An older woman tells the nurse practitioner that she fears her family will place her in a nursing home because she developed stress incontinence. Which recommendation should the nurse im-plement?
a. Tell her to eliminate the use of caffeinated beverages.
b. Coordinate a family conference with the older adult.
c. Recommend exercises to strengthen the pelvic floor.
d. Schedule voiding for every 2 hours around the clock.
C
The nurse practitioner recommends pelvic floor exercises to strengthen the pelvic floor and the muscles that surround the urethra, vagina, and rectum to decrease the incidence of stress incon-tinence. Stress incontinence is usually due to weakened pelvic floor muscles; therefore eliminat-ing caffeinated beverages can be an ineffective treatment. Arranging a family conference is pre-mature and potentially embarrassing for the older adult. Many therapies are available to decrease this older adult's incontinence. Scheduled voiding is recommended at 2- to 4-hour intervals dur-ing the day and at 4-hour intervals at night.
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