Impaired Urinary Elimination Care Plan Example

IMPAIRED URINARY ELIMINATION CARE PLAN EXAMPLE

. The academic approach to a care plan is a little bit different from how they do it in practice. The only thing that makes this different is that in practice, you deal with a patient while academically, you have to rely upon the scenario given to draw your care plan from. In this care plan example you will learn how to write nursing care plan for impaired urinary elimination diagnosis Impaired urinary elimination is a disturbance in an individual’s pattern of urine elimination which is caused by a couple of reasons among them old age,

What is a care plan?

A care plan is a document that specifies a patient needs as well as how they are to be met. It is structured in such a way that it can be followed by another specialist even in the absence of the one who created it.

The care plan also has a provision that allows measurement of progress both qualitatively and quantitatively. A care plan is divided into six parts that cover everything right from assessment of the patient to evaluating the patient after treatment. These include:

Breaking it all down a little bit more, writing a careplan will help you answer 3 major questions; WHAT, WHY and HOW. The nursing profession has come a long way and has grown better with time. This is all attributed to the thousands of hours of research and carefully articulated training that they go though in nursing school. The needs of the patient are a priority and seeing that they get the best healthcare is of utmost urgency.

Objective

 Pale appearance

Subjective

 Hesitancy to start urine flow

 Slow stream

 Swelling of the lower abdomen

 Pain in the lower abdomen

 Urgent need to urinate

 Inability to urinate

 Bladder diary

 Urodynamic testing to determine how well the urinary tract system is working. Pelvic ultrasound

 Urinalysis to check the concentration, content and composition of urine

 Post void residual measurement to measure the amount of urine left in bladder after a voluntary void

 balanced I&O with clear, odorfree urine

 Review drug prescriptions

 Scheduled toilet trips

 Oxybutynin, propanthelin, hyoscyamine sulfate, flavoxate hydrochlorid, tolterodine

 Encourage adequate intake of fluid 2-4 liters per day

 Bladder training

 Double voiding

 ,Bladder training protocols will depend on the type of diagnosis and patients injury

 They reduce bladder spasticity and associated symptoms of frequency, urgency, incontinence

 medications such as some antispasmodics, antidepresants, recreational drugs, OTC medications with anticholinergic or alpha agonist properties may interfere with bladder emptying.

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