Nursing Dx Help

  1. Can anyone help me with these dreadful Nursing Dx.

    I have to write a paper.
    I have a 4 year old with UTI. (this is a teaching plan. we have to come up with our own senario for our Nursing Dx)

    how is this...

    Infection related to impaired urinary elimination as manifested by client verbalizing "it hurts when I pee", urine of cloudy color with some sediments, fever of 101.2, urinalysis lab results showing elevated white blood cell (WBC) count, and bacturia.


    Thanks
    Last edit by lzygrl42 on Apr 8, '05
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    About lzygrl42

    Joined: Apr '05; Posts: 13

    3 Comments

  3. by   Iluvhospice
    I'm not sure that I understand your assignment clearly, but infection is not a NANDA nursing diagnosis.

    Nursing diagnoses that are listed in my pedi book for UTI include:

    Risk for injury to the kidney r/t complications from the infectious process
    (expected outcome: The child will be free of recurrent UTIs)

    Fluid Volume Deficit r/t decreased intake and increased fluid loss from fever (only applicable if child has a fever with UTI)
    (Expected outcome: The child will maintain adequate intake of fluids and electrolytes for age)

    Knowledge Deficit r/t incomplete understanding of disease process, diagnostic tests, antibiotic administration, and preventive measures for UTI.
    (Expected outcome: The parent or child will verbalize an understanding of disease process, diagnostic tests, and preventive measures for UTIs. The child will receive appropriate follow up care, including antibiotic administration and imaging studies, if recommended.)

    If your paper is supposed to be a teaching project - this last diagnosis is probably what you're looking for.

    There is usually pain associated with a UTI, so that is an appropriate diagnosis also.

    Good luck with your project - let us know how it goes!
  4. by   Mariposa19
    Always keep in mind the difference between nursing diagnoses and medical diagnoses. A med diagnosis can be a PC but it cannot be a nursing diagnosis. Infection is not a nursing diagnosis because you did not diagnose it. The doctor did. It is a collaborative problem, you as a nurse cannot treat it on your own.

    Consider these:
    PC: sepsis
    Impaired urinary elimination
    Acute pain
    Anxiety
    Ineffective therapeutic regimen management
    Impaired skin integrity

    Remember that just because an ND applies to the disease itself doesn't always mean it applies to the patient. It must be individualized. Good luck!
  5. by   Nrs_angie
    The last post is correct.

    You should try:
    Acute Pain: dysuria r/t inflammatory process in bladder
    or
    Impaired Urinary elimination: frequency r/t urinary tract infection

    Infection is not on the NANDA list... Only risk for infection is.

    Since the child already has a UTI you can not do a risk for.

    In my opinion Acute Pain is your primary nursing diagnosis because of the child verbalizing it hurts. You as the nurse want to treat the pain first. ( of course that is a collaborative one, since the doc or NP has to order the pain med )

    If you are having alot of trouble with Care Plans, I recommend the Nursing Diagnosis Handbook by Betty Ackley and Gail Ladwig. It is excellent!!
    It has a list in the front of the book with medical diagnosis: and then it tells you which nursing diagnoses relate to it... I just looked up UTI cuz that is teh medical diagnosis... and it gave me four nursing diagnoseses for UTI.
    You just have to decide which ones are best because you have to personalize the care plan. Since the pt stated it hurts when he pees... the acute pain is the primary. But others do apply. At our school we always have to priortize our nursing dx. Good luck, let me know if you need more.
    Last edit by Nrs_angie on Apr 9, '05

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