Help with Pyelonephritis nursing care

  1. 0
    Hi:
    I need help with a nursing care plan for a patient who has acute pyelonephritis. She is 87 years old and went to the ER because of abdominal pain.
    Thank you so much
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  4. 6 Comments so far...

  5. 1
    Do you have a care plan book?

    What are her symptoms? You named one already. Start there.
    ana3neurona likes this.
  6. 0
    She only complains of pain and difficulty voiding. No N/V. No pain when urinating. I was thinking PAIN R/T irritation and inflammation of the urinary tract S/T pyelonephritis AEB difficulty voiding and complaining of pain. But I am not 100% sure if it is OK.
    I don't have a nursing care book yet. Which do you recommend?
    WHat else can I add to my Nsg Dx? How about outcomes and interventions?
    Thank you
  7. 1
    coming from someone who had chronic pyelonephritis for a year, i would add, difficulty w/adls d/t weakness r/t dx, also what about fever?

    www1.us.elsevierhealth.com/evolve/ackley/ndh6e/constructor/

    http://www.rncentral.com/nursing-library/careplans

    i haven't used these sites, but they seemed to be two of the simplest, and didn't want money to use. see if they are any help.
    ana3neurona likes this.
  8. 1
    hi, ana3neurona, and welcome to allnurses!

    you must follow certain rules when writing a care plan. you must assess the patient first and determine the abnormal responses, or symptoms, they are having. from that list of symptoms that you compile you are then able to determine nursing diagnoses, nursing interventions and outcomes.

    from what you have already mentioned, your patient has these abnormal responses, or symptoms:
    • abdominal pain
    • pain when voiding
    • difficulty urinating
    if this is not a real patient you should also look up the signs and symptoms of acute pyelonephritis. if this was a real patient you still should look up this information because you need to know the pathophysiology of the disease anyway to help you determine the related factors for your nursing diagnostic statements. you also need to learn about how the doctors diagnose and treat the disease. in addition, you need to double check that you didn't miss any of the symptoms in the patient.

    pain r/t irritation and inflammation of the urinary tract s/t pyelonephritis aeb difficulty voiding and complaining of pain
    first of all, this is the incorrect label for the nursing diagnosis. it is actually acute pain. here are links to web pages about it: [color=#3366ff]acute pain and http://www1.us.elsevierhealth.com/me...ex.cfm?plan=40

    second, "irritation" is not necessarily a cause of physical pain and, unless stated, you cannot assume the irritation is painful.

    third, difficulty voiding, or dysuria, also doesn't cause pain, at least it does not state that in the assessment, so you can't assume it.

    when you go to either of the above web sites for acute pain, read the list of items under the heading of defining characteristics. those are the symptoms for that nursing diagnosis. every nursing diagnosis has a set of signs and symptoms (just like every medical diagnosis). another descriptor of pain is rating it on a scale of 1 to 10.

    better: acute pain r/t inflammation of urinary system aeb abdominal pain and pain when voiding.
    difficulty urinating (dysuria) can be diagnosed as impaired urinary elimination. here are links to web pages about it: [color=#3366ff]impaired urinary elimination and http://www1.us.elsevierhealth.com/me...ex.cfm?plan=56

    you need a book with nursing diagnosis reference information in it. there are a number of ways to acquire this information.
    there are (1) nursing diagnosis books and (2) care plan books. each type focuses on different information. nursing diagnosis books often list the current nanda diagnoses alphabetically and give the nanda taxonomy information along with noc (outcomes) and nic (interventions) links. care plan books most often contain care plans for the most commonly occurring medical/surgical diseases and conditions organized by body system. many care plan books also contain some of the nanda information for the nursing diagnoses they use, but the nursing diagnoses are spread throughout these books and not all the current 188 diagnoses are necessarily used. psych and ob care plans are often not included in these books.

    please read the information of this sticky thread first. if you still have questions, then please ask
    ana3neurona likes this.
  9. 1
    Quote from karosnowqueen
    difficulty w/adls d/t weakness r/t dx
    what is that? a nursing diagnosis?
    ana3neurona likes this.
  10. 0
    Thank you very much to all.
    I got valuable information


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