Having an overactive bladder (OAB) can have a significant impact on one’s quality of life. OAB symptoms occur when there is an involuntary contraction of the surface layers of the bladder wall. This leads to sudden and uncontrolled urges to pass urine, urinary incontinence, or a combination of the two. It is important to consider providing specialized nursing care that addresses the problem of OAB.
Type of Urinary Incontinence: It is important to identify if the patient has stress, urge, or mixed urinary incontinence. It also helps to determine if the patient has any comorbid conditions such as diabetes or an enlarged prostate.
Health Status: The patient’s overall health condition should be evaluated to determine if the urinary incontinence has any effect on other organs such as the kidneys, heart, or liver.
Urinary Function: The patient’s ability to void should be assessed to determine if there is any obstruction to the flow of urine or if the patient is unable to empty the bladder.
Impaired Urinary Elimination: The patient is unable to void and maintain urinary continence.
Risk For Injury: The patient is at risk for falls or injury due to their inability to control their bladder and their lack of awareness of the need to urinate.
Ineffective Coping: The patient is unable to effectively manage their symptoms of OAB.
The patient will demonstrate improved urinary speed and voiding pattern, maintain urinary continence, and manage their OAB symptoms effectively.
Medication: The patient may be prescribed medication such as anticholinergics, tricyclic antidepressants, or alpha blockers.
Bladder Retraining: The patient can be instructed on how to maintain bladder control, empty their bladder at regular intervals, and stop or reduce certain activities or consumption of beverages or foods that contribute to OAB symptoms.
Relaxation Training: The patient can be taught relaxation techniques to help alleviate OAB symptoms.
Pelvic Floor Exercises: The patient can be taught exercises to strengthen the pelvic floor muscles to improve bladder control.
Medication: Medication can help reduce the frequency and severity of OAB symptoms.
Bladder Retraining: By changing habits, it can help reduce the frequency and intensity of OAB symptoms.
Relaxation Training: Relaxation techniques can help to reduce the spasms in the bladder muscles, which can lead to improved bladder control.
Pelvic Floor Exercises: Pelvic floor exercises can help strengthen the muscles that are responsible for bladder control.
The patient’s symptoms should be monitored and the effectiveness of the plan of care should be evaluated. The patient’s response to interventions should also be monitored and evaluated.
With proper assessment and an effective plan of care, a patient with OAB can improve their quality of life and manage their symptoms effectively.
- What is an overactive bladder?An overactive bladder (OAB) is a condition where the bladder contracts involuntarily, leading to sudden and intense urges to urinate.
- Can medications help with OAB symptoms? Yes, medications such as anticholinergics, tricyclic antidepressants, or alpha blockers can help reduce the frequency and severity of OAB symptoms.
- Can lifestyle changes help with OAB symptoms? Yes, making changes to one’s lifestyle such as bladder retraining, relaxation training, and pelvic floor exercises can help reduce the intensity of OAB symptoms.
- What is the goal of a nursing care plan for OAB? The goal of a nursing care plan for OAB is to improve the patient’s quality of life by managing their symptoms and improving their urinary continence.
- How should the patient be monitored to assess the effectiveness of treatment? The patient’s response to interventions should be monitored and evaluated and the effectiveness of the plan of care should be evaluated.