UrinaryFrequency Case Study Evaluation
Personal,medical and family history
Accordingto the case study presented, the patient has not been to a doctor inten years and has no primary care provider. The father passed away inan automobile accident when he was a child, whereas his mother, at 79years old, is suffering from hypertension. He is a professionalbanker, does not smoke but consumes alcohol only during the weekends.He is a divorced father to two grown children (Marroquin, 2011).
Howlong have you had the urinary frequency? How frequently do youurinate both at night and during the day? What is the color of theurine? Is there any surgical history? How can you describe yoursexual history? Have you been on medication before? Do you consumeany drugs? (Caffeine, cigarettes, alcohol, etc.). Do you experiencepain during urination? Does the urine have color? If so what is thecolor? Does your urine produce any foul odor? Has your breathing everstopped during sleep or while snoring? (Possibly told by someone). Doyour legs become restless at night when you sleep? When you wake upin the morning, do you get a choking sensation? Do you get a feelingthat you rested enough or you take naps during the day? Do you getfevers? Are there any discharges experienced? When did you have BMlast?
Thereis no particular way designed for questioning a patient. One should,however, try to avoid the use of medical terms but rather use alanguage that is familiar and descriptive enough. The eight dimensionof any medical condition can, however, be remembered using theabbreviation OLD CARTS (Onset, Location, Duration, Character,Aggravating factors, Reliving factors, Timing, and Severity),(Buttaro, Trybulski, Polgar, 2013).
Epworthsleepiness scale and sleep study to assess for any risk and diagnosisOSA showing apnea, sounds in the lungs, palpation to assess for pain,septum for deviation, the thyroid should be examined incase itsenlarged, sinuses, urine culture, distension, urinalysis, mallamptito examine for any obstruction in the anatomy of the patient such asthe toungue and adenoids, uvula, tonsils. Possibilities of a UTI willbe determined by urine analysis and urine culture. Conducting labanalysis will help in the assessment for infections, abnormalities inelectrolytes and BHP.
Thereis the need to know the s/s of diagnoses to carry out. Understandingthe pathophysiology of OSA is important because one of the causes ofnocturia is arousing from sleep apnea from time to time. Conductingthis study helps one to avoid limiting nocturia to a urinary problemor problem with the prostate. Age, anatomy, and obesity are some ofthe factors that increase the likelihood of occurrence of nocturia.
Theseverity of the sleep apnea experienced by the patient determines thetreatment. It also depends on whether the condition is positional.Weight reduction is one major mode of treatment. Mild sleep apneathat occurs when the patient is lying flat can be helped byimplementing a positional device as well as a weight reduction plan.
Inaddition to that, some dental appliances are helpful to patients withfactors that affect the anatomy. For patients with co morbid medicalproblems, CPAP is utilized. For patients who require oxygen, have OSAand hypoxia, bipap is suggested. Some conditions call for surgicaloptions that involve removing the uvula.
Buttaro,T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J.(2013). Primary care: A collaborative practice (4th ed.). St. Louis,MO: Mosby.
Drugs.com.(n.d.). Retrieved November 28, 2012, from www.drugs.com
Marroquin,J. (2011). To screen or not to screen: Ongoing debate in the earlydetection of prostate cancer. Clinical Journal of Oncology Nursing,