MAGCALAS, PATRICK IVAN R.

BSN 1 H
LEGASPI, CARRIE ANNE D.
SUMBAD, KYLA EMELYN I.
 MAGCALAS, PATRICK IVAN R. BSN 1 H
LEGASPI, CARRIE ANNE D.
SUMBAD, KYLA EMELYN I.
ASSESSMEN EXPLORATION OF THE PROBLEM OBJECTIVE NURSING RATIONALE EVALUATION/
T CARE INTERVENTIONS CRITERUA FOR
EVALUATION
 MAGCALAS, PATRICK IVAN R. BSN 1 H
LEGASPI, CARRIE ANNE D.
SUMBAD, KYLA EMELYN I.
SUBJ: > Urinary incontinence is an involuntary loss of urine, wherein the GOAL: Dx> 1. Majority of 1. After 48
client urinates even though they do not want to because the control Urinary 1. Age and gender clients with SUI hours of
over the urinary sphincter is either weakened or lost. Continence 2. Perform Bladder are women. nursing
> THERE IS AN EXISTING STRESS URINARY INCONTINENCE BEING EXPERIENCED Scan Although interventi
BY THE CLIENT WHICH IS SHOWN BY HER INVOLUNTARY URINE LEAKAGE. IT IS pregnancy is a ons, goal
known cause, met.
PRODUCED BY AN INCREASE IN THE PRESSURE OF HER ABDOMEN DUE TO HER
SUI is also fewer
ACT OF CARRYING HER APO, JOY JOY WHO IS GAINING WEIGHT. common in older episodes
women, possibly of
> Stress Urinary Incontinence is a serious and embarrassing disorder related to loss of incontinen
and can lead to social isolation. Any pressure placed on the abdomen estrogen and ce were
and bladder can lead to the loss of urine. The term “stress” is used in weakened note
a strictly physical sense when describing stress incontinence. It refers muscles in the 2. Client was
to excessive pressure on the bladder and not emotional stress. pelvic organs. able to
2. To determine use
post-void adoptive
residuals as equipmen
indicated. The t and
presence of portable
volumes greater urinay
than 150mL in collection
elder clients devices
suggests 3. decrease
incomplete in
emptying of episodes
bladder of
requiring further incontinen
evaluations. ce within
the first
week of
the plan
 MAGCALAS, PATRICK IVAN R. BSN 1 H
LEGASPI, CARRIE ANNE D.
SUMBAD, KYLA EMELYN I.
1.

OBJ: She Ref: LTO: Tx> to increase

claims to have Nordqvist, C. (14 December 2017). Urinary Incontinence: What you 1. Midodrine bladder outlet
accidental need to know. MedicalNewsToday. Retrieved from LTO: in 6 2. Oxybutynin resistance
urine dripping https://www.medicalnewstoday.com/articles/165408.php on February weeks, the 3. Solifenacin 2. For direct
off when she 10, 2019 smooth muscle
client will be
carries her relaxation of the
'apo." This HealthlineMedia. (2019). Stress Incontinence. Healthline. Retrieved able to urinate urinary bladder
started a few from https://www.healthline.com/health/stress-incontinence#anatomy without 3. to prevent
months back on February 10, 2019 leakages. spasms of the
probably bladder muscle,
because of her McGuive,E.J. (2004).Pathophysiology of Stress Urinary Incontinence. STO: In 30 which can help
apo's weight Retrieved from: reduce the
minutes the
gain. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1472873/ff!po=2.63158 episodes of
>Female on February 10, 2019 client will be urinary
>63Y/O able to incontinence
enumerate
the practices
that she needs
to do to
improve her
urine
elimination.

In three days
the client will
be able to go
to the
bathroom to
empty her
bladder.
MAGCALAS, PATRICK IVAN R. BSN 1 H
LEGASPI, CARRIE ANNE D.
SUMBAD, KYLA EMELYN I.

Ed>
1. Kegel Exercises 1. Strengthen the
2. Make a bladder muscles of the
log of diurnal pelvic floor. The
and nocturnal repetition of
urine tightening and
elimination relaxation of
patterns and these muscles
patterns of (10 Repetitions ,
urinary leakage 4/5 Times a day)
3. Assess the will aid client to
client's mobility regain
4. Suggest the use continence
of incontinence 2. the use of
pads, as frequency diary
needed. is helpful in
Consider the bladder training
client’s activity and patterns
level, amount of 3. Functional
urine loss, continence
physical size, requires the
manual ability to gain
dexterity, and access to a toilet
cognitive ability. with or without
5. Explain the assistance of
importance of devices to
perineal care increase
following mobility
voiding and 4. to determine the
frequent specific product
changing of that suites the
incontinence client’s
pads individual
6. situation and
needs
5. to prevent
incontinence-
associated
 MAGCALAS, PATRICK IVAN R. BSN 1 H
LEGASPI, CARRIE ANNE D.
SUMBAD, KYLA EMELYN I.
dermatitis and
infection
Stress
urinary
incontinence
related to
uncontrolled
urination
MAGCALAS, PATRICK IVAN R. BSN 1 H
LEGASPI, CARRIE ANNE D.
SUMBAD, KYLA EMELYN I.

GOAL EXPECTED OUTCOME INTERVETION RATIONALE

Urinary Continence decrease in episodes of
incontinence within the first
week of the plan
Nurse will assess barriers to
successful implementation of
plan, including appropriateness
and side effects of medications
Inadequate lighting,
inaccessibility to bathroom,
inaccessibility to bathroom
modifications, pain medications
and knowledge deficits may
contribute to episodes of
incontinence.