Resources for the Comprehensive Geriatric Assessment based
Proactive and Personalised Primary Care of the Elderly
( Frequency - Volume Chart )
Purpose : Template for the recording of fluid input and urine output, with information pertinent to incontinence.
Admin time : 3 days
User Friendly : High
Administered by : Self
Content : Instructions and template for the recording of urinary in and output, type of drink taken, degree of urgency experienced, and additional information about when urine was voided and/or leakage experienced.
Author : Grazioli A, 2021 (CGA Toolkit Plus, cgakit.com)
Copyright : Public domain
Interpretation of Bladder Diary data is largely subjective and should be considered in conjunction with other pertinent data.relating to possible causes of incontinence.
The mnemonics DIAPPERS and TOILETED are useful in this regard
General pointers that may be gleaned from Bladder Diary data include:
Normal voided volume and frequency
Increased volume day and night
Polyuria = 24 hr output > 3 litres
Managed by lifestyle intervention + decreased intake (never <1500ml/day)
Increased volume at night, normal during the day
Nocturnal polyuria = > 33% of total output occurs at night
Suggestive of fluid retaining states, hormonal fluid balance abnormality or idiopathic in origin.
This is a commonly occurring bothersome symptom caused by physiological problems (i.e. renal, cardiac, CNS or endocrine)
Normal volume + increased frequency day and night
Suggesting a high fluid intake.
This may be related to diabetes mellitus or diabetes insipidus, but is more usually habitual.
Normal volume and daytime frequency + increased night frequency
Nocturia, suggesting storage LUTS
Reduced volume with variation in the volume voided
Suggestive of underlying detrusor overactivity as the bladder contracts at variable degrees of distension before maximum capacity, erroneously informing the patient that it is full, resulting in urinary frequency and low and variable voided volumes.
Reduced volume with minimal variation in the volume voided
Suggesting bladder wall pathology such as carcinoma in situ or painful bladder syndrome/interstitial cystitis or carcinoma in situ.
This Tool is used in the assessment of
Back To : Urinary Incontinence
Urinary Incontinence is one of 4 conditions identified as
Back To : Geriatric Syndromes