Nursing care plan/Urinary Retention - page 2
by ThatChick29 | 11,979 Views | 12 Comments
I have a pt who has BPH and is can't void by himself at all. He gets daily bladder scans and caths to empty his bladder. He is in acute renal failure and is scheduled for a TURP next week. I have (obviously) decided on urinary... Read More
- 0Apr 11, '13 by MendedHeartAlso...what nursing diagnosis fits acute renal failure? Could the retention cause this? Sounds like post renal cause.
Nanda nursing website:
Acute Renal Failure Nursing Diagnosis:
Excess fluid volume related to decreased Glomerular filtration rate and sodium retention.
Imbalanced nutrition: less than body requirements related to catabolic state, anorexia, and malnutrition associated with acute renal failure.
Risk for infection related to alterations in the immune system and host defenses.
As long as you have data to back any ND up ..you should be fine
Urinary retention is a symptom as well as a diagnosis!Last edit by MendedHeart on Apr 11, '13
- 0Apr 12, '13 by Esme12, BSN, RN Senior ModeratorQuote from ThatChick29Care plans are all about the assessment......I realize that your patient can't void but that is not their only problem. I understand urinary retention is a diagnosis but in renal failure is that his only problem?I have a pt who has BPH and is can't void by himself at all. He gets daily bladder scans and caths to empty his bladder. He is in acute renal failure and is scheduled for a TURP next week. I have (obviously) decided on urinary retention as the primary nursing dx. I am having trouble coming up with goals for this patient other than preventing UTI's. All of the diagnosis books' goals/outcomes seem geared at helping the pt to void or preventing the retention in the first place. It seems pointless to put goals such as "pt will demonstrate consistent ability to urinate" etc as he is physiologically unable to do so. On our nursing care plans in says "GOALS - how would you know this is no longer a problem?" So I thought putting something like "Pt will undergo surgery successfully". If he did that, it would def. solve the problem and then I could do interventions like teaching about the surgery, assessing the things that may need to be changed (meds etc) to enter surgery. etc. But then I thought - that's probably a whole other nursing dx altogether. Any thoughts are appreciated.
You have made a common mistake by picking the diagnosis and trying to fit your patient into the diagnosis instead of the patients assessment/evidence help you find the diagnosis. How much urine does this patient in renal failure produce? What care plan book do you use? A good book is imperative to a good care plan. What semester are you? Is this a real patient or are you working of a written scenario from your teachers?
- 0Apr 12, '13 by molls4Quote from classicdameI agree about the psychological issue on preserving dignity and confidence. Good point!what psychological issue would be patient suffer as a result (embarrassement, fear)? Lack of knowledge or skill? Can he do the caths independently? What does his blood pressure do if he is "full"? What might his BP do if he is cathed too quickly? Any pain associated and, if not, what is danger of bladder rupture?