A Practical Guide for Parents of Children with Bedwetting
0 G @ 3 < 3 3 ; 3 @ 1 3 @ ; A < 1 > < > 1S`bWTWSR>SRWOb`WQ<c`aS>`OQbWbW]\S`0 @ = = 9 3 D 7 : : 3 ; 3 2 7 / / A 6 B = < ; / @ G : / < 2 Seven Steps to Nighttime Dryness: A Practical Guide for Parents of Children with Bedwetting 2011 by Brookeville Media LLC, Ashton, Maryland. Printed and bound in the United
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Cover illustration: Jing Jing Tsong, Hawaii
Renee Mercer is a Certified Pediatric Nurse Practitioner specializing in the treatment of children with enuresis, or bedwetting. She sees children with bedwetting and daytime wetting in her private practice, Enuresis Associates, in Elkridge, Maryland. Renee has more than 25 years of experience in pediatrics. She developed her interest in enuresis after appreciating the great unmet need of children with bedwetting. She works closely with families in their quest for dryness and has a tremendous success rate.
After years of frustration finding suitable products for children
with bedwetting, Renee co-founded the Bedwetting Store, (http://www. bedwettingstore.com) a comprehensive online and catalog source for bedwetting alarms, waterproof bedding and pads, products for daytime wetting and information to assist children in achieving dryness. She regularly blogs to answer questions and provide the newest bedwetting information to families on http://www.bedwettingstore.com/blog.
Renee lives with her husband and three sons in Maryland. Anti-diuretic hormone (ADH) Encopresis Enuresis
factors; wetting. Can be further defined as diurnal, nocturnal,
hard, dry or infrequent bowel movements. Frequency how often urination occurs; Desmopressin
of urine produced by the kidney; also know by trademark DDAVP. Functional bladder capacity the amount of urine the bladder Diurnal enuresis
after a prolonged period of dryness. Secondary enuresis Serotonin Timed voiding Nocturnal enuresis
day at regular intervals of time (e.g., every two hours). Oxybutynin a medication that allows bladder Timed voiding program Pelvic floor muscles Tryptophan
protein during digestion, triggers serotonin release. Primary enuresis wetting that has always been Ureter small tube that carries urine from the kidney to the bladder. Urethra tube that carries urine from the bladder to the outside of the body. Urinary system responsible for producing urine, storing it and getting rid of it. Urinary tract infection (UTI) a condition where bacteria (germs) grow anywhere along the tracts where the urine passes, causing an infection. Can occur in the kidney, ureter, bladder or urethra. Vasopressin see anti-diuretic hormone (ADH). Voiding the act of excreting urine.
secondary, 7, 17, 27–28, 77, 97see also causes of enuresis,
new, starting at, 24timed voiding schedule at, 88–90
apnea, 26decreased arousal from, 12–13,
combination therapy for, 83, 109keeping records, 84parental assistance with, 81–82use of alarms, 81–83with bedwetting, 20, 69–70
for daytime wetting, 86use of vibratory watch in, 88–90
Stroke Team Clinic Review Stroke Clinic Review Guidance Notes Six week health and social care assessment – Acute trust / Primary Care Trust/LA. Standard Pre –appointment requests. All investigation requested on discharge, R- Test etc. BP monitored x 2 minimum and recorded in patient health plan Individuals have continuing access to specialist stroke care and rehabilitation
This formulary is not inclusive nor does it guarantee coverage. It is an abbreviated list of Pharmacy and Therapeutics Committee approved drugs that may be prescribed for Navitus members. This document is subject to change. The most updated version of this document as well as a complete formulary listing is available at www.navitus.com or upon request. Drugs will be dispensed generically wh