ASSESSMENT DATA | NURSING DIAGNOSIS | PLANNING(“What will be done?”) | NURSING IMPLEMENTATION (“What was actually done?”) | EVALUATION |
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S: Deficiency of cognitive information of an issue O: Chills, fever, burning sensation when urinating, foul-smelling urine, persistent urge to urinate and pelvic pain in women (Gamino et al., 2018) | Nursing Diagnosis # 1 (Psychological): 1 (Psycho-social)Deficient knowledge r/t unfamiliarity with nature and treatment of UTI AEB recurrent UTI Etiology: UTI is caused by bacterium Escherichia coli (E. coli) in the urinary tract (kidney, urethra, and bladder). The body removes the bacteria from the body before it can cause any symptoms, but in some cases, it overcomes the body's defense mechanism causing infection. Infections can either be urethritis, cystitis, and pyelonephritis. Rationale: To reduce symptoms of UTI and help the patient to recover and prevent reoccurrence ( Carpenito, 2013; Gamino et al., 2018 ). | STG#1: The patient verbalizes an understanding of the causes and treatment of UTI. LTG#1: Patient develops knowledge of causes and treatment of UTI, reduces the risk factors and completes treatment of UTI (Carpenito, 2013). | STG #1 is met as the develops knowledge and an understanding of the causes of UTI LTG#1 met as the patient develops an understanding of UTI, including its causes and treatment and the need to complete prescribed antibiotics and reporting reoccurrence of symptoms. The patient verbalizes the risks of UTI, including its prevention and treatment. The patient agreed to the treatment plan and continue taking initiatives, including completing the antibiotic therapy to address the condition. The patient was willing to report any signs of re-infection or reoccurrence of UTI, including taking appropriate actions to deal with the condition. Healthcare professionals successfully created awareness on UTI and its prevention Carpenito, 2013). | |
Interventions Explain to the patient the risk factors of UTI, its prevention and treatment –Nurses and social worker Encourage patients to stick to the treatment plan, including taking all the prescribed antibiotics –Nurses and social workers. Encourage the patient to report any signs and symptoms of UTI reoccurrence –Nurses and Social worker. Teach the patient on the importance of preventing UTI –Nurses and delegated social worker (Gulanick & Myers, 2012) | Implementations:( 6) with rationale: The nurses and social workers clarified UTI risk factors its prevention and treatment, including the role of the patient in preventing reoccurrence. Rationale: Periodic reoccurrence of UTI indicates that the patient is not aware of the condition and its management The nurses and designated social worker encouraged the patient to take all the prescribed antibiotics, even if the symptoms are no longer there. Rationale: Some of the symptoms like frequency and urgency to urinate and a burning sensation usually resolve quickly. However, the patient's failure to exhaust the prescribed antibiotics can lead to the growth and multiplication of the bacteria. The nurses and social workers encouraged the patient to report any signs and symptoms, even if they are remote to address the reoccurrence of UTI. Rationale: Signs and symptoms are likely to reoccur from 1 to 2 weeks after finishing the antibiotic therapy. The nurses and social workers show the patient the importance of preventing UTI. Rationale: Teaching the patient is critical to address the current infection and prevent future reoccurrences of UTI ( Carpenito , 2013; Gulanick & Myers, 2012). |
References
Carpenito, L. (2013). Nursing Diagnosis Application to Clinical Practice (14th ed.). Lippincott.
Doenges, M., Moorhouse, M., & Murr, A. (2014). Nursing Care Plans: Guidelines for Individualizing Client Care Across the Life Span (9th ed.). F.A Davis Company.
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Gulanick, M., & Myers, J. (2012). Nursing Care Plans: Diagnoses, Interventions, and Outcomes. (7th ed.). Elsevier Health Sciences.