Enuresis is a problem that affects children and families both physically and psy
ID: 168071 • Letter: E
Question
Enuresis is a problem that affects children and families both physically and psychosocially. Parents can be frustrated because the cause might be unknown, and interventions that work for one child may not necessarily help another. Children may feel isolated and embarrassed and avoid age-appropriate activities.Initial Discussion Post:
Jorge is a nine-year-old boy who never established night time bladder control and wets the bed every night. He does not have toileting accidents during the day. Jorge lives at home with a single working mother, who privately tells the RN that she is frustrated with the additional laundry, and having to get up extra early so her son can shower in the morning rather than at night. She asks the RN in the pediatrician’s office for advice to manage the problem at home. Jorge is excited to go on a Boy Scout camping trip, and the mother is concerned that he will experience embarrassment, because the boys and the leader could find out about this problem. In this scenario, Jorge a 9-year-old boy has a problem with bedwetting (enuresis). His type of enuresis only occurs at night and this form of enuresis known as Nocturnal enuresis. Males typically are diagnosed with this kind of bedwetting than female children. It usually goes away around the time a child starts school ( 5 or 7 years of age). In some cases, it can occur through school age and at this point it is considered a problem. Also, there are two common types of enuresis: primary and secondary. In Jorge's case, he is experiencing primary nocturnal enuresis as manifested by "not achieving consistent dryness at night" (Treas & Wilkinson, 2014, p.1015).
The RN needs to obtain a nursing and physical assessment when collecting data on this pediatric client. This data should include vital signs, a head to toe exam, a collected urine specimen, and also a list of alternative things the mother tried to fix the problem. Other things to consider are if the child drinks any liquids, and how much, before bedtime, if he is wetting the bed due to being extra tired or troubled. This form of enuresis could be "a functional rather than an organic cause" (Pillitteri, 2014, p.1359).
After collecting the data from the physical and nursing assessment, the RN needs to evaluate the data to formulate a plan of care on how to educate both the child and mother about preventive and treatment options for Jorge to decrease his bedwetting.
Physiological intervention for Jorge: Tell Jorge that he needs to use the enuresis alarm ( moisture alarm). The alarm is designed to go off when he wets the bed during sleep.
Psychosocial intervention for his mother: She should accept his nocturnal enuresis calmly and not punish Jorge and continue to remain supportive. If she allows her frustrations to overwhelm her, then he will continue to be embarrassed and feel like an inconvenience.
Do u agree with the above recommendations for the RN? If yes or no, why? Enuresis is a problem that affects children and families both physically and psychosocially. Parents can be frustrated because the cause might be unknown, and interventions that work for one child may not necessarily help another. Children may feel isolated and embarrassed and avoid age-appropriate activities.
Initial Discussion Post:
Jorge is a nine-year-old boy who never established night time bladder control and wets the bed every night. He does not have toileting accidents during the day. Jorge lives at home with a single working mother, who privately tells the RN that she is frustrated with the additional laundry, and having to get up extra early so her son can shower in the morning rather than at night. She asks the RN in the pediatrician’s office for advice to manage the problem at home. Jorge is excited to go on a Boy Scout camping trip, and the mother is concerned that he will experience embarrassment, because the boys and the leader could find out about this problem. In this scenario, Jorge a 9-year-old boy has a problem with bedwetting (enuresis). His type of enuresis only occurs at night and this form of enuresis known as Nocturnal enuresis. Males typically are diagnosed with this kind of bedwetting than female children. It usually goes away around the time a child starts school ( 5 or 7 years of age). In some cases, it can occur through school age and at this point it is considered a problem. Also, there are two common types of enuresis: primary and secondary. In Jorge's case, he is experiencing primary nocturnal enuresis as manifested by "not achieving consistent dryness at night" (Treas & Wilkinson, 2014, p.1015).
The RN needs to obtain a nursing and physical assessment when collecting data on this pediatric client. This data should include vital signs, a head to toe exam, a collected urine specimen, and also a list of alternative things the mother tried to fix the problem. Other things to consider are if the child drinks any liquids, and how much, before bedtime, if he is wetting the bed due to being extra tired or troubled. This form of enuresis could be "a functional rather than an organic cause" (Pillitteri, 2014, p.1359).
After collecting the data from the physical and nursing assessment, the RN needs to evaluate the data to formulate a plan of care on how to educate both the child and mother about preventive and treatment options for Jorge to decrease his bedwetting.
Physiological intervention for Jorge: Tell Jorge that he needs to use the enuresis alarm ( moisture alarm). The alarm is designed to go off when he wets the bed during sleep.
Psychosocial intervention for his mother: She should accept his nocturnal enuresis calmly and not punish Jorge and continue to remain supportive. If she allows her frustrations to overwhelm her, then he will continue to be embarrassed and feel like an inconvenience.
Do u agree with the above recommendations for the RN? If yes or no, why? Enuresis is a problem that affects children and families both physically and psychosocially. Parents can be frustrated because the cause might be unknown, and interventions that work for one child may not necessarily help another. Children may feel isolated and embarrassed and avoid age-appropriate activities.
Initial Discussion Post:
Jorge is a nine-year-old boy who never established night time bladder control and wets the bed every night. He does not have toileting accidents during the day. Jorge lives at home with a single working mother, who privately tells the RN that she is frustrated with the additional laundry, and having to get up extra early so her son can shower in the morning rather than at night. She asks the RN in the pediatrician’s office for advice to manage the problem at home. Jorge is excited to go on a Boy Scout camping trip, and the mother is concerned that he will experience embarrassment, because the boys and the leader could find out about this problem. In this scenario, Jorge a 9-year-old boy has a problem with bedwetting (enuresis). His type of enuresis only occurs at night and this form of enuresis known as Nocturnal enuresis. Males typically are diagnosed with this kind of bedwetting than female children. It usually goes away around the time a child starts school ( 5 or 7 years of age). In some cases, it can occur through school age and at this point it is considered a problem. Also, there are two common types of enuresis: primary and secondary. In Jorge's case, he is experiencing primary nocturnal enuresis as manifested by "not achieving consistent dryness at night" (Treas & Wilkinson, 2014, p.1015).
The RN needs to obtain a nursing and physical assessment when collecting data on this pediatric client. This data should include vital signs, a head to toe exam, a collected urine specimen, and also a list of alternative things the mother tried to fix the problem. Other things to consider are if the child drinks any liquids, and how much, before bedtime, if he is wetting the bed due to being extra tired or troubled. This form of enuresis could be "a functional rather than an organic cause" (Pillitteri, 2014, p.1359).
After collecting the data from the physical and nursing assessment, the RN needs to evaluate the data to formulate a plan of care on how to educate both the child and mother about preventive and treatment options for Jorge to decrease his bedwetting.
Physiological intervention for Jorge: Tell Jorge that he needs to use the enuresis alarm ( moisture alarm). The alarm is designed to go off when he wets the bed during sleep.
Psychosocial intervention for his mother: She should accept his nocturnal enuresis calmly and not punish Jorge and continue to remain supportive. If she allows her frustrations to overwhelm her, then he will continue to be embarrassed and feel like an inconvenience.
Do u agree with the above recommendations for the RN? If yes or no, why?
Explanation / Answer
Yes. I agree with the above recommendations. Success is more often than not with well-motivated children. Motivation is made it easier for by giving your Jorge liability for your system, and praising Jorge pertaining to signs of progress. Full dried up days to weeks really don't happen straightaway. It takes a chance to progressively situation to Jorge in addition to their bladder. Symptoms of success occasionally includes: Your child waking and getting up as soon as the alarm sounds, Scaled-down soaked patches. The alarm going out of later at night or even much less regularly and some sort of dried up night. You must not punish your child in the event that there's no success.
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