Assignment task: Nicole is a 55-year-old woman who presents with complaint of inability to hold urine. She describes incidents where laughing or coughing results in a small to moderate release of urine. She has started wearing Peri Pads to avoid embarrassment.
Past Medical History
- Six vaginal deliveries, all to full term
- Osteoarthritis
- Postmenopausal
Medications
- Boniva, 150 mg once a month
- Calcium, 500 mg daily
- Vitamin D3, one daily
Family History
- Mother, alive and well; hypertension, type 2 diabetes
- Father, deceased; cardiovascular disease, myocardial infarction at age 77
Social History
- No alcohol intake
- Previous smoker
- Walks 2 miles/day
Physical Examination
- Vital signs normal
- Palpation of uterus suggests enlargement
Labs
Discussion Questions:
1. What factors in Nicole's history would help support a diagnosis of overactive bladder?
2. The clinician prescribes oxybutynin 10 mg (extended-release). What does Nicole need to know about this drug? Need Assignment Help?
3. If oxybutynin is ineffective, the clinician could use mirabegron, a beta-3 agonist. What does Nicole need to know about this new drug?
Instructions:
APA 7th edition format
Use at least 2 evidenced-based, peer-reviewed references no older than 5 years.
Two paragraph, minimum 250 words.