Published
Hmmm,
In my mind, the diagnosis is,
Pregnancy.....
The uterus sits directly atop the urinary bladder eh?
Enlarged/heavier uterus = more pressure on urinary bladder.......
Only cure.....
Deliver baby
Patient has expressed that since pregnant, she is experiencing increasing frequency of having to urinate.
Diagnosis: Enlarged Uterus due to pregnancy is applying pressure to the urinary bladder which is not present during a non-pregnant time period.
Explained to patient that the symptoms she is reporting are perfectly normal and to be expected during pregnancy.
Suggested that patient may wish to try Kegel exercises that will strengthen the muscles that are involved in voluntary control of urine flow. Suggested that patient may wish to wear cotton underwear during pregnancy to absorb incidental moisture away from the skin to prevent chaffing and opportunities for yeast infection. Advised patient that some pregnant patients resort to external feminine napkin type products when easy access to a bathroom may not be possible.
Have to keep looking for something about urinary frequency, but these 3 can apply as additional diagnoses:
Stress Urinary Incontinence r/t weak pelvic musculature
Impaired Tissue Integrity r/t peripheral vascular changes
Ineffective Tissue Perfusion r/t reduced venous blood flow
Just thought I'd throw those out there! :)
silverapple14
18 Posts
Hi guys!
I'm having a hard time coming up w/ a nursing diagnosis for my client who is pregnant and is experiencing the urge to urinate frequently... I'm having a hard time on phrasing the problem and related factor properly. I don't really think that terms such as urinary retention and urinary incontinence are appropriate for my client's problem.
Hope you guys could help me..
Thanx!