Your role is to take a relevant history to enquire about Mrs Scotts continence problems and conduct the necessary assessments to determine the most likely cause.
Please click on the questions below to obtain Mrs Scotts answer.
Mrs Scott, last time you were here, your husband mentioned that you are still getting up many times during the night to go to the toilet. How long has this been happening?
How many times would you say you get up each night, on average?
Does having to get up so many times each time concern you at all?
What about during the day Mrs Scott, do you have to go to the toilet often?
Do you ever get a sudden, strong urge to urinate and sometimes dont make it to the toilet on time?
And do you feel any pain at all when you urinate? Or notice any blood?
Do you always recognise the need to go to the toilet?
Oh about 3 or 4 years now. I didnt think to mention it sooner because its been going on for so long, I guess Im used to it. Ive learned to live with it and tend to catch up on my sleep with a nap after lunch.
Well, I suppose about 5 times on average.
I wouldnt say no to a better nights sleep, thats for sure. But Ive had 3 children and I am 75, so what else can I expect? Ive just accepted it.
Yes, I suppose I do go quite frequently, so I try not to drink too much fluid during the day.
Yes, the feeling that I need to urinate does come on quite suddenly, sometimes with no warning at all and then I cant seem to hold on. Unless there is a toilet nearby, I sometimes dont make it in time.
Yes, recently I have felt a deep pain and a dragging feeling after I finishing urinating. Sometimes there is blood on the toilet paper too. Ive had quite a few urinary tract infections over the years.
Yes, thats no problem.