NURS!

NC CARE PLAN

ASSESSNENT
NURS!NC
D!ACNOS!S
RAT!ONALE COAL
NURS!NC
!NTERvENT!ON
RAT!ONALE EvALUAT!ON
Subjective:
Nagkukulog ang
likod ko, sa may
baba minsan" (the
patient pointed to
her flank area)

Objective:
Pain scale: 3/10
Facial Crimace
Restless

Acute pain
related to
infection within
the urinary tract
Bacterial invasion of
the urinary tract
causes reflux of the
uropathogenic
bacteria or bacteria
from the lower C!T or
urinary bladder. The
bacteria would attach
and colonize the
urinary epithelium
thus evading the
host's defense
mechanism causing
inflammation due to
infection.
After S hours of
nursing intervention,
the patient will:

a. Be able to be
relieved from
pain

b. Have increased
knowledge of
preventive
measures and
treatment
modalities

c. Have absence of
complications
Encourage increased fluid
intake


Provide comfort measure
like back rubbing and
helping the client to assume
position of comfort. Suggest
use of relaxation techniques
and deep breathing
exercises.

Encourage use of warm
water where the perineum
will be soaked three times a
day for 10 to 20 mins.

Administer antibiotics as
prescribed.




Avoid urinary tract irritants
such as coffee, tea and
cola, etc.

Avoid sexual arousal during
acute inflammation.

!ncreased hydration
flushes bacteria


Promotes relaxation,
refocuses attention, pain
relief may enhance
coping ability




Promotes muscle
relaxation.



Reduce presence of
bacteria in the urinary
tract due to its
bacteriostatic/bactericidal
effect.

Avoid triggering the pain.
After S hours of
nursing
intervention, the
patient's pain is
reduced and the
patient gained
knowledge on
how to manage
pain.