Nursing Diagnoses

1
Nursing Diagnoses

• Clients with Urinary Elimination Problems
• Heather Nelson, RN

2
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

3
Reflex Incontinence

• Related to
• Neurologic impairment

4
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

5
Total Incontinence

• Related to
• Neurologic impairment
• Urinary diversion ostomy

6
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)

7
Urinary Retention

• Related to
• Urethral blockage
• Medication

8
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)

9
Potential for Infection

• Related to
• Indwelling urethral catheter
• Urinary retention

10
Potential for Impaired Skin Integrity

• Related to
• Incontinence
• Urinary diversion ostomy