The nurse is teaching an older female patient how to manage urge incontinence at home.What is the first-line approach to reducing involuntary leakage of urine?

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The goal of bladder training is to enable the patient to hold increasingly greater volumes of urine in the bladder and to increase the interval between voiding.This involves patient teaching,scheduled voiding,and self-monitoring using a voiding diary.In addition to teaching the mechanisms of urination,teach distraction and relaxation strategies to help inhibit the urge to void.Other techniques include deep breathing and guided imagery.A pessary is an incontinence device that is inserted into the vagina to reduce organ prolapse or pressure on the bladder.Clean intermittent self-catheterization is a good option for managing incontinence that is resistant to conservative measure,such as bladder training,Kegel exercises,lifestyle modification,and medication.Anticholinergic medication can be highly effective for improving urinary incontinence.However,more conservative measures,such as timed voiding and Kegel exercises,are recommended first.

The Nurse Is Teaching an Older Female Patient How to Manage