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Teaching Kegel Exercises (102.105)

Teaching Kegel Exercises (102.105) - Policies, Clinical, UWMF Clinical, UWMF-wide, Clinical Policies and Procedures, Patient Education

102.105

1
UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION
CLINICAL POLICY AND PROCEDURE

TITLE: TEACHING KEGEL EXERCISES

Effective Date: August, 2002 Approval: See Authorization
Supersedes Protocol: None Contact: Clinical Staff Education

Reviewed October, 2003 April, 2005 May, 2008 April 2010
March 2012

PURPOSE: To provide guidelines for teaching Kegel exercises at UWMF Clinics.

DEFINITION: Kegel exercises are performed to strengthen the muscles of the
pelvic floor. These muscles help to hold organs in place and control urine flow. If
a patient has stress incontinence, the provider may suggest Kegel exercises as first
line therapy.






POLICY: The clinical staff will utilize the following guidelines to
teach Kegel exercises to UWMF patients. NOTE: Kegel exercises are
taught to female as well as male patients.






SUPPLIES: Provider’s order, Patient’s record, Pen or pencil
Appropriate patient education teaching materials

PROCEDURE:
1. Wash hands and gather equipment.

2. Introduce yourself and identify the patient. Include date of birth.

3. Assess patient to determine:
Learning needs. What does patient need to know about Kegel exercises?
Readiness to learn. Does patient want to learn to perform exercises?
Current knowledge. What does patient already know about exercises?
Ability to learn. Consider developmental stage, cognitive status, and physical development.
Learning environment. Choose setting where patient can focus on learning.




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4. Provide good light for instruction and provide privacy while teaching.

5. Explain Kegel exercises to the patient.
NOTE: Explanations may need to be in a simple step-by-step format.

6. Steps in teaching Kegel exercises:
NOTE: Exercises may be done any time of the day, during most daily activities.
Tighten the muscles as if you were trying to stop the flow of urine.
Hold for a count of 5.
Relax the muscles.
Repeat this sequence for one minute out of each hour while awake.
When comfortable with this sequence, try holding for a count of 10.

7. Documentation (in Progress Notes section of HealthLink) in the patient’s record:
patient education/teaching
written instructions provided
how patient tolerated procedure/teaching
follow-up appointment (if any)


8. Patient's Kegel Schedule





WRITTEN BY: Ronnie Peterson, R.N., M.S., Clinical Staff Educator
REVIEWED BY: Donnette Kelly, R.N., Department of Urology, 2012
Carol Decker, RN, MSN, Clinical Staff Educator, 2012
REFERENCES:
Kowalak, J. P. (Ed.). (2009). Lippincott’s nursing procedures (5th ed.). Ambler, PA: Lippincott Williams & Wilkins.
Perry, A.G. & Potter, P.A. (2002). Clinical nursing skills & techniques. (5th ed.). St. Louis, MO: Mosby.

AUTHORIZATION:

__________________________________________________________________________________________
Department of Surgery, Urology Date


Medical Director Date
MY KEGEL SCHEDULE

Do my Kegel exercises at least _____
times a day.

Do _____ Kegels during each set.