BLADDER TRAINING

ELECTROLYTE MODIFIERS
Yanisa H. Moksir

BLADDER
TRAINING

 Bladder training which requires

that the client postpone voiding,
resist or inhibit the sensation of
urgency, and void according to
the urge to void
May be used for clients who have
bladder instability and urge
incontinence

Goals:
To gradually lengthen the
intervals between urination to
correct
clients
frequent
urination
To stabilize the bladder
To diminish urgency

 Delayed voiding provides larger

voided volumes and longer
intervals between voiding
Initially,
voiding
may
be
encouraged every 2 to 3 hours
except during sleep and then
every 4 to 6 hours
Vital component of bladder
training is inhibiting the urge-tovoid sensation

Practice guidelines:
Determine clients voiding pattern and
encourage voiding at those times or establish
a regular voiding schedule and help client
maintain it
Instruct to practice slow, deep breathing until
the urge diminishes or disappears
When client finds that voiding can be
controlled, the intervals between voiding can
be lengthened slightly without loss of
continence
Regulate fluid intake, particularly during
evening hours, to help reduce the need to
void during the night

Encourage fluids between the

hours of 600 and 1800
Avoid excessive consumption of
citrus
juices,
carbonated
beverages (containing artificial
sweeteners), alcohol, and drinks
containing caffeine because these
irritate the bladder, increasing
risk of incontinence
Schedule diuretics early in the
morning

Apply protector pads to keep

bed linen dry and provide
specially
made
waterproof
underwear to contain the urine
Assist with an exercise program
to increase the general muscle
tone and a pelvic muscle
exercise program aimed at
strengthening the pelvic floor
muscles
Provide positive reinforcements

On catheter:
Kink or clip
the catheter
for 4 hours
and
release
for
30
minutes

ELECTROLYTE
MODIFIERS

THANK YOU! ! !