N. BacalsoAve.

,Cebu City
COLLEGE OF NURSING
NURSING CARE PLAN
Name: Gia Lourdes Camille U. Austria BSN 3 N-6 Group 1

ASSESSMENT NURSING DIAGNOSIS GOAL OF CARE OUTCOME CRITERIA INTERVENTIONS AND RATIONALE EVALUATION
Subjective Cues: SHORT TERM GOALS: SHORT TERM OUTCOME: (within Independent:
Patient states he’s 24-48 hours) Early detection of changes
Risk for Infection related to the urinary patterns or symptom
in pain inability to empty the bladder Prevention of UTI Onset The patient will not exhibit signs or >Regularly assess the patient's
symptoms of a urinary tract infection. urinary patterns, including frequency, allows for timely intervention an
fully or partially. prevention of potenti
urgency, and any signs of discomfort
Adequate fluid intake to promote urine or pain during urination. complications.
Objective Cues:
Maintenance of Hydration flow and minimize bacterial
concentration. Good Hygiene, especially aroun
Distended bladder the perineal care help preve
infection and discomfort. It
The patient will report minimal Maintain Urinary System Integrity: essential in the management
Promotion of Urinary Comfort complicated UTI’s to reduce th
discomfort or pain during urination.
risk of ascending infections.

Dependent:
Antibiotics are prescribed to tre
>Administer Prescribed Antibiotics the underlying urinary tra
infection (UTI).

>Coordinate Urological Interventions. Collaborate with urolog

specialists to coordina
interventions such as the insertio
 LONG TERM OUTCOME CRITERIA of a urethral stent or oth
(within 1 week) procedures to address obstructiv
LONG TERM GOALS: uropathy.
The patient will not experience
recurrent urinary tract infections.
Collaborative: Urologists can order and interpr
Prevention of UTI Recurrence: imaging studies (Ultrasound,C
>Collaborate with urologist for scan) to identify the specific caus
The patient will establish and maintain Imaging Studies of obstructive uropathy.
regular voiding patterns.
Optimal Voiding Patterns
Physical Therapists can work wi
>Involve Physical Therapy for Pain the patient to develop exercise
EVALUATION: Management and techniques to manage pa
associated with obstructiv
Regular evaluation of the patient's uropathy.
progress, ongoing collaboration with
the healthcare team, and adjustments Collaborative to ensure a smoo
to the care plan based on the patient's >Coordinate Discharge Planning with transition from the hospital
response are critical to achieving Case Management. home or another care setting.
these goals. The ultimate aim is to
prevent infections, support urinary
elimination, and enhance the patient's
overall health and comfort.
NURSING CARE PLAN