NURSING CARE PLAN
ASSESSMENT
Subjective:
“Masakit ang
pagihi ko” as
verbalized by the
patient.
Objective:
•
Facial
grimace.
•
Restlessness.
•
V/S taken as
follows:
T: 37.3
P: 82
R: 19
BP: 120/90
DIAGNOSIS
Acute pain
related to
urinary tract
infection.
INFERENCE
•
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
PLANNING
•
After 7 days
of nursing
intervention
s, the
patient pain
will be
relieved or
controlled.
INTERVENTION
Independent:
• Assess pain,
noting location,
intensity (scale of
0 – 10), duration.
RATIONALE
•
•
Encourage
increased fluid
intake.
•
•
Investigate report
of bladder
fullness.
•
•
Observe for
changes in
mental status,
behavior or level
of consciousness.
•
•
Provide comfort
measure like
back rub, helping
patient assume
position of
comfort. Suggest
use of relaxation
technique and
deep breathing
exercises.
•
Provides
information to
aid in
determining
choice or
effectiveness of
interventions.
Increased
hydration
flushes bacteria
and toxins.
Urinary
retention may
develop,
causing tissue
distention (
bladder or
kidney), and
potentiates risk
for further
infection.
Accumulation of
uremic waste
and electrolyte
imbalances
may be toxic to
the CNS.
Promotes
relaxation,
refocuses
attention, and
may enhance
coping abilities.
EVALUATION
•
After 7 days
of nursing
intervention
s, the
patient pain
will be
relieved or
controlled.
vulnerable to
entry of
organisms from
surrounding
structures
(vagina,
periurethral
glands, and
rectum).
•
Encourage use of
sitz baths, warm
soaks to the
perineum.
Collaborative:
• Administer
antibacterial as
prescribed.
•
Promotes
muscle
relaxation.
•
Reduces
bacteria present
in urinary tract
and those
introduced by
drainage
system