Week 11 - Assessments Flashcards
1
Q
How should we discuss UI with the older adult? (4)
A
- Sensitive topic
- stigma
- common terms are accidents, leakage, weak kidneys, bladder trouble, trouble holding my water
- collect info on symptoms
2
Q
In order to find the underlying causes of urinary incontinence, A multidimensional or comprehensive assessment in needed. What should it include? (7)
A
- health history
- Physical assessment (Post residual void PRV)
- Functional assessment
- mental status (cognitive, mood and affect)
- Medication review
- Symptoms review
- Environmental assessment
3
Q
What lab tests can we order to determine underlying cause? (5)
A
- urinalysis
- blood urea nitrogen (BUN)
- creatinine
- culture
- occult blood
4
Q
What radiographic tests/scans can we order? (4)
A
- xrays
- CT
- MRI
- US
5
Q
What direct observation tests can we order? (3)
A
- colonoscopy
- cystoscopy
- uroscopy
6
Q
What other tests can we order? (3)
A
- bladder
- stress testing
- urine flow studies
7
Q
Why does BUN relate to waste production? (2)
A
- relate to renal function
- Measures the end product of protein metabolism (urea)
- Measures ability of kidney to excrete urine
8
Q
What does creatinine clearance measure? (3)
A
- The rate at which kidneys are able to clear creatinine from the blood
- Creatinine is the end product of muscle energy metabolism and is excreted by the kidney
- Kidney disorders inhibit the kidney to excrete creatinine
