Enuresis Research Assignment Discussion

Enuresis or bed wetting entail continuous, spontaneous urine or voiding of urine for children of age five and below. Primary nocturnal enuresis occurs due to a disparity between nocturnal urine production and bladder capacity and the failure of a child to respond to a full bladder (DiBianco, Chad Morley, & Al-Omar, 2014). Less prevalently, the disorder is secondary to behavioral, psychological, and medical problem. The evaluation of the condition is dependent upon various factors. According to the American Psychiatric Association (2013), the diagnosis of the condition is primarily done based on certain symptoms of the disease. Specifically, repeated voiding of urine in clothes or beds, whether in a manner that is voluntary or involuntary, is one of the diagnostic criteria of enuresis. Further, the presence of the condition will also be confirmed if the behavior has clinical significance and demonstrated by either a frequency of at least twice weekly for three consecutive months or the existence of clinically significant impairment or distress, in academic, social, or other equally significant areas of functioning (B. Sadock, V. Sadock, & Ruiz, 2014). Enuresis Research Assignment Discussion

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Moreover, the chronological age of the patient ought to be at least 5 years. Also, the diagnosis should eliminate the effect of the physiological impacts of a substance or other medical conditions such as diabetes, a seizure disorder or a spina bifida (American Psychiatric Association, 2013). Importantly, the diagnostic criteria dictate that the classification of the condition should be determined during the process. Nocturnal only entails the passage of urine only during the night. Diurnal only enuresis is present when the passage of urine occurs during waking hours. Lastly, Nocturnal and diurnal enuresis occurs when the passage of urine happens during both waking hours and the night. In addition to history, physical examination may also be used to determine the presence of enuresis. Aspects such as poor growth, hypertension, wetting in undergarments, and palpation of stool in the abdomen are fundamental in the physical examination process (DiBianco, Chad Morley, & Al-Omar, 2014). Therefore, the diagnosis of enuresis involves both history-taking and physical examination processes. Enuresis Research Assignment Discussion

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

DiBianco, J. M., Morley, C., & Al-Omar, O. (2014). Nocturnal enuresis: A topic review and institution experience. Avicenna Journal of Medicine, 4(4), 77–86. http://doi.org/10.4103/2231-0770.140641

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer. Enuresis Research Assignment Discussion

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