Mental health considerations in pediatric enuresis.

Enuresis is a common condition during the childhood years. Although distressing to both children and parents, enuresis often goes unreported. Because of its common occurrence, psychiatric nurses should become knowledgeable about enuresis and understand how to assess and treat it when appropriate.

Eneuresis primaria en niños. Gestión clínica por procesos / Primary enuresis in children. Clinical procedure management

Se diseña, mediante la gestión estratégica por procesos (GEP), el subproceso enfermero “manejar la enuresis primaria en niños”; se despliegan las fases y etapas de movilización,estabilización, control de gestión y mejora del proceso. Para realizar el procedimiento de actuación se aplica la metodología enfermera NANDA-NOC-NIC permitiendo la práctica enfermera basada en la evidencia

By means of a management according to strategic processes method, the author designs a nursing sub-process "to control primary enuresis in children"; the author unfolds the mobilization phases and stages, the stabilization process, the management control method and the produce improvement method. In order to carry out the working procedures, those involved applied the NANDA-NOC-NIC nursing methods which permitted a nursing practice based on the observed evidence

Helping children with nocturnal enuresis: the wait-and-see approach may not be in anyone's best interest.

Nocturnal enuresis-defined as the involuntary passage of urine at night-is a common childhood condition. Although most will outgrow it, a wait-and-see approach is not appropriate if bedwetting is affecting the child's self-esteem or causing stress within the family. This article offers an overview of the causes and effects of the condition; discusses treatment options, including alarm therapy and medication; and describes ways that nurses can provide education and support.

Enuresis nocturna primaria / No disponible

La enuresis primaria monosintomática en niños en los que se ha descartado otro tipo de patología requiere un abordaje multidisciplinar. El objetivo principal de nuestro trabajo es el abordaje enfermero con un plan de cuidados en función de la valoración de necesidades del niño con este problema. El objetivo final del equipo multidisciplinar es conseguir que el niño controle el esfínter vesical y comience el proceso de separación natural del vínculo materno, mediante el aprendizaje de estrategias de autonomía (AU)

No disponible

Addressing the needs of teenagers with continence problems.

Adolescence refers to the period of great physical and emotional change experienced by 11 to 19-year-olds. A recent report aims to raise the profile of adolescent health (British Medical Association, 2003), and it is important to understand the impact of continence problems at a time in life when self-image is so important and wetting and soiling are particularly distressing. This article considers the specific needs of teenagers and ways of encouraging them to seek treatment.

Enuresis in children and young people: a public health nurse approach in New Zealand.

The involuntary passing of urine at age six and older is called enuresis. Wetting during the day is called diurnal enuresis and wetting at night while asleep is called nocturnal enuresis. Nocturnal enuresis is second only to allergy as the commonest chronic disorder in childhood. Many children (adolescents are included in the term 'children') who are nocturnal enuretics exhibit behaviours such as low self-esteem, withdrawal, less ambition and increased anxiety. These children are often low achievers within the school system and become a problem for their family and school. In this article the author discusses a child/adolescent-centred primary nocturnal enuresis program and service that is administered by a group of public health nurses in South Auckland, New Zealand.

A programme for children with nocturnal enuresis.

AIM: To describe and evaluate the implementation, effects and outcomes of a nurse-managed nocturnal enuresis treatment programme. METHOD: The research design comprised three data sources: focus group interviews with six public health nurses providing the nocturnal enuresis treatment programme, case notes of a convenience sample of 30 children who had completed the treatment programme and interviews with seven children who had completed the programme. RESULTS: The study showed a success rate of 87 per cent (n = 26). Success was defined as maintaining nocturnal continence for 14 consecutive nights. Key aspects in the programme's success and delivery included the child taking responsibility for the programme instead of the parent, the nature of the nurse-child interaction and the nurses' flexibility in adapting the programme for each child. CONCLUSION: The children had experienced low self-esteem as a result of nocturnal enuresis, but success on the programme dramatically improved their self-esteem and ability to socialise with other children. The study affirmed the value of the nurse as the facilitator of this programme. The study has contributed to the knowledge base on the management of nocturnal enuresis in a community-based nurse-managed programme.

Behavioral interventions in primary enuresis: experience report in Brazil.

Nurses, parents, and children play an equally important role in successful behavioral management of childhood enuresis. This pilot study describes results of a multifaceted program in Brazil in which all children showed improvement in bedwetting over a 4-month treatment period. Methods used by these nurses may help in designing and implementing similar programs.

Managing daytime and night-time enuresis in children.

Children with daytime or night-time enuresis should be assessed to discover the causes, and an appropriate treatment programme should be implemented.

Choosing continence products for children.

A wide variety of continence products are available, and the range is changing constantly. Selecting products for children with continence difficulties requires sound knowledge, thorough assessment, regular review, and involvement of the child and family. This article provides some guidance on the products available and how to make an informed choice.

Management of primary nocturnal enuresis.

Most parents believe that their child should not be wetting the bed by age 5. Statistics show that 10% to 20% of 5 year olds continue with a least one episode of nocturnal enuresis per month. There is evidence that successful treatment leads to improved self-concept in children (Moffatt, Kato, & Pless, 1987). Treatment consists of various behavior modifications or pharmacologic regimes. Nurses and nurse practitioners in family practice, pediatric practice, school health, and urologic practice are in ideal roles to seek out and manage children with primary nocturnal enuresis.