Although the Reflection Circle is a basic structure for reflection, not all groups or group members are comfortable or interested in speaking up in this environment right away. Being creative and using a variety of activities helps to gain the participants' interest and can foster comfort and familiarity in the group.
If polyuria is present, patients should be asked about the age at onset, rate of onset (eg, abrupt vs gradual), and any recent clinical factors that may cause polyuria (eg, IV fluids, tube feedings, resolution of urinary obstruction, stroke, head trauma, surgery). Patients should be asked about their degree of thirst.
Sexually transmitted diseases can also produce symptoms of dysuria. Other causes of dysuria include: 1  Trauma: local injury or irritation due to catheter placement or sexual contact. 2  Anatomic obstructions/malformations: obstruction due to an enlarged prostate or urethral stricture.3  Pain due to external lesions on the genitalia: Urine touching the lesion causes pain.ther causes of dysuria include: 1  Trauma: local injury or irritation due to catheter placement or sexual contact. 2  Anatomic obstructions/malformations: obstruction due to an enlarged prostate or urethral stricture. 3  Pain due to external lesions on the genitalia: Urine touching the lesion causes pain.