Older People with Urinary Incontinence: A Nurse Practitioner’ Role in the Assessment and Management
Keywords:Assessment, management, nurse practitioner, older people, role, urinary incontinence.
Urinary incontinence is a common problem symptom of urination, an inability to control the urinary
excretion on its own, causing a loss of the ability to control urination. Most often, this happens in situations
where urination is not ready and accidentally slips out. The symptoms will cause hygiene problems, such
as a wound rash, or red marks on the wrong skin until the subsequent infection problem is also a problem
for physical health, impacting the mind, economy, and society. It is a health problem that affects physical,
mental, emotional, and social aspects lead to reduced quality of life. Older people with urinary incontinence
problems, it is caused by several reasons and factors that can cause various issues. This article aims to describe
urinary excretion mechanisms, meaning, types and effects, method for assessing urinary incontinence, and
primary care guidelines for the older people and their families providing home and hospital care. Therefore,
nurse practitioners’ action plays a significant role in helping older people with urinary incontinence. It is a
service through four dimensions: prevention, medical treatment, and nursing care, health promotion, and
rehabilitation. Furthermore, medical history taking by interviews, physical examination, and self-assessment
those are the service nurse roles: health care provider, health educator, counselor, coordinator, and advocator
in the follow-up and contact for improving caring to receive quality care and reasonable to continue to bring
an as good quality of life.
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