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Wan Najwa Wan Mohd Zohdi

Universiti Teknologi MARA, Malaysia

Presentation Title:

The Crucial Role of Nurses in the Evaluation and Management of Neurogenic Bladder

Abstract

Neurogenic bladder is an abnormality of the urinary system caused by neurological conditions such as spinal cord injury and multiple sclerosis. Effective evaluation and management are crucial to prevent complications such as urinary tract infections and renal damage. Nurses play a pivotal role in the multidisciplinary approach to neurogenic bladder evaluation, serving as both clinical assessors and patient advocates. The nursing role involve collaborative patient assessment, investigative measures and management strategies. Nurses are often the first to recognize signs of urinary dysfunction and are essential in screening for red flags such as incontinence, retention, urgency, or recurrent infections. Their close involvement in the patient's care allows them to observe patterns over time, enabling early detection and timely referral for further evaluation. In collaboration with physicians and urodynamic specialists, nurses assist in the preparation and execution of diagnostic procedures such as bladder scanning, and urodynamic studies. They ensure proper patient education, reduce anxiety surrounding invasive tests, and maintain strict adherence to infection control protocols. Moreover, nurses play a key role in patient and caregiver education regarding bladder management techniques such as intermittent catheterization, fluid management, and hygiene practices. They contribute to individualized care planning and provide emotional support, helping patients adapt to long-term bladder care strategies. By integrating clinical knowledge and compassionate care, nurses significantly contribute to early identification, accurate evaluation, and comprehensive management of neurogenic bladder. Their role enhances patient outcomes, supports multidisciplinary care, and upholds quality and safety in bladder dysfunction management. Ongoing training and involvement in research and clinical innovation are essential to empower nurses in this expanding field of neuro-urological care.

Biography

Wan Najwa is a senior lecturer and consultant rehabilitation physician, currently serving as head of the Department of Rehabilitation Medicine at Faculty of Medicine UiTM and Hospital Al-Sultan Abdullah UiTM, Malaysia. She obtained her clinical fellowship in spinal cord injury rehabilitation in 2023 under University of Toronto that gave her in-depth experience in clinical management for people with neurological disabilities. She has vast experience in neurogenic bladder and bowel management. her research interest include bone health and wound management in disabled population.