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ASSESSMENT Subjective: ³Nakakatamad dito Sa ospital, walang magawa...´ as verbalized by the Patient.

Objective: -slightly inattentive -weak and pale in appearance -lethargic

DIAGNOSIS PLANNING Deficient diversional activity related to UTI. After 2-4 hours of nursing intervention, patient will gradually develop substitute recreational activities.

INTERVENTION -determine ability to participate in activities that are available. -offer reading Materials or other substitute diversional activities to assist patient on caring for herself. -encourage visitation -acknowledge reality of situation and feeling of the client -involve occupational therapist as appropriate.

RATIONALE -presence of depression, problems of motility may interfere with desired activity. -distraction provides opportunity to perform desired activity in different ways.

EVALUATION Patient gradually develops substitute recreational activities.

__ goal met __ partially met __ not met

-for emotional support

-to establish therapeutic Relationship

-to help identify and procure assistive devices or gear specific activities to individual situation.

ASSESSMENT DIAGNOSIS PLANNING Subjective: ³Masakit ang pag-ihi ko...´ as verbalized by the patient. Objective: -facial grimace -restlessness -V/S taken as Follows: T- ___ PR- ___ RR- ___ BP- ___ Acute pain during urination related to UTI After 4 hours of nursing intervention, patient will verbalized that the pain is relieved or controlled.

INTERVENTION -assess pain, noting location, intensity (scale of 0-10) ,duration -encourage increase fluid intake -investigate report of bladder fullness

RATIONALE -provides information to aid in determining choice or effectiveness of interventions

EVALUATION Patient¶s pain is relieved or controlled.

-increased hydration __ goal met flushes bacteria and toxins __partially met -urinary retention may __not met develop, causing tissue distension, and potentiates risk for further infection -promotes relaxation, refocuses attention and may enhance coping abilities.

-provide comfort measure like back rub, helping patient assume position of comfort. Suggest use of relaxation techniques and deep breathing exercises. -encourage use of sitz bath, warm soaks to the perineum. -administer antibacterial as prescribed

-promotes muscle relaxation

-reduces bacteria in the urinary tract

ASSESSMENT Subjective: ³anu-ano bang dapat gawin para maiwasan na UTI?´ as verbalized by the patient. Objective: -request for information -inaccurate follow-through of instruction

DIAGNOSIS PLANNING Knowledge deficit related to UTI After 2 hours of nursing intervention, patient will identify risk factors that exacerbate the disease process or condition and modify her lifestyle accordingly.

INTERVENTION -Encourage to increase fluid intake -Get enough vitamin C in diet, either through food or supplements

RATIONALE -Flushes bacteria out of urinary system

EVALUATION

-Urinate every two to three hours.

-Keep the vagina are clean, including wiping from the front to back after a bowel movement. -Use tampons and change every three to four hours, instead of sanitary pads

Patient is able to identify risk factors that -Vitamin C, or exacerbate the ascorbic acid, makes disease process your urine acidic, or condition and which discourages the modify her growth of bacteria lifestyle accordingly. -Keeping urine in your bladder for long periods gives bacteria __goal met a place to grow. __partially met __not met -To prevent contamination of the urinary tract

-The pads can act as a culture medium for fecal bacteria, which may then be rubbed against the urinary outlet and invade the bladder

ASSESSMENT Subjective: ³Mainit ang pakiramdam ko´ as verbalized by the patient.

DIAGNOSIS Increased temperature related to growth of microorganisms in the blood secondary to Urinary Tract Infection

PLANNING After 1 hour nursing interventions, patient¶s VS specifically the temperature will decrease to normal range.

INTERVENTION -Give tepid sponge bath. Do not use alcohol.

RATIONALE -To regulate body temperature. Alcohol cools the skin too rapidly causing shivering. -To assess body thermoregulation

EVALUATION Patient¶s VS specifically the temperature temperature decreased to normal range.

Objective: -weak in appearance -skin warm to touch -warm breath -irritable -vital signs taken as follows: T-39.6 RR-26cpm PR-74bpm Bp-160/80 mmHg

-Assess VS specifically temperature after TSB -Position patient comfortably in bed. -Impart health knowledge about proper body and hand hygiene. -Advise patient to increase oral fluid intake.

__goal met __partially met __not met -Allows patient¶s self dependency -Prevent occurrence of further complications. - Additional fluids help prevent elevated temperature associated with dehydration. -Reduce metabolic demands/ oxygen consumption

-Maintain bed rest.

-Provide high-calorie diet. -Monitored VS and recheck.

-To meet increased metabolic demands. -To know the effectiveness of nursing interventions done and to know the progress of patient¶s condition.

-Administer medications as prescribed

-These drugs inhibit the prostaglandin that serve as mediators of pain and fever.

ASSESSMENT Subjective: ³Parang laging puno yung pantog ko...´ as verbalized by the patient Objective: -pale in appearance -looking weak -retention

DIAGNOSIS Impaired urinary elimination related to UTI.

PLANNING After 4 hours of nursing interventions, patient will verbalize understanding of the condition, achieve normal elimination pattern or participate in measures to correct the defects and demonstrate ways on how to prevent reinfections

INTERVENTION -Determine patient¶s previous elimination pattern and compare with current situation. -Palpate bladder

RATIONALE -Used as a baseline,to asses for changes

EVALUATION Patient will verbalize understanding of the condition and achieve normal elimination pattern and demonstrate ways on how to prevent reinfections

-To assess retention -To help determine level of dehydration -To help maintain renal function

-Determine patient¶s usual daily fluid intake

-Encourage fluid intake up to 30004000mL/day

__goal met __partially met __not met

-Instruct to void -To limit risk immediately after of reinfection intercourse, wipe from front to back, promptly treat vaginal infections and take shower rather that tub baths