Nursingcrib.com Nursing Care Plan Urinary Tract Infection (uti)

Student Nurses’ Community NURSING CARE PLAN – UTI ASSESSMENT

DIAGNOSIS

INFERENCE

PLANNING

SUBJECTIVE: “Masakit ang pagihi ko” (I feel pain whenever I urinate) as verbalized by the patient.

Objective: • Facial grimace. • Restlessness. • V/S taken as follows: T: 37.3 P: 82 R: 19 BP: 120/90

Acute pain related to biological factors such as trauma or activity of disease process

A urinary tract infection (UTI) may occur in the bladder, where it is called cystitis, or in the urethra, where it is called urethritis. Upper tract infection results in pyelonephritis. Most UTIs result from ascending infections by bacteria that have entered through the urinary meatus but some may be caused by hematogenous spread. UTIs are much common in females because the shorter female urethra makes them more vulnerable to entry of organisms from

After 8 hours of nursing interventions, the patient’s pain will be relieved or controlled.

INTERVENTION Independent: • Assess pain, noting location, intensity (scale of 0 – 10), duration.

RATIONALE •

Provides information to aid in determining choice or effectiveness of interventions.

•

Encourage increased fluid intake.

•

Increased hydration flushes bacteria and toxins.

•

Investigate report of bladder fullness.

•

Urinary retention may develop, causing tissue distention ( bladder or kidney), and potentiates risk for further infection.

•

Observe for changes in mental status, behavior or level of consciousness.

•

Accumulation of uremic waste and electrolyte imbalances may be toxic to the CNS.

•

Provide comfort measure like back rub, helping

•

Promotes relaxation, refocuses attention, and

EVALUATION

After 8 hours of nursing interventions, the patient’s pain will be relieved or controlled.

Student Nurses’ Community surrounding structures (vagina, periurethral glands, and rectum).

patient assume position of comfort. Suggest use of relaxation technique and deep breathing exercises. •

Encourage use of sitz baths, warm soaks to the perineum.

Collaborative: • Administer antibacterial as prescribed.

may enhance coping abilities.

•

Promotes muscle relaxation.

•

Reduces bacteria present in urinary tract and those introduced by drainage system