Instructions
Analyze the case study found on p. 479 of your textbook by addressing the assigned questions below.
While analyzing the case, be sure to identify the major problems and issues.
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Draft a response or strategy for addressing the major problems and issues.
Make recommendations to improve the patient’s health.
Discuss any negative consequences that may occur if the patient’s health issue is not addressed.
Your response should be at least one page in length. Include at least one reference to support your work in APA style. You are required to use at least your textbook as source material for your response. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations.
MODEL ANSWER
Ray is susceptible to urinary tract infections due to his paralysis and a neurogenic bladder. A neurogenic bladder is a condition whereby an individual cannot control their bladder functions due to a nerve problem between the brain and the bladder. Several strategies may help Ray in dealing with UTIs (Vigil & Hickling, 2016). One of the strategies involve taking anticholinergic medication such as tolterodine, propantheline, or oxybutynin. Secondly, he should undergo clean intermittent catheterization (CIC), which will help drain urine from the bladder at regular intervals, hence preventing the buildup of bacteria in the tract (Chu & Lowder, 2018). Thirdly, Ray could receive Botox injections into the urinary sphincters, which can help tighten the muscles. Another strategy involves bladder augmentation, a surgery that can help reduce the bladder’s internal pressure, while increasing its ability to store urine, by attaching segments of the intestines to the bladder wall.
Some recommendations can help Ray to deal with the | GET AN EXPERT FOR YOUR ASSIGNMENT | first recommendation is the need for | GET AN EXPERT FOR YOUR ASSIGNMENT | antibiotics, which can help reduce infection possibility (Chu & Lowder, 2018). Another recommendation is a lifestyle change, | GET AN EXPERT FOR YOUR ASSIGNMENT | would require him to avoid foods and drinks | GET AN EXPERT FOR YOUR ASSIGNMENT | can be irritant to the bladder. Some of these include spicy foods, coffee, citrus fruits, and carbonated beverages.
If Ray’s UTI is left untreated, it will likely spread from the bladder to | GET AN EXPERT FOR YOUR ASSIGNMENT | attack the kidneys, there is a | GET AN EXPERT FOR YOUR ASSIGNMENT | probability that the patient will suffer from kidney stones and possible damage that will reduce the organ’s | GET AN EXPERT FOR YOUR ASSIGNMENT | had kidney problems before, then he is at risk of having complete kidney | GET AN EXPERT FOR YOUR ASSIGNMENT | may spread to the upper urinary tract, making it | GET AN EXPERT FOR YOUR ASSIGNMENT | to treat, while also leading to sepsis, a life threatening condition.
References
Chu, C. M., & Lowder, J. L. (2018). Diagnosis and treatment of urinary tract infections across age groups. American Journal of Obstetrics and Gynecology, 219(1), 40-51. https://doi.org/10.1016/j.ajog.2017.12.231
Vigil, H. R., & Hickling, D. R. (2016). Urinary tract infection in the neurogenic bladder. Translational Andrology and Urology, 5(1), 72. https://dx.doi.org/10.3978%2Fj.issn.2223-4683.2016.01.06
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