Nursing Care Plans: The Ultimate Guide

S: protective decreased physical activity, Dysuria, urethral discharge, especially in men, lower back pain, frequent urination, nocturia, suprapubic pain, nausea, or vomiting. 

O: Burning sensation on urination, guarding behavior, facial grimace, Hematuria, oliguria, fever or chill, foul-smelling urine, persistent urge to urinate ( C arpenito, 2013; Gulanick & Myers, 2012 ). 

Nursing Diagnosis # 1 (Psychological): 

Acute pain R/T infection of the urethra & bladder AEB Burning on urination. 

Etiology: Escherichia coli is the principal cause of infection of the urethra. Others include staphylococcus, klebsiella, and enterococcus. The bacteria get into the urinary tract through indwelling catheters. The use of antibiotics can affect the regular cleansing of the vagina, allowing bacteria to colonize and spread to the urethra. Similarly, challenges or avoiding to empty the bladder can lead to the development of bacteria (Rosen & Klumpp, 2014; Carpenito, 2013). 

STG#1: The patient will utilize analgesics and non-pharmacological pain relief strategies to alleviate the condition. 

LTG#1: The patient will report a decline in the acute pain to lower levels than three on a scale of 0-10 (Carpenito, 2013). 

STG #1 is met as the patient actively uses analgesics and non-pharmacological pain relief methods to reduce acute pain. 

LTG#1 partially met. The patient reported a decline in acute pain to a level of 4 on a scale of 0-10. 

The patient appropriately describes the pain, including the location, and ranks it on a scale of 0-10. 

The patient accepted non-pharmacological techniques and started a program that included alternative therapies like massage and relaxation. Nurses administered analgesics to relieve irritation. 

The patient started taking oral fluids like water and fruit juices and other recommended drinks, gradually increasing the quantity to hydrate their body (Doenges et al., 2016; Gulanick & Myers, 2012 ). 

Interventions 

Assess the patient's description of the acute pain like the nature, severity, and quality of pain and rank it on a scale of 0-10 – Nurses and nurse assistants 

Advice patient to use non-pharmacological techniques and analgesics like antispasmodics or acetaminophen –Nurses. 

Encourage patients to take two to three liters of fluid if there are no contraindications –Nurses and Social workers (C arpenito, 2013; Doenges et al., 2016) . 

Implementations:(3) with rationale: 

The nurses and nurse assistants assessed the acute pain by allowing the patient to describe its nature, severity, and quality, including ranking it on a scale of 0-10. 

Rationale: The type, nature, and quality of pain determine the interventions. Acute pain from UTI includes flank pain, burning on urination, and lower abdominal pain. Some patients can be asymptomatic while others can report elevated levels, and such information is critical for nursing intervention. 

The nurses proposed the use of non-pharmacological approaches as the most appropriate and analgesic if the pain persists. 

Rationale: Alternative therapies like massage, relaxation, and guided imagery can provide comfort and alleviate pain. Analgesic can relieve irritability in the bladder and reduce pain. 

The nurses and social workers encouraged the patient to take oral fluid, targeting 2-3 liters each day. 

Rationale: The patient must hydrate their body to flush out toxins and bacteria thus reduce acute pain 

( Carpenito , 2013; Gulanick & Myers, 2012).