Genitourinary Assessment. Competencies To Describe information to be obtained during a...
-
Upload
ethelbert-garrett -
Category
Documents
-
view
214 -
download
0
Transcript of Genitourinary Assessment. Competencies To Describe information to be obtained during a...
![Page 1: Genitourinary Assessment. Competencies To Describe information to be obtained during a genitourinary assessment To identify techniques to use during.](https://reader036.fdocuments.in/reader036/viewer/2022082711/56649eaa5503460f94baec4a/html5/thumbnails/1.jpg)
Genitourinary Assessment
![Page 2: Genitourinary Assessment. Competencies To Describe information to be obtained during a genitourinary assessment To identify techniques to use during.](https://reader036.fdocuments.in/reader036/viewer/2022082711/56649eaa5503460f94baec4a/html5/thumbnails/2.jpg)
Competencies
To Describe information to be obtained during a genitourinary assessment
To identify techniques to use during a genitourinary assessment
To perform a genitourinary assessment on a patient
To discuss gerontological variations
![Page 3: Genitourinary Assessment. Competencies To Describe information to be obtained during a genitourinary assessment To identify techniques to use during.](https://reader036.fdocuments.in/reader036/viewer/2022082711/56649eaa5503460f94baec4a/html5/thumbnails/3.jpg)
Health History
Age: variations associated with age, i.e STD’s for youth, elimination problems for adults
Family history Social history: sexual practices,
substance use
![Page 4: Genitourinary Assessment. Competencies To Describe information to be obtained during a genitourinary assessment To identify techniques to use during.](https://reader036.fdocuments.in/reader036/viewer/2022082711/56649eaa5503460f94baec4a/html5/thumbnails/4.jpg)
Subjective Data
Does the client have difficulty urinating? Is there burning?
Does the flow start and stop? What is the frequency of urination? Do they experience incontinence or
dribbling of urine? Do they have difficulty controlling
their urine?
![Page 5: Genitourinary Assessment. Competencies To Describe information to be obtained during a genitourinary assessment To identify techniques to use during.](https://reader036.fdocuments.in/reader036/viewer/2022082711/56649eaa5503460f94baec4a/html5/thumbnails/5.jpg)
Subjective
For female clients: did the urinary pattern change after childbirth
Do they have spontaneous urination with coughing, sneezing etc
For male clients do they have discharge from the urethral meatus?
![Page 6: Genitourinary Assessment. Competencies To Describe information to be obtained during a genitourinary assessment To identify techniques to use during.](https://reader036.fdocuments.in/reader036/viewer/2022082711/56649eaa5503460f94baec4a/html5/thumbnails/6.jpg)
Objective
Common chief complaints: urinary frequency, pain on urination
Colour, odour and amount of urine
![Page 7: Genitourinary Assessment. Competencies To Describe information to be obtained during a genitourinary assessment To identify techniques to use during.](https://reader036.fdocuments.in/reader036/viewer/2022082711/56649eaa5503460f94baec4a/html5/thumbnails/7.jpg)
Factors affecting elimination
Aging: kidney functioning, bladder tone & contractility, neuromuscular problems.
Food & fluids – caffeine (diuretic effect), foods high in water &/or sodium content.
Psychological variables – stress, cultural issues, embarrassment
![Page 8: Genitourinary Assessment. Competencies To Describe information to be obtained during a genitourinary assessment To identify techniques to use during.](https://reader036.fdocuments.in/reader036/viewer/2022082711/56649eaa5503460f94baec4a/html5/thumbnails/8.jpg)
Activity and muscle tone Pathological conditions – urinary
tract abnormalities, UTI, diabetes, kidney stones
Medications – diuretics, anticoagulants
![Page 9: Genitourinary Assessment. Competencies To Describe information to be obtained during a genitourinary assessment To identify techniques to use during.](https://reader036.fdocuments.in/reader036/viewer/2022082711/56649eaa5503460f94baec4a/html5/thumbnails/9.jpg)
Normal Elimination
Urine should be straw coloured (pale yellow), with no offensive odour or sediment
Our total blood volume passes through the kidneys about every half hour filtering waste
Bladder is smooth muscle sac with 3 layers
![Page 10: Genitourinary Assessment. Competencies To Describe information to be obtained during a genitourinary assessment To identify techniques to use during.](https://reader036.fdocuments.in/reader036/viewer/2022082711/56649eaa5503460f94baec4a/html5/thumbnails/10.jpg)
Stretch receptors in the bladder signal the need to void
Usually about 200-300 mLs of urine in bladder will activate this process but can distend to hold 3000-4000 mLs of urine
Typically urinate about every 3-4 hours
![Page 11: Genitourinary Assessment. Competencies To Describe information to be obtained during a genitourinary assessment To identify techniques to use during.](https://reader036.fdocuments.in/reader036/viewer/2022082711/56649eaa5503460f94baec4a/html5/thumbnails/11.jpg)
Terms associated with Elimination
Anuria: no urine Dysuria: difficulty in voiding Frequency: increased incidence of
voiding Glycosuria: glucose in urine Nocturia: frequency during the night Urgency: strong desire to void
![Page 12: Genitourinary Assessment. Competencies To Describe information to be obtained during a genitourinary assessment To identify techniques to use during.](https://reader036.fdocuments.in/reader036/viewer/2022082711/56649eaa5503460f94baec4a/html5/thumbnails/12.jpg)
Kidneys
Located high and deep under the diaphragm
Best to assess for kidney at the costovertebral angle
Primary function of the kidneys is filtration and elimination of metabolic wastes
![Page 13: Genitourinary Assessment. Competencies To Describe information to be obtained during a genitourinary assessment To identify techniques to use during.](https://reader036.fdocuments.in/reader036/viewer/2022082711/56649eaa5503460f94baec4a/html5/thumbnails/13.jpg)
Inspection
Have client empty their bladder and lie on the bed
Would normally inspect the reproductive organs at this time
Looking for any noticeable deviations from normal
Most often covered as part of reproductive exam
![Page 14: Genitourinary Assessment. Competencies To Describe information to be obtained during a genitourinary assessment To identify techniques to use during.](https://reader036.fdocuments.in/reader036/viewer/2022082711/56649eaa5503460f94baec4a/html5/thumbnails/14.jpg)
Inspection
Assessing for any visible signs of infection from the urinary meatus
With men must assess whether or not the person has been circumcised
![Page 15: Genitourinary Assessment. Competencies To Describe information to be obtained during a genitourinary assessment To identify techniques to use during.](https://reader036.fdocuments.in/reader036/viewer/2022082711/56649eaa5503460f94baec4a/html5/thumbnails/15.jpg)
Palpation
To palpate for urethral discharge gently squeeze the glans between the index finger and the thumb
The urinary meatus is normally free from discharge
Any discharge should be cultured
![Page 16: Genitourinary Assessment. Competencies To Describe information to be obtained during a genitourinary assessment To identify techniques to use during.](https://reader036.fdocuments.in/reader036/viewer/2022082711/56649eaa5503460f94baec4a/html5/thumbnails/16.jpg)
Prostate Gland
An important part of the exam for men
The prostate is palpated on the anterior surface of the rectum
An enlarged prostate my indicate benign prostatic hypertrophy, a condition that affects men as they age and may cause urinary difficulties
![Page 17: Genitourinary Assessment. Competencies To Describe information to be obtained during a genitourinary assessment To identify techniques to use during.](https://reader036.fdocuments.in/reader036/viewer/2022082711/56649eaa5503460f94baec4a/html5/thumbnails/17.jpg)
Lifespan Variations
Bladder capacity decreases to 250 mL owing to periurethral atrophy
May have 1-2 periods of nocturia Increasing chance of men
developing prostate disease that may impact on urinary functioning