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This resource outlines various nursing diagnoses associated with urinary elimination issues, including functional incontinence, stress incontinence, total incontinence, urge incontinence, and urinary retention. Each type is defined along with its related factors such as altered environments, mobility deficits, and neurologic impairments. Additionally, it discusses potential complications, including the risk of infection and impaired skin integrity. This guide serves as a valuable tool for nursing professionals to identify and address urinary elimination problems effectively.
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Nursing Diagnoses Clients with Urinary Elimination Problems Heather Nelson, RN
Functional Incontinence • Related to: • Altered environment (e.g., poor lighting or inability to locate toilet, reluctance to use call light or bedpan) • Sensory or cognitive deficit (e.g., inattentiveness to voiding urge or use of sedation) • Mobility deficit
Reflex Incontinence • Related to: • Neurologic impairment
Stress Incontinence • Related to: • Weak pelvic muscles and structural supports associated with age, surgery (e.g., cystocele, rectocele), or multiple deliveries • High intra-abdominal pressure associated with obesity, pregnancy, or other factors
Total Incontinence • Related to: • Neurologic impairment • Urinary diversion ostomy
Urge Incontinence • Related to: • Irritation of bladder stretch receptors, resulting in spasm (e.g., bladder infection, consumption of alcohol, caffeine, increased fluids, overdistention of bladder)
Urinary Retention • Related to: • Urethral blockage • Medication
Altered Patterns of Urinary Elimination • Related to: • Bladder infection • Neurogenic disorder or injury • Renal calculi • Loss of perineal tissue tone • Medication therapy (e.g., diuretic)
Potential for Infection • Related to: • Indwelling urethral catheter • Urinary retention
Potential for Impaired Skin Integrity • Related to: • Incontinence • Urinary diversion ostomy