Your role is to take a relevant history to enquire about Mrs Scottís continence problems and conduct the necessary assessments to determine the most likely cause.
Please click on the questions below to obtain Mrs Scottís 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 donít 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 didnít think to mention it sooner because itís been going on for so long, I guess Iím used to it. Iíve 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 wouldnít say no to a better nightís sleep, thatís for sure. But Iíve had 3 children and I am 75, so what else can I expect? Iíve 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 canít seem to hold on. Unless there is a toilet nearby, I sometimes donít 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. Iíve had quite a few urinary tract infections over the years.
Yes, thatís no problem.