Help! Nursing diagnosis

mindlor · Sep 7, 2009

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.

PeteyPie · Sep 7, 2009

Well, the list of NANDA approved nursing DX that I have, I would go with:

Impaired Urinary Elimination related to side effects of pregnancy as evidenced by.... blah blah blah.

Cinqui73 · Sep 7, 2009

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! :)

Daytonite, BSN, RN · Sep 7, 2009

Impaired Urinary Elimination R/T enlarging uterus and pressure on bladder AEB urinary frequency