Case Study: Patient with Enuresis

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.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.Case Study: Patient with Enuresis