History
As most patients hesitate to mention problems
due to urinary incontinence, physicians should
routinely ask all elderly or high-risk patients
whether they suffer from any such problem. A
sympathetic but proactive approach will put the
patient at ease and prevent further morbidity.
Duration, pattern, and frequency of urination along with the inducing factors should be
enquired. A voiding record maintained over 2-
3 days is of great help to physicians. In an
outpatient setting it can be done by the patient
or caretaker. In a hospital, the nursing and
ancillary staff can be of great help in obtaining
this information. Associated symptoms such as
fever, pain, haematuria, and constipation
should be noted. A detailed past medical,
surgical, and obstetrical history should be
obtained. Medications should be reviewed.
HistoryAs most patients hesitate to mention problemsdue to urinary incontinence, physicians shouldroutinely ask all elderly or high-risk patientswhether they suffer from any such problem. Asympathetic but proactive approach will put thepatient at ease and prevent further morbidity.Duration, pattern, and frequency of urination along with the inducing factors should beenquired. A voiding record maintained over 2-3 days is of great help to physicians. In anoutpatient setting it can be done by the patientor caretaker. In a hospital, the nursing andancillary staff can be of great help in obtainingthis information. Associated symptoms such asfever, pain, haematuria, and constipationshould be noted. A detailed past medical,surgical, and obstetrical history should beobtained. Medications should be reviewed.
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