10.17 Neurogenic Bladder

Question 1

Bowel program should be performed on this side

Answer 1

left

Question 2

Why should a bowel program be performed on the left side?

Answer 2

better able to clear due to orientation of the colon

Question 3

Functional requirements for bowel/bladder program

Answer 3

• donning/doffing clothing
• txfs
• stabilized WC

Question 4

If the bladder is reflexive, there is still this

Answer 4

tone that holds stuff in

Question 5

reflexive bladder: filling

Answer 5

• bladder fills to the point that the reflex is triggered

- Once the stretch happens, tone holding the urine in relaxes and everything comes out

Question 6

reflexive bladder and IC

Answer 6

Usually start IC in the 3-4 hour range

Question 7

language and reflexive bladder

Answer 7

• hugely important
• frame things positively
• “involuntary” vs. “had an accident”

Question 8

Areflexive bladder

Answer 8

• flaccid

- no sphincter tone = leaky!

Question 9

What happens if a catheter gets pulled out?

Answer 9

• can get lots of blood
• super painful for a non-SCI pt
• balloon keeps it inside the bladder

Question 10

What is used if an IC can’t be performed?

Answer 10

indwelling catheter

Question 11

Who has difficulty with IC?

Answer 11

• females (need a mirror)

- anyone without finger control

Question 12

Types of indwelling catheter

Answer 12

• into ureter (Foley)

- directly into bladder (suprapubic)

Question 13

Which catheter type would be better for females? Why?

Answer 13

• indwelling suprapubic

- much easier to clean