressing the bladder activity. A hormone therapy of sex steroid was appropriate to influence continence by increasing urethral outlet resistance.
For the follow-up care Jorge Soler Youth Jersey , I advised the lady to return to the hospital after three months to check the progress of the prognosis. I also required the patient to return for response medication assessment after two weeks. The patient did not require a further assessment, hence was not referred to a gynecologist or Urologist. I encouraged the patient to take a healthy diet comprising of low fat, low salt, low cholesterol, high fiber, high carbohydrates Raul Mondesi Youth Jersey , and plenty of water for the management of diabetes and hypertension (Tharpe, Farley &. Cheap Authentic Jerseys Cheap Jerseys Online Cheap Authentic Jerseys Wholesale Jerseys Wholesale Jerseys China Cheap NBA Shirts Wholesale T-shirts China Cheap Hoddies China Cheap Hats China Cheap College Hats