. Ms. Spencer determined
that she could perform the PFMT exercises
four times a day (before getting out of bed, at lunchtime,
after dinner, and at bedtime) in two positions
(lying down and sitting). When the nurse mentioned
that coffee was both a diuretic (because of its caffeine
content) and a bladder irritant (even when
decaffeinated), Ms. Spencer agreed to gradually
reduce her coffee intake, with the goal of eliminating
it from her diet over a two-week period, replacing
it with drinks that contain no caffeine, such as
hot fruit infusions.