Impaired urinary elimination can occur as a result of a physical abnormality, a sensory impairment, or as a secondary cause of a disorder or disease. Symptoms can vary widely from bladder distention to painful urination to a complete lack of bladder control. Treatment depends on the cause and can include noninvasive interventions such as bladder training to surgical options. Show
Impaired urinary elimination can be embarrassing and frustrating and have a large impact on quality of life. Nurses can guide patients in understanding the causes of their symptoms and how to prevent and manage them. Causes of Impaired Urinary Elimination (Related to)
Signs and Symptoms (As evidenced by)Subjective: (Patient reports)
Objective: (Nurse assesses)
Expected Outcomes
Nursing Assessment for Impaired Urinary Elimination1. Identify causes of impaired urinary elimination. 2. Assess voiding pattern and symptoms. 3. Monitor labwork and urinalysis. 4. Review medications. 5. Compare intake and output. 6. Assess for issues with catheterization. 7. Review diagnostic tests. Nursing Interventions for Impaired Urinary Elimination1. Educate on bladder training. 2. Encourage water intake. 3. Limit other fluids. 4. Educate on supplements. 5. Have the patient demonstrate catheterization
techniques. 6. Use bladder scanning. 7. Educate on proper hygiene. 8. Refer to urology. 9. Educate on pelvic floor exercises. 10. Educate
on medications. 11. Use incontinence supplies. References and Sources
What is the best intervention for urge incontinence?The best treatment for urge incontinence is behavior therapy in the form of pelvic floor muscle exercises. Medications, used as an adjunct to behavior therapy, can provide additional benefit.
What are nursing interventions for incontinence?Nursing Interventions. Set a toileting schedule. A toileting schedule guarantees the patient of a designated time for voiding and reduces episodes of functional incontinence. Eliminate environmental barriers to toileting in the acute care, long-term care or home setting.
What interventions can be done to help patients with incontinence?Management and treatment for incontinence. increased fluid intake of up to two litres a day.. high-fibre diet.. pelvic floor exercises.. bladder training.. training in good toilet habits.. medications, such as a short-term course of laxatives to treat constipation.. aids such as incontinence pads.. Which intervention is most appropriate for a patient with functional urinary incontinence?The most typical treatment for functional incontinence involves improving the patient's functional status, modifying transient causes for the incontinence (e.g., fecal impaction), and reducing environmental barriers to toileting or providing sufficient toileting assistance to avoid incontinence episodes.
|