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NURSING CARE PLAN

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION


Independent:
Subjective: Acute pain • A urinary tract • After 7 days • Assess pain, • Provides • After 7 days
related to of nursing noting location, information to of nursing
“Masakit ang urinary tract infection (UTI)
intervention intensity (scale of aid in intervention
pagihi ko” as infection. may occur in s, the 0 – 10), duration. determining s, the
verbalized by the the bladder, patient pain choice or patient pain
patient. where it is will be effectiveness of will be
called cystitis, relieved or interventions. relieved or
Objective:
or in the
controlled. • Encourage • Increased controlled.
increased fluid hydration
• Facial urethra, where
intake. flushes bacteria
grimace. it is called and toxins.
urethritis. Upper • Investigate report • Urinary
• Restlessness. tract infection of bladder retention may
results in fullness. develop,
• V/S taken as causing tissue
pyelonephritis.
follows: distention (
Most UTIs bladder or
T: 37.3 result from kidney), and
P: 82 ascending potentiates risk
R: 19 infections by for further
BP: 120/90 bacteria that infection.
• Observe for • Accumulation of
have entered
changes in uremic waste
through the mental status, and electrolyte
urinary meatus behavior or level imbalances
but some may of consciousness. may be toxic to
be caused by the CNS.
hematogenous • Provide comfort • Promotes
measure like relaxation,
spread. UTIs
back rub, helping refocuses
are much patient assume attention, and
common in position of may enhance
females comfort. Suggest coping abilities.
because the use of relaxation
technique and
shorter female
deep breathing
urethra makes exercises.
them more
vulnerable to • Encourage use of • Promotes
entry of sitz baths, warm muscle
soaks to the relaxation.
organisms from
perineum.
surrounding
structures Collaborative:
(vagina, • Administer • Reduces
periurethral antibacterial as bacteria present
glands, and prescribed. in urinary tract
and those
rectum).
introduced by
drainage
system