A urinalysis can be performed in one of two ways.
- By dipstick.
- By microscopic examination of the sediment.
The second method is recommended for those individuals suffering from Overactive Bladder Disorder (OAB). This is because the sediment can then be screened for the presence of infection, glucosuria and/or microscopic hematuria which is defined as plus or minus three to five red blood cells per high-powered field. When this examination occurs with a renal radiograph and by cystoscopy, it can pretty much rule out genitourinary pathology, which in turn can rule out malignancy.
By the way, if you are wondering, glucosuria is quite common in your clients that also have Diabetes. Those clients not only experience urinary frequency, you should know that that symptom is secondary to polyuria. If your client is suffering from symptoms comparative with a urinary tract infection, you will want to ensure that their medical professional runs a urine culture.
Your female clients may experience recurrent urinary tract infections if they suffer from OAB. What is worse is that their OAB therapies may be unmanageable until their “sensitizing” infections are treated with the appropriate use of prophylactic antibiotics.
To show your clients that you believe that With Age Comes Respect, you should realize that 20% of elderly females’ urine is chronically colonized with bacteria. Although their doctor may be treating them for that, it may not impact their voiding symptoms one iota!