Acute UI Interventions
Acute urinary incontinence (UI) is involuntary loss of urine that begins suddenly and resolves in less than 6 months. Chronic UI continues for more than 6 months.
Nursing interventions for the management of acute UI will focus on:
- Screening at risk individuals; UI remains significantly under reported.
- Identifying the type of UI, i.e., urge, stress, functional, overflow.
- Identifying reversible causes of UI, i.e., DIAPPERS (see below).
- Support the expectation of continence through patient/caregiver education.
- Coordinating multidisciplinary patient centered care to optimize continence and independence.
"CORRECT THE OBVIOUS and COLLABORATE"
- Track voiding pattern with I/O or voiding diary
- UTI - primary care consult
- Constipation or impaction - primary care consult
- Enlarged prostate - urology consult
- Adjust medications - primary care, pharmacy consult
- Delirium - primary care, pharmacy consult
- Correct fluid problems, whether too much
or too little.
- Impaired mobility - occupational/physical therapy consult
- Avoid bladder irritants:
- Alcoholic drinks
- Artificial sweeteners
- Beverages with caffeine, including
coffee and tea
- Carbonated drinks
- Citrus juice & citrus fruit
- Corn syrup & chocolate
- Decaffeinated coffee
- Medications with caffeine
- Milk & milk products
- Tomatoes & tomato products
- Sugar & honey
- Very spicy foods
- Scheduled or prompted toileting when appropriate
- Teach Kegel exercises (10 repetitions, three to five times per day)
"DIAPPERS" mnemonic acronym to
quickly remember potentially reversible causes of urinary
excretion (i.e., CHF, hyperglycemia)
Consuming alcohol and certain foods can induce urinary incontinence.