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:
4 Nursing Interventions for Urinary Retention
1. Urinary retention r / t inability of the bladder to contract adequately.
expected:
Interventions:
2. Impaired sense of comfort: Pain
expected:
3. Activity intolerance
expected:
4. Anxiety r / t crisis situations
expected:
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.
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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.