Goals of Bladder Retraining
To reestablish bladder control.
To increase self-esteem of client.
To promote skin integrity.
Keep record several days before training begins.
Record amount of fluid intake.
Record times that client voids.
Record amount voided.
Estimate how long urine can be held.
Encourage large-fluid intake, approximately 3 quarts (if not contraindicated), during the day, and decrease fluid in the evening.
Give water pills early in the day to avoid bedwetting.
Drink a glass of water about thirty minutes before voiding.
Begin by going to bathroom every one to two hours, and then gradually decrease time between voidings.
Several methods can be used to encourage voiding.
Running water from the faucet.
Pouring warm water over the perineum.
Tightening and relaxing pelvic muscles.
Use the bathroom, if possible, or a bedside commode, in order to assume accustomed position used to void.
Establish a strict schedule of voiding, usually before and after meals, upon rising, and before bedtime.
Keep accurate records of when voiding takes place in the commode and when incontinence occurs.