Urinary incontinence (UI)
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, Involuntary leakage of urine
Bladder pressure greater than urethral closure pressure
-Interference with bladder or sphincter control
-More prevalent with older adults (women more than men) but not a natural
consequence of aging
-Gender differences
•Men—common with BPH or prostate cancer; overflow incontinence from
urinary retention
•Women—stress and urge incontinence
-tx anticholingerics
DRIP (causes)
D: delirium, dehydration, depression
R: restricted mobility, rectal impaction
I: infection, inflammation, impaction
P: polyuria, polypharmacy
rheumatoid arthritis pathophysiology
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Three distinct characterizations
•Inflammation
•Autoimmunity
•Degeneration
-stress can exacerbate condition
Gout medications
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, Prevent
-Allopurinol (Zyloprim)
Acute attack
-Colchicine
corticosteroids
NSAIDs
chronic pain
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•Gradual or sudden onset
•More than 3-month duration; may start acute but continue past normal
recovery time
•Mild to severe
•Cause may be unknown
•Does not go away; characterized by periods of increasing and decreasing
behavior manifestations
•Decreased physical activity
•Fatigue
•Withdrawal from others and social interaction
cancer pain drug
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demerol/meperidine
, Non-opiod
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acetaminophen
NSAIDs: ibuprofen, naproxen, celecoxib
Pain thermometer scale
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- good for use with any patient, including those with moderate to severe
cognitive impairment or who have difficulty communicating verbally
- have the patient point to the word on the thermometer that best shows
how bad or severe their pain is now
lower uric acid level diet
Give this one a try later!
avoid
-tuna, salmon, poultry, red meat, liver, ETOH, seafood
eat
-low-fat diary, whole grain bread, veggies, dark berries, cherries
Drug therapy for UTI
Give this one a try later!
, Involuntary leakage of urine
Bladder pressure greater than urethral closure pressure
-Interference with bladder or sphincter control
-More prevalent with older adults (women more than men) but not a natural
consequence of aging
-Gender differences
•Men—common with BPH or prostate cancer; overflow incontinence from
urinary retention
•Women—stress and urge incontinence
-tx anticholingerics
DRIP (causes)
D: delirium, dehydration, depression
R: restricted mobility, rectal impaction
I: infection, inflammation, impaction
P: polyuria, polypharmacy
rheumatoid arthritis pathophysiology
Give this one a try later!
Three distinct characterizations
•Inflammation
•Autoimmunity
•Degeneration
-stress can exacerbate condition
Gout medications
Give this one a try later!
, Prevent
-Allopurinol (Zyloprim)
Acute attack
-Colchicine
corticosteroids
NSAIDs
chronic pain
Give this one a try later!
•Gradual or sudden onset
•More than 3-month duration; may start acute but continue past normal
recovery time
•Mild to severe
•Cause may be unknown
•Does not go away; characterized by periods of increasing and decreasing
behavior manifestations
•Decreased physical activity
•Fatigue
•Withdrawal from others and social interaction
cancer pain drug
Give this one a try later!
demerol/meperidine
, Non-opiod
Give this one a try later!
acetaminophen
NSAIDs: ibuprofen, naproxen, celecoxib
Pain thermometer scale
Give this one a try later!
- good for use with any patient, including those with moderate to severe
cognitive impairment or who have difficulty communicating verbally
- have the patient point to the word on the thermometer that best shows
how bad or severe their pain is now
lower uric acid level diet
Give this one a try later!
avoid
-tuna, salmon, poultry, red meat, liver, ETOH, seafood
eat
-low-fat diary, whole grain bread, veggies, dark berries, cherries
Drug therapy for UTI
