and completing an additional eight fast pelvic floor
muscle contractions of one second in duration. She
admitted, however, that she found it difficult to consistently
complete four exercise cycles daily. She was
continuing with bladder training and felt better able
to defer urgency during the afternoon and evening,
but less able to do so in the morning. She had taken it
upon herself to complete a 24-hour bladder diary
to get a better sense of her current voiding pattern;
she found that two to three hours between voids
was now the norm for her in the morning and afternoon.
She had completely stopped drinking coffee
and was enjoying a hot lemon drink instead.
She felt motivated to continue with her efforts and
believed her bladder condition was improving. The
nurse encouraged her efforts and reviewed the previous
and current self-efficacy scores with her to
show her how much progress she’d made.
Ms. Spencer continued with her PFMT and bladder
training programs. Three months later, her confidence
to hold her urine had increased dramatically
from 56 as measured on her first visit to 93 at her
12-week visit. Both patient and nurse were pleased
with the results.