Stroke Urinary Incontinence Care Points

Stroke Urinary Incontinence Care:

Skin Care:

Keep the skin clean and dry, wash the perineal area with warm water daily. Add a layer of rubber or waterproof bedding, and place a highly absorbent cloth pad on top. Change the pad promptly when it gets wet.

Collecting Urine:

Female patients can use a female urinal to collect urine closely against the external genitalia. Male patients can use a urinal or a condom connected to a rubber tube and drainage bag to collect urine (this method can only be used for a short time).

Indwelling Urinary Catheter:

Replace the indwelling urinary catheter weekly. The catheter should be properly placed to avoid compression, twisting, and blockage, which can cause poor drainage. Keep the urethra clean by washing the urethral opening with disinfected cotton balls 1-2 times daily. Drain the urine every 2-4 hours, and frequently change bedsheets and urinary pads to prevent urinary tract infections.

Using the commode:

First, position the patient in a supine position, bend the knees, and then use force to lift the hips off the bed, performing the “bridge movement”. In the initial stage, family members are needed to help lift the hips off the bed, and the commode is quickly placed under the hips while they are still off the bed. Patients who can sit should do so.

Urination training:

At first, encourage the patient to urinate every 1-2 hours, applying a gentle pressure from the upper bladder with the palm of the hand to encourage passive urination. Gradually increase the time between urination sessions, focusing the patient’s attention and training them to report to family members. Family members should pay attention to the patient’s movements and expressions, especially for those with impaired consciousness or speech difficulties, and remind them to use the commode in a timely manner. Diapers should be removed as soon as possible to prevent dependency.

Indoor environment:

Open the doors for ventilation and fresh air daily in the morning and evening, eliminate unpleasant smells, and keep the indoor air fresh for patient comfort.

Psychological care:

Patients with urinary incontinence often experience significant psychological stress, feelings of inferiority, and desire for understanding and help. Family members should provide comfort and encouragement to help the patient build confidence and cooperate with care.

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