SAN PABLO COLLEGE
COLLEGE OF NURSING
Patient’s Name:
Nursing Diagnosis: Impaired urinary elimination r/t frequent urination evidence by dysuria.
ASSESSMENT PLANNING/GOAL
Desired Outcome
Pertinent Data: Patient will: Nurse will:
Subjective: • Client will achieve
• Lower back pain normal urinary
• Dysuria elimination pattern,
• Frequent urination as evidenced by
• Urethral discharge absence sign of
(primarily in men) urinary disorders
(urgency, oliguria,
Objective: dysuria).
• Fever / chills • Client will
• Foul-smelling urine demonstrate
behavioral
techniques to
prevent urinary
infection.
NURSING CARE PLAN
IMPLEMENTATION RATIONALE EVALUATION GOAL MET
Independent/dependent Reason for the intervention Expected Outcome
Nursing intervention
Why: Positive result Yes No
• Assess the patient’s • Can help determine • Patient achieved ✓
pattern of the factors that may normal urinary
elimination. predispose the elimination pattern,
patient to UTI and as evidenced by
serves as a basis for absence sign of
determining urinary disorders
appropriate (urgency, oliguria,
interventions. dysuria).
• Note the client’s age • UTI is more • Patient
and gender. prevalent in women demonstrates
than in men at behavioral
younger ages, techniques to
although the gap prevent urinary
narrows in later life. infection.
About one out of
every five women
will develop a UTI
during their lifetime.
Older adults are also
prone to developing
UTI caused by
incomplete bladder
emptying due to
structural
 abnormalities and
decreased bladder
tone.
• Instruct the female • This technique helps
client to wipe from prevent bacteria in
front to back. the anal region from
spreading to the
vagina and,
ultimately, the
urethra. Proper
perineal care helps in
minimizing the risk of
contamination and
reinfection.
• Encourage drinking • Daily intake of
cranberry juice. cranberry juice
(about 8 to 10 oz)
helps prevent and
control symptoms of
UTI. It has been
shown to reduce
adherence of
bacteria to the
uroepithelial cells in
the urinary tract.
• Limit the use of • Catheter use
indwelling bladder dramatically
catheters to manage increases the risk for
incontinence. UTI. The risk for
catheter-associated
urinary tract
infection (CAUTI)
increases each day a
urinary catheter is
placed. Alternative
measures such as
regular toileting can
prevent infection. If
 an indwelling
catheter is
necessary, follow
strict interventions
to prevent infection
and urosepsis.

If the client goal was not met, briefly describe why and what step would be taken next:
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Submitted by: Estoya, Gen Paulo C.