Sample interview questions: How do you approach the assessment and treatment of older adults with elimination disorders?
Sample answer:
- Comprehensive Assessment:
- Conduct a thorough geriatric assessment, considering physical, cognitive, psychological, social, and environmental factors.
- Evaluate medical history, medication use, diet, fluid intake, bowel habits, and urinary symptoms.
- Assess cognitive function, including orientation, attention, memory, and problem-solving abilities.
- Screen for depression, anxiety, and other mental health concerns.
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Consider cultural and ethnic factors that may influence toileting behaviors and preferences.
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Physical Examination:
- Perform a physical examination, including a rectal examination and a pelvic examination for women.
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Check for signs of dehydration, electrolyte imbalance, or other medical conditions that may contribute to elimination problems.
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Laboratory Tests:
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Order laboratory tests, such as urinalysis, blood tests, and stool analysis, to rule out underlying medical conditions.
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Behavioral Assessment:
- Observe the patient’s toileting habits and behaviors in their natural environment, if possible.
- Keep a voiding diary to track the patient’s fluid intake, urinary output, and incontinence episodes.
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Interview the patient and their caregivers to gather information about toileting difficulties, coping strategies, and any changes in bowel or bladder habits.
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Treatment Plan:
- Develop an individualized treatment plan based on the assessment findings.
- Address any underlying medical conditions that may be contributing to the elimination problems.
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