PATIENT'S PROFILE

Name: Mr. W
Age: 78 years old
Address: New England
Diagnosis: Right cerebrovascular accident (CVA)
with left hemiparesis
 Assessment
Subjective:
"I cannot urinate properly." as
verbalized by the patient
Objective: Objective
Vital Signs:
Urinary 130/100mmHg
incontinence
13cpm

96bpm
 Diagnosis

Impaired urinary elimination related to

flaccid bladder as evidenced by urinary
incontinence
 PLANNING

After 8 hours of nursing intervention,

the client will maintain stabilized
urinary elimination as evidenced by
increase urine output.
Independent Nursing
Care
 Intervention

Assess and monitor voiding pattern

(frequency and amount). Compare
urine output with fluid intake.

Rationale

Identifies characteristics of bladder

function
 Intervention

Encourage adequate fluid intake (2–

4 L per day)

Rationale

ISufficient hydration promotes

urinary output and aids in preventing
infection.
Dependent Nursing
Care
 Intervention

Administer intermittent
catheterization with sterile
technique as ordered.

Rationale

Intermittent catheterization may

be implemented to reduce
complications
 EVALUATION

After 8 hours of nursing intervention,

the client verbalized stabilized
urinary elimination as evidenced by
increase urine output.