An older patient with diabetes is diagnosed with a flaccid bladder. What should be included in the care of this patient?
1. instruction on the Credé method of bladder emptying
2. the importance of maintaining alkaline urine
3. instruction on the use of anticholinergic medications
4. reminder to restrict fluids
Correct Answer: 1
The Credé method (applying pressure to the suprapubic region with the fingers of one or both hands), manual pressure on the abdomen, and the Valsalva maneuver (bearing down while holding one's breath) promote bladder emptying for the patient with a spastic or flaccid bladder. Altering the pH of the urine, taking anticholinergics, or restricting fluids would not help the patient adapt to the neurogenic issue that is causing flaccid bladder.
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