Introduction: Good day Miss Carol, good day to everyone.

We are the group 3, today we will be

presenting our nursing care plan (NCP) regarding urinary tract infection (UTI). I hope everyone
is ready and will learn something after the presentation. So the following are included in our
nursing care plan: the assessment cues, nursing diagnosis, pathophysiologic/ schematic
diagram, desired outcomes, nursing interventions, rationale, and evaluation.

So our patient is…… ang case ta

Reporter 1: The rst column consists of Assessment cues, for the subjective data, the client
verbalized,“I urinate more than usual but feel no pain, and I've noticed that my charges have a
very bad odor. I'm also not feeling well lately because I have a high fever. I've had similar
symptoms in the past, and they went away after I took a course of antibiotics.” While for the
objective data, during physical examination the patient SHOWS SIGNS THE SYMPTOMS OF
FEVER (febrile), Normotensive (HAS NORMAL BLOOD PRESSURE), Nontachycardic (NORMAL
HEART RATE), appears well on observation, Soft, nondistended abdomen with normoactive
bowel sounds, Moderate discomfort in her suprapubic region but no costovertebral angle
(CVA) tenderness. As for her laboratory results, it showed, High erythrocytes sedimentation rate
and High C- reactive protein WHICH INDICATES THAT THERE IS AN INFLAMMATION IN THE
BODY, Low serum level of haemoglobin (POSSIBLY BECAUSE SHE JUST FINISHED HER
MENSTRUATION 1 WEEK PRIOR TO ASSESSMENT), High urea which INDICATE THAT THE
KIDNEYS AREN’T WORKING WELL, Leukocytosis, Erythrocytopenia, Neutrophilia and for the
urinalysis, urine is cloudy THAT MAY INDICATE THAT THERE IS AN INFECTION OR KIDNEY
LEAKAGE and there are presence of Proteinuria THAT CAN BE THE SIGN OF KIDNEY
DAMAGE, Leukocyturia THAT CAUSES UTI AND POSSIBLE OF RENAL INFECTION,
Leukocytes and granulated cylinder IN THE URINE SHOWS SIGNS THAT THERE IS A
PROBLEM SOMEWHERE IN THE URINARY TRACT, and Nitrites PRESENT IN THE URINE
INDICATES OF POSSIBLE SIGN OF UTI. The strengths of patient are: uses protection during
sexual activities or intercourse, supportive boyfriend and no sexually transmitted disease. As
for her weakness: she has no strong family support and sexual active.

Reporter 2: for the 2nd column, nursing diagnosis is where nurse's clinical judgment about the
client's response to actual or potential health issues or needs which can be found also in the
North American Nursing Diagnosis Association (NANDA) Book. In this case, nursing diagnosis
is Impaired urinary elimination related to urinary tract infection as evidenced by urinary
frequency, febrile, moderate discomfort in her suprapubic upon palpation, high erythrocytes
sedimentation rate, high C-reactive protein, high urea, leukocytosis, neutrophilia, cloudy urine,
proteinuria, leukocyturia, leukocytes and granulated cylinders in the urine and nitrites in the
urine and for the de nition, it is the dysfunction in urine elimination.

Reporter 3: In the 3rd column, this is where pathophysiologic/ schematic diagram is being
presented, this consist of predisposing and precipitating factors, etiology, physiology, signs
and symptoms, and nursing diagnosis. For the predisposing factors, patient is 28 years old and
female while for the precipitating factors, patient is sexually active and uses condom. For the
etiology, UTI is Commonly caused by bacteria such escherichia coli (E. Coli), Staphylococcus
saprophyticus (S saprophyticus), Proteus mirabilis, Klebsiella pneumoniae, and Enterococcus
spp. But mostly, E. Coli is the more prevalent than other types of bacteria. So how does these
bacteria could cause UTI, for example speci cally e. Coli, during sexual intercourse e. Coli
could spread from person’s anus or GI tract to hand, mouth, genitals, or a sex toy which could
lead to contamination in the periurethral area and further colonize the urethra and bladder
which causes in ammatory response. This will fall down to neutrophil in ltration where
Neutrophils di use or accumulate in tissues or cells in response to a number of substances
secreted at the site of in ammatory reactions. Thus bacteria multiply speci cally the e. Coli,
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 and evade the immune system this bacteria can form bio lm. Bio lms are a microbial group
made up of one or more microorganisms that can grow on a variety of surfaces. Bacteria,
fungus, and protists are examples of microorganisms that create bio lms. Bio lm formation by
E coli permits germs to stay in the vaginal and urinary tracts, increasing the risk of recurrent
UTI. If this bacteria progresses, this could lead to Epithelial damage by bacterial toxins and
protease and ascend to kidneys, bacteria colonize in the kidney and can cause upper urinary
tract infections. Thus, signs and symptoms are evident for a patient having UTI are the
following: frequency of urination, foul odor vaginal discharge, fever, suprapubic discomfort,
cloudy urine, wherein the nursing diagnosis will be impaired urinary elimination.

Reporter 1: For the 4th column is the desired outcomes,

After 8 hours of nursing care, the patient is expected to:
- The patient will be able to avoid the development of infection.
- Take antibiotics as prescribed.
- Drink plenty of uids to ush o the bacteria from the bladder.
- Practice proper personal hygiene.
- The patient will demonstrate behavioral techniques for preventing urinary tract infections
- Urinate regularly especially after sexual intercourse.
Reporter2: For the 5th column which is the nursing interventions which follows by rationale on
the 6th column , these are the following:
- Examine vital signs and keep an early sign of infection. This is to… (mention the rationale)
- Administer the antibiotic prescribed by her doctor. The antibiotic is given based on the urine
culture and sensitivity test results. Antibiotics are usually taken for 7-10 days to treat a UTI.
(Follow the rst format)
- After the antibiotic medication is nished, collect a urine sample for urinalysis.
- Teach the patient about several lifestyle modi cations that might help prevent UTIs, such as
regular perineal hygiene, enough oral hydration (at least 2 liters of uids per day if not
contraindicated), and avoiding constricting/tight- tting undergarments
- Educate the patient about the types of contraception that can lead to UTI
- Tell the patient how important it is to urinate after sexual activity.

Reporter 3: for the last column, it is the evaluation.

After a series of nursing care, the patient was able to:
- After 7 days of nursing intervention, The frequent urination experienced by the patient will be
relieved or controlled which this goal is met
- The patient verbalizes their understanding of the importance of adequate uids and can
articulate in their own words the negative consequences of failing to maintain adequate uids
which the goal is met
- The patient verbalizes her understanding of UTI infections and the precautions that must be
taken to avoid future infections. The patient also expressed a desire to improve her hygiene
and make lifestyle changes in order to reduce the risk of recurrent infections which the goal is
met.

This includes our nursing case plan for urinary tract infection (UTI). Thank you for listening.
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