Urinary Elimination

Kidneys
Ureters
Bladder
Urethra
Act of Urination
1. common urinary problems
  1. urinary retention
  2. urinary tract infections
  3. urinary incontinence
  4. urinary diversions
Nursing knowledge base
1. infection control & hygiene
2. growth & developement
3. psychosocial implications
Nursing Process
1. Assessment
  1. through the patient's eyes
  2. self care ability
  3. cultural considerations
  4. health literacy
  5. nursing history
    1. pattern of urination
    2. symptoms of urinary alterations
  6. physical assessment
    1. kidneys
    2. bladder
    3. external genitalia & urethral meatus
    4. perineal skin
  7. assessment of urine
    1. intake & output
    2. color,clarity,odor
  8. Nursing Diagnosis
  9. planning
    1. goals & outcomes
    2. setting priorities
    3. teamwork & collaboration
Implemetation
1. health promtion
  1. patient education
  2. promoting normal micturition
    1. maintaining adequate fluid intake
  3. promoting complete bladder emptying
  4. preventing infection
2. acute care
  1. catherization
    1. catheter sizes
    2. catheter drainage systems
    3. routine catheter care
    4. preventing catheter asociated infection
    5. catheter irrigations & instillations
    6. removal of indwelling catheter
    7. alternative to catheterization
      1. suprapubic catheterization
      2. external catheter
3. continuing & restorative care
  1. pelvic floor muscle training
  2. lifestyle changes
  3. bladder retraining
  4. toileting schedules
  5. intermittent catherization
    1. skin care
Evaluation
1. through the patient's eyes
2. patient outcomes
3. collecting midstream urine specimen
Inserting & removing indwelling catheter
1. indwelling catheterization kit
2. straight/intermittent kit
3. sterile gloves,sterile tubinglubricant

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Urinary Elimination

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	Created by Germain Mendez about 7 years ago