Definitions and Classification
(NANDA Nursing Diagnoses)
NCP Urinary Tract Infection (UTI) : Nursing Diagnosis and Interventions
1. Acute Pain related to inflammation and infection of the urethra, bladder and other urinary tract structures.
Goal: Pain is reduced / lost, the spasms can be controlled.
Expected outcomes: client reported no pain on urination, no pain in the suprapubic region.
1. Monitor urine color changes, monitor the voiding pattern, input and output every 8 hours and monitor the results of urinalysis repeated.
Rationale: To identify the indications of progress or deviations from expected results
2. Note the location, time intensity scale (1-10) pain.
Rationale: To help evaluate the place of obstruction and cause pain.
3. Provide convenient measures, such as massage.
Rationale: Increase relaxation, reduce muscle tension.
4. Give perineal care.
Rational: To prevent contamination of the urethra.
5. If using a catheter, catheter treatment 2 times per day.
Rationale: The catheter provides a way for bacteria to enter the bladder and urinary tract up to.
6. Divert attention to the fun.
Rationale: Relaxation, avoid too feel the pain.
7. Collaboration of analgesics.
Rational: to control the pain.
2. Impaired Urinary Elimination related to frequent urination, urgency, and hesitancy.
Goal: improve urinary elimination pattern.
Expected outcomes: clients reported a reduction in frequency (frequent urination), urgency, and hesistensi.
1. Assess the patient's pattern of elimination.
Rationale: as a basis for determining interventions.
2. Encourage the patient to drink as much as possible and reduce drinking in the afternoon.
Rationale: To support the renal blood flow and to flush bacteria from the urinary tract. The liquid that can irritate the bladder (eg, coffee, tea, alcohol) is avoided. In order not to wake up frequently at night to urinate.
3. Encourage the patient to urinate every 2-3 hours and when it suddenly felt.
Rationale: Because it significantly lowers the number of bacteria in the urine, reduced urine status and prevent recurrence of infection.
4. Prepare / encouragement do perineal care every day.
Rationale: Reduce the risk of contamination / infection increased.
3. Disturbed Sleep Pattern related to pain and nocturia.
Goal: to improve sleep patterns.
Expected outcomes: clients reported being able to sleep, clients seem fresh.
1. Determine the usual sleeping habits and changes.
Rationale: Assess and identify appropriate interventions.
2. Provide a comfortable bed.
Rationale: Improve sleeping comfort and support of physiological / psychological.
3. Increase comfort bedtime regimen, for example, a warm bath and a massage, a glass of warm milk.
Rationale: Increases the effect of relaxation. Note: The milk has sopofik quality, boost the synthesis of serotonin, a neurotransmitter that helps patients and sleep longer.
4. Reduce noise and light.
Rationale: Provide a situation conducive to sleep.
5. Instruct relaxation measures.
Rationale: Helps induce sleep.
4. Hyperthermia related to the reaction iflamasi.
Goal: body temperature back to normal.
Expected outcomes: client reported no fever, no palpable heat, vital signs within normal limits.
1. Assess any complaints or signs of increased body temperature changes.
Rationale: Increased body temperature will shows a variety of symptoms such as red eyes and the body feels warm.
2. Observation of vital signs, especially temperature, as indicated.
Rationale: To determine interventions.
3. Warm water compress on the forehead and both axilla.
Rationale: To stimulate the hypothalamus to the temperature control center.
4. Collaboration of antipyretic drugs.
Rationale: Controlling fever.