Question

ILLED REBEL 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? Jorge is a nine-year-old boy who is experiencing nocturnal enuresis. Enuresis itself is referred to the condition of repeated inability to control urination usually used to describe the action of children when they are old enough to exercise bladder control but fail to do so due to various reasons (Brunner 2014 pg. 1300.). Nocturnal enuresis occurs only at night and is called nocturnal (bedwetting) usually in children. It is possible to have both diuresis and nocturnal enuresis (Brunner 2014 pg.1300). Identify two (2) pieces of assessment data the RN should collect. The RN needs to evaluate the data to formulate a plan of care on how to educate both the child and mother about preventive and treatment options for Jorge to decrease his bed wetting. If there is any new stress in the family, or anything causing anxiety? It could be a move across the state, bullying at school, a divorce, a new baby each can create a at Astraes for kids (Pilliterri 2014)

Answer 1

The two assessment data the RN should collect are about the :-

- Physical stress

- Physiological functioning

In terms of physical stress it means that , whether there is any issue in the family , does that boy has any history of fear etc.

In terms of physiological functioning means does the child has some physiological issues which is causing the bed wetting .