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Chapter 28 Genitourinary Conditions

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Chapter 28 Genitourinary Conditions Facilitating Genitourinary Health Good fluid intake Maintenance of an acidic urine Activity Frequent toileting Annual GYN exam for ... – PowerPoint PPT presentation

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Title: Chapter 28 Genitourinary Conditions


1
Chapter 28 Genitourinary Conditions
2
Facilitating Genitourinary Health
  • Good fluid intake
  • Maintenance of an acidic urine
  • Activity
  • Frequent toileting
  • Annual GYN exam for older women and annual PSA
    testing for older men
  • Testicular self-examination for men

3
Types of Urinary Incontinence
  • Stress
  • Urgency
  • Neurogenic
  • Functional
  • Mixed

4
Factors to Assess for Incontinence
  • Medical history
  • Medications
  • Functional status
  • Cognition
  • Neuromuscular function in lower extremity
  • Urinary control and retention
  • Bladder fullness and pain

5
Factors to Assess for Incontinence (cont.)
  • Elimination pattern
  • Fecal impaction
  • Symptoms
  • Diet
  • Reactions to incontinence

6
Measures to Improve Urinary Functioning
  • Stress Incontinence
  • Kegel exercises, biofeedback, and medications
    (e.g., estrogen, anticholinergics)
  • Urgency Incontinence
  • Adherence to a toileting schedule, Kegel
    exercises, biofeedback, and medications (e.g.,
    anticholinergics, adrenergic antagonists)

7
Measures to Improve Urinary Functioning (cont.)
  • Overflow Incontinence
  • Adherence to a toileting schedule, the use of the
    Crede method, intermittent catheterization, and
    medications (e.g., parasympathomimetics)
  • Functional Incontinence
  • Improvement of mobility provision of a bedside
    commode

8
Risk Factors and Symptoms of Bladder Cancer
  • Risk Factors
  • Bladder irritation
  • Cigarette smoking
  • Symptoms
  • Painless hematuria
  • Frequency

9
Risk Factors for Renal Calculi
  • Immobility
  • Infection
  • Dehydration
  • Hypercalcemia

10
Symptoms of Renal Calculi
  • Pain
  • Hematuria
  • Symptoms of UTI

11
Symptoms of Glomerulonephritis
  • Fever
  • Headache
  • Altered mental status
  • Anorexia
  • Edema

12
Treatment of Glomerulonephritis
  • Antibiotics
  • Restricted sodium and protein diet
  • Close attention to fluid intake and output

13
Treatment of Valvulitis
  • Treat and manage any underlying cause.
  • Maintain good nutritional status helps improve
    the condition.
  • Use sitz baths and local applications of saline
    compresses or steroid creams.
  • Keep the incontinent patient clean and dry as
    much as possible.

14
Postmenopausal Changes Affecting the Vaginal Canal
  • Reduction in collagen and adipose tissue
  • Shortening and narrowing of the vaginal canal
  • Decreased elasticity
  • Less vaginal lubrication
  • A more alkaline vaginal pH as a result of lower
    estrogen levels 

15
Symptoms and Treatment of Cervical Cancer
  • Symptoms
  • Vaginal bleeding
  • Leukorrhea
  • Pain does not usually occur.
  • Urinary retention or incontinence, fecal
    incontinence, and uremia
  • Treatment
  • Radium or surgery

16
Factors Influencing the Incidence of Cancer of
the Endometrium
  • Obesity
  • Diabetes
  • Hypertension

17
Symptoms of Problems of Fallopian Tubes and
Ovaries
  • Early symptoms are nonspecific.
  • Later symptoms include
  • Bleeding
  • Ascites
  • Masses

18
Common Types of Herniation
  • Cystocele
  • Rectocele
  • Prolapse of the uterus

19
Symptoms of Benign Prostatic Hyperplasia
  • Dysuria
  • Hesitancy
  • Frequency
  • Nocturia
  • Poor urinary control

20
Late Symptoms of Prostate Cancer
  • Back pain
  • Anemia
  • Weakness
  • Weight loss

21
Palliative Treatment of Prostate Cancer
  • Irradiation
  • Transurethral surgery
  • Orchiectomy
  • Estrogens

22
Source
  • Eliopoulos, C. (2005).  Gerontological Nursing,
    (6th ed.).  Philadelphia Lippincott, Williams
    Wilkins (ISBN 0-7817-4428-8).
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