A physical deformity, a mental disability, or a sickness or disease that affects the body’s ability to eliminate waste via the urinary tract may all lead to impaired urine elimination. There is a broad range of possible symptoms, from a swollen bladder to uncomfortable urination to an inability to manage bladder function. Read below to know about the nursing care plan for impaired urinary elimination.
Impaired Urinary Elimination: Root Causes (Related to)
- Problems with sensing and moving
- Disruptions in normal anatomic development (obstruction)
- Infections of the urinary tract
- Kidney disorders
- Disorders present at birth
- Muscle weakness in the bladder (older age, pregnancy)
- Prescription drugs
A Nursing Evaluation of Urinary Incontinence: –
Determine the root causes of urine incontinence:
Illnesses and conditions such as urinary tract infections, cystitis, multiple sclerosis, quadriplegia, dementia, an expanded prostate, stroke, urologic procedures, and chronic renal disease may all lead to decreased urine elimination.
Analyze your symptoms and how often you urinate:
The patient’s signs should be evaluated to arrive at a diagnosis. Kidney disorders may cause discomfort in the lower back or the side of the thigh.
Keep an eye on blood tests and urinalysis results:
One way to confirm or rule out infection is with a urinalysis and culture. Acute and chronic renal illness may affect kidney function, so it’s essential to look. The irritation of the prostate may be measured with a PSA blood sample.
It might be challenging to urinate while using drugs that have anticholinergic effects. Atypical antipsychotics, tricyclic antidepressants, plus antiparkinson medications all fall within this category.
Consider the intake and output ratio:
The volume and color of urine produced and the kind of fluid consumed (caffeine, water, soda) may be used as indicators of hydration status.
Verify for catheterization complications by doing the following:
Owing to bladder failure, some individuals must use either intermittent self-catheterization or permanent suprapubic catheters. Ensure they use the proper method to avoid contaminating the catheterization process with microorganisms.
People currently using indwelling catheters should have their need for them reevaluated. The chance of infection rises when a catheter is left in place for too long or is unnecessary.
Assess the results of diagnostic procedures:
It is recommended that patients experiencing incontinence be directed to a doctor who specializes in treating this condition. Some urologists focus only on treating problems of the female urinary system.
Women who are experiencing issues with their urinary systems should see a urogynecologist, who is a kind of gynecologist with additional training in this area.
Family doctors and internal medicine are experts at diagnosing and treating this issue since they handle patients with many problems. If necessary, these general practitioners may send patients to urologists.
The physical examination will search for indicators of medical diseases that cause incontinence, such as tumors that obstruct the urinary system, bowel impaction, and weak reflexes or sensations, which may indicate a nerve-related reason.
Measuring residual urine and bladder capacity is a common technique for detecting bladder muscle dysfunction.