Impaired Urinary Elimination Care Plan and Nursing Diagnosis Writing Help

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Impaired Urinary Elimination Care Plan and Nursing Diagnosis

Impaired Urinary Elimination Care Plan

Impaired urinary elimination refers to dysfunction in urinary elimination. It can be defined as a disturbance to a pattern of urine elimination. Impaired urinary elimination is a too general diagnosis for effective clinical use, but it is clinically helpful especially when enough data is obtained.

With more data, a nurse can view and determine a specific diagnosis like stress urinary incontinence where possible. In general, a nurse can write an impaired urinary elimination linked to unknown etiology when the contributing factors for incontinence are yet to be recognized.

The impaired urinary elimination care plan documents contain details of identification, assessment, treatment, diagnosis as well as monitoring of the impaired urinary elimination. Whether you are a student or a professional nurse and you need impaired urinary elimination care plan writing help, then it could be wise to seek quality nursing care plans with consistent follow-up guidelines.

Types of Urinary Incontinence

  • Impaired Urinary Elimination: Refers to dysfunction in urinary elimination.
  • Functional Urinary Incontinence: The inability of a usually continent person to reach the toilet in time to avoid unintentional loss of urine.
  • Stress Urinary Incontinence: Refers to sudden leakage of urine with activities that increase intra-abdominal pressure.
  • Reflex Urinary Incontinence: Refers to involuntary loss of urine at predictable intervals when a particular bladder volume is reached.
  • Urge Urinary Incontinence: Refers to the involuntary passage of urine that happens right after a strong sense of urgency to avoid.

Factors Related to Impaired Urinary Elimination

The following are some of the factors that are closely related to impaired Urinary elimination:

  • Bladder outlet obstruction
  • Bladder atony
  • Diminished bladder cues
  • Decreased bladder capacity
  • Disruption in bladder innervation
  • Environmental barriers
  • Multiple causalities
  • Small bladder
  • Sensory-motor impairment
  • Incompetent bladder
  • Impaired Urinary Elimination Care Plan  Diagnosis

A good care plan should show how to identify the presence of impaired urinary elimination. Impaired urinary elimination is shown by one or more of these signs and symptoms.

  • Bladder distention
  • Enuresis
  • Frequency
  • Nocturia
  • Dribbling
  • Incontinence
  • Hesitancy
  • Dysuria
  • Retention of urine (large residual volumes)
  • Urgency to urinate

Impaired Urinary Elimination Care Plan Goals and Outcomes

A nurse will prepare a care plan specifically for patients with impaired urinary elimination problems. The care plan should guide them to attaining the following goals and outcomes. Patient should;

  • Urinate without retention
  • Urinate smoothly and without bladder distention
  • Identify the cause of incontinence
  • Attain urine residues of less than 50ml without overflow
  • Understand the condition
  • Maintain clear urine without odor
  • Develop techniques and behavior to prevent retention of urine/urinary infection
  • Overcomes or avert urine leakage 

Impaired Urinary Elimination Care Plan Assessment

When preparing a care plan, it must focus on the patient assessment to determine if the impaired urinary elimination is a response to chronic neural, genitourinary, or acute conditions. However, a nurse or caregiver can get clues of the root cause through these assessments.

  • Assessing urine frequency and amount (voiding pattern): By comparing the patient’s fluid intake and urine output, the nurse should be able to positively identify the effectiveness of the renal bladder function of emptying and fluid balance. 
  • Note reports of incontinence, burning, urgency, nocturia, size of the stream, and urinary frequency force: By making these observations, the nurse can identify the degree of interfering with urine removal. Fullness over the bladder after a void indicates retention or inadequacy to eliminate hence a sign of bladder infection that needs intervention.
  • Review of the drug prescription: Some drugs such as OTC, antispasmodics, narcotic analgesics, antidepressants, and recreational drugs such as cannabis potentially affect your bladder emptying.
  • Assess the availability and nature of toileting facilities: Some patients may require a bedside commode if mobility restriction interferes with their ability to get to the bathroom.
  • Assess the patient’s common pattern of urination and occurrence of incontinence: Most patients are incontinent only early morning period when the bladder often stores a large volume of urine during sleep.

Impaired Urinary Elimination Care Plan Interventions

The following are therapeutic nursing interventions for impaired urinary elimination:

  • Bladder retraining per protocol when appropriate: The timing and type of bladder program depend on the type of injury – upper or lower neuron involvement.
  • Encourage adequate fluid intake – 2 – 4 liters per day: Sufficient body hydration promotes urinary output and helps in preventing infection. If the patient is taking sulfa drugs, sufficient fluids are necessary to ensure adequate excretion of drugs while reducing the risk of cumulative effects. 
  • Observe for cloudy or bloody urine, foul odor: Multistrip dipsticks can provide a quick determination of pH, nitrate, and leukocyte esterase suggesting the presence of infection. 
  • Cleanse the perineal area and keep dry: Proper perineal hygiene decreases the risk of skin irritation or breakdown and the development of ascending infection.
  • Recommend good hand washing and proper perineal care: Hand washing and perineal care reduce skin irritation and risk of ascending infection.
  • Refer to urinary continence specialist as indicated: Collaboration with specialists helps develop an individual plan of care to meet patient’s specific needs using the latest techniques, continence products.
  • Catheterize when and as indicated: Catheterization can at times be required for evaluation or treatment when a patient retains urine or unable to empty the bladder.
  • Promote continued mobility.
  • Teach Kegel exercises: These exercises work to improve pelvic floor muscle tone and urethrovesical junction sphincter tone.
  • Keep bladder deflated through an indwelling catheter initially: Indwelling catheter is used during the acute phase for prevention of urinary retention as well as a monitoring output. Intermittent catheterization may be implemented to prevent complications commonly associated with longer use of indwelling catheters. 

A nurse or caregiver servicing a patient who consumes caffeine and alcohol should inform the patient about the risks of these substances in increasing overactivity and triggering bladder irritation.

Impaired Urinary Elimination Care Plan Writing Help Services

Coming up with a clear nursing care plan for impaired urinary elimination may be challenging for students or professional nurses on duty. For this reason, nurses and caregivers often seek Impaired Urinary Elimination Care Plan writing help. Should you need care plan writing help services, we are here to help you write original, structural, and well-detailed documents to guide you in assessing and treating patients.

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