Any changes in the clients voiding habits should be assessed as a possible UTI. The mostcommon clinical manifestation of cystitis is burning pain of urination (dysuria), Frequency, urgency,voiding in small amount, inability to void, incomplete emptying of the bladder, cloudy urine and hematuria( blood in urine). Asymptomatic bacteriuria (bacteria in urine).
Nursing DiagnosisImpaired Urinary Elimination
. The primary diagnosis when a client is experiencing problems related tocystitis is Impaired Urinary Elimination related to irritation of the bladder mucosa.
. Another common nursing diagnosis for clients with cystitis is Acute Pain related to irritationand inflammation of bladder and urethral mucosa.
How to diagnose
Often times, treatment may be based on the symptoms alone, without additional tests.
(in which the urine is tested for the presence of an infection) is the most commonmethod of diagnosis.
s may also be required.
In women with frequent infections (more than three a year), a full examination of the urinarytract (usually by a specialist) needs to be done. Also, it is sometimes recommended that allmen who develop any type of urinary infection, including
s, need to beseen by a specialist.
Diagnostic test findings
Urine culture and sensitivity: positive identification of organisms (Escherichia coli, Proteusvulgaris, Streptococcus faecalis)
Urine chemistry: hematuria, pyuria,; increased protein, leukocytes, specific gravity
Cytoscopy: obstruction or deformity
Frequency of urination
Urgency of urination
Burning or pain on urination
Lower abdominal discomfort
Dark, odoriferous urine
Flank tenderness or suprapubic pain
Nocturia (need to get up during the nightin order to urinate, thus interruptingsleep)
Urge to bear down during urination