Enuresis Is A Problem That Affects Children And Families

Question

Enuresis Is A Problem That Affects Children And Families Both Physical Enuresis is a problem that affects children and families both physically and psychosocially. Parents can be frustrated because the cause might be unknown, and interventions that work for one child may not necessarily help another. Children may feel isolated and embarrassed and avoid age-appropriate activities. Initial Discussion Post: Jorge is a nine-year-old boy who never established night time bladder control and wets the bed every night. He does not have toileting accidents during the day. Jorge lives at home with a single working mother, who privately tells the RN that she is frustrated with the additional laundry, and having to get up extra early so her son can shower in the morning rather than at night. She asks the RN in the pediatrician’s office for advice to manage the problem at home. Jorge is excited to go on a Boy Scout camping trip, and the mother is concerned that he will experience embarrassment, because the boys and the leader could find out about this problem. What type of enuresis is Jorge experiencing? Identify two (2) pieces of assessment data the RN should collect. How will this data be used in planning nursing care? Describe one (1) physiological, and one (1) psychosocial intervention that could help either Jorge or his mother deal with this problem. Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

Dr. Jack HW Helper · Accepted Answer

Jorge is experiencing nocturnal enuresis, which is characterized by involuntary urination during sleep in children who have already passed the age of toilet training, typically over the age of 5. Since he wets the bed every night but does not have daytime accidents, this aligns with primary nocturnal enuresis, the most common form among children. It is essential for the nurse to collect assessment data to understand the underlying causes and to develop an appropriate intervention plan. Two critical pieces of assessment data include: (1) the child's sleep patterns and any potential sleep disorders, and (2) family history of enuresis or other urinary problems. Understanding Jorge’s sleep patterns can help determine if sleep disturbances contribute to his bed-wetting or if certain sleep phases are linked to episodes of incontinence. Additionally, gathering family history can reveal genetic predispositions, as enuresis often runs in families. This data will guide nursing care by helping identify specific contributing factors, whether physiological or psychological, that could be targeted in interventions. Physiologically, moisture alarms are highly effective as they condition the child's bladder control through classical conditioning, alerting the child when urine is detected, eventually leading to voluntary bladder control (Hoag et al., 2011). Psychosocially, providing reassurance and education to Jorge and his mother about the benign nature of primary nocturnal enuresis can reduce embarrassment and anxiety, fostering a supportive environment that encourages seeking help and adhering to treatment. For Jorge's upcoming camping trip, the nurse can recommend strategies such as having protective bedding or waterproof covers, along with discreet communication about enuresis to prevent embarrassment among peers. Furthermore, involving Jorge in his care plan and fostering a positive attitude towards bedwetting can improve his emotional well-being and self-esteem. Promoting a

Enuresis Is A Problem That Affects Children And Families Both Physical

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