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Nursing Diagnoses

Nursing Diagnoses. Clients with Urinary Elimination Problems Heather Nelson, RN. Functional Incontinence. Related to: Altered environment (e.g., poor lighting or inability to locate toilet, reluctance to use call light or bedpan)

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Nursing Diagnoses

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  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

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