CUES Subjective: y Dati panay ihi ako, yung feeling ko na laging puno yung pantog ko pero pag umihi

na ko, konti naman na yung naiihi ko as verbalized by the client y Kadalasan masakit yung pagihi ko. Obejective: y Urinates 10 times a day y Nausea y Weakness

Diagnosis Impaired urinary elimination related to

Analysis

Goal/Objectives GOAL: After the end of the shift, the client will be able to achieve normal elimination pattern or participate in measures to correct/ compensate for defects. OBJECTIVES: y To assess causative/ contributing factors

Nursing Interventions

Rationale

Evaluation The client was able to achieve normal elimination pattern or participate in measures to correct/ compensate for defects.

Investigate pain, noting location, duration, intensity, presence of bladder spasm; or back or flank pain Obtain specimen for antibodycoated bacteria assay

To assist in differentiating between bladder and kidney as cause of dysfunction

To diagnose bacterial infection of the kidney or prostate

To assess degree of interference

Ask client previous pattern of elimination Have client keep a voiding diary to record fluid intake, voiding times, precise output, and dietary intake. Encourage client to verbalize fears/concerns

For comparison of current situation

Helps determine baseline symptoms, severity of frequency/urge ncy.

Assist treating urinary alteration

Open expression allows client to deal with their feelings and begin problem solving

Assess urine output and catheter/draina ge system, especially during bladder irrigation.

Retention can occur because of edema of the surgical area, blood clots, and bladder spasms.

Assist patient to assume normal position to void, e.g., stand, walk to bathroom at frequent intervals after catheter is removed. Record time, amount of voiding, and size of stream after catheter is removed. Note reports of bladder fullness; inability to void, urgency.

Encourages passage of urine and promotes sense of normality.

The catheter is usually removed 25 days after surgery, but voiding may continue to be a problem for some time because of urethral edema and loss of bladder tone.
This will allow the patient to choose on different options, he

Discuss possible surgical procedures

thinks he could go through.