4 Nursing Interventions for Urinary Retention

Urinary retention is the inability to perform urinary although there is a desire or impulse to it. (Brunner & Suddarth). Urinary retention is a state in the bladder urine buildup and do not have the ability to empty it completely.

The signs and symptoms or clinical manifestations of the disease are as follows:

• Beginning with a slow flow of urine.
• Then there are the longer polyuria become worse because of inefficient bladder emptying.
• Abdominal distention occurs due to dilatation of the bladder.
• Feels there is pressure, sometimes painful and feel the urge to urinate.
• In severe retention can reach 2000 -3000 cc.

4 Nursing Interventions for Urinary Retention

1. Urinary retention r / t inability of the bladder to contract adequately.
expected:

• Urination by a considerable amount.
• Not palpable bladder distention.

Interventions:

• Encourage the patient separately urinate every 2-4 hours and if suddenly felt.
• Ask patients about stress incontinence.
• Observe the flow of urine, note the size and fear.
• Watch and record the time and amount of each micturition.
• Percussion / palpation suprapubic area.

Rationale:

• Minimize excessive retention of urine in the bladder distension.
• High ureteral pressure inhibits bladder emptying.
• Useful to evaluate obstruction and intervention options.
• Urinary retention increases the pressure in the upper urinary tract.
• Distended bladder can be felt in the suprapubic area.

2. Impaired sense of comfort: Pain
expected:

• Stating pain gone / controlled.
• Shows relax, rest and increased activity appropriately.

Intervention

• Assess pain, note the location, intensity of pain.
• Plaster drainage hose on the thigh and abdominal catheter.
• Maintain bed rest when indicated.
• Provide comfort measures
• Encourage use soak sitting, soapy to the perineum.

Rationale:

• Provide information to assist in determining intervention.
• Prevent withdrawal of the bladder.
• Bed rest may be required at the initial phase of acute retention.
• Enhancing relaxation and coping mechanisms.
• Increase muscle relaxation.

3. Activity intolerance
expected:

• Showed increased tolerance to activity can be measured by the absence of dyspnea, weakness, vital signs within normal range.

Iintervention:

• Evaluation of client's response to the activity.
• Provide quiet environment and limit visitors during the acute phase as indicated.
• Explain the importance of rest in the treatment plan and the need to balance activity and rest.
• Help the necessary self-care activities. Give advances increased activity during the healing phase.

Rationale:

• Establish capability / patient needs and facilitate intervention options.
• Reduce stress and excessive stimulation, increasing the break.
• Bed rest can lower metabolic needs, saving energy for healing. Restriction of activity is determined by the individual patient's response to the activity and improvement of respiratory failure.
• Minimize fatigue and help balance supply and oxygen demand.

4. Anxiety r / t crisis situations
expected:

• Acknowledge and discuss fear / problem.
• Shows the range of the right feeling and appearance of the face seemed to relax / rest.

Intervention

• Identify the patient's perception of the existing threat of the situation.
• Observation of physical responses, such as anxiety, vital signs, repetitive motion.
• Encourage the patient / person closest to acknowledge and express fear.
• Identify safety precautions are taken, such as anger and oxygen supply. Discuss.

Rationale:

• Defining the scope of individual problems and affect the choice of intervention.
• Useful in the evaluation of the degree of the problem, especially when compared with the verbal statement.
• Provide an opportunity to accept the problem, clarify the reality of fear and decrease anxiety.
• Provide faiths to assist unnecessary anxiety.