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Definition Disturbance in urine elimination Related Factors NCP – Impaired Urinary Elimination r/t oral fluid/solid restriction & sensory motor impairment What Do You Think?The body is a complex system of organs and processes that work together to provide the body with sustenance for it to survive. One such organ that performs an important role in this process is the urinary tract. It filters out excess water, electrolytes, acids, and other things from your bloodstream, so they are not reabsorbed back into the bloodstream. If there is an issue with any portion of this process, then you may experience impaired urinary elimination (IUE). This post will explore some causes for IUE, nursing Diagnosis, Interventions, and Care plans. As you read, keep in mind that our top writers are ready to help in case you get stuck or cannot complete your nursing assignment due to other reasons such as a busy schedule. All you need to is place an order with us! Disclaimer: The information presented in this article is not medical advice; it is meant to act as a quick guide to nursing students, for learning purposes only, and should not be applied without an approved physician’s consent. Please consult a registered doctor in case you’re looking for medical advice. What is Urinary Elimination?Urinary elimination is the process of eliminating wastes from the body in urine. The kidneys remove waste products and byproducts from the blood by changing them into a form that can be passed into urine, subsequently excreted out of the body. The urinary tract system includes the kidneys, ureters, bladder, and urethra. What is Impaired Urinary Elimination?Impaired urinary elimination is the inability to remove body wastes from the kidneys in urine. This could be due to conditions that obstruct or interfere with bladder emptying, such as an enlarged prostate gland or a blockage in the urethra (such as catheterization). What Causes Impaired Urinary Elimination?There are many possible causes for impaired urine production and excretion. Many of these can be divided into two categories: obstructive causes and non-obstructive. Obstructive CausesUsually due to enlargement of the distal urethra and bladder or narrowing of the urethral lumen. These obstructions are considered partial if there is some flow through the obstruction without severe discomfort. Obstruction can result from benign prostatic hyperplasia (BPH), urinary tract infections (UTIs), urethral strictures, or bladder stones, as well as a pelvic mass. Non Obstructive Causes
Signs and Symptoms of Impaired Urinary Elimination
Nursing Diagnosis of Impaired Urinary EliminationImpaired skin integrityImpairment in skin integrity may be related to impaired urinary elimination. Problem with passing urine.This can include a decreased amount or quality of urination, foul odor in urine, difficulty in starting to pass urine, straining while passing urine, pain during urination, or having to go many times and still not fully empty the bladder. Nursing diagnosis of impaired urinary elimination is the nursing diagnosis that encompasses any abnormality in urination. This includes both the frequency and volume of urine output and the ability to void completely. Assessing Vital SignsNurses will assess a patient’s condition for this problem by assessing vital signs such as pulse rate and respiratory rate, examining physical findings such as skin turgor or edema, and noting the presence of symptoms such as severe dysuria or nocturia. Restricted ActivitiesRestricted activities of daily living because of increased incontinence, frequency of urination, or spasm episodes. The person may have been able to perform basic daily activities before the problem began, but now they are limited in some way. Impaired Physical MobilityImpaired physical mobility related to impaired urinary elimination. Impairment in Body ImageImpairment in body image of self and others due to loss or change in bladder control. It may include shame, embarrassment, or feelings of inadequacy because of leakage or odor related to incontinence. Abnormal Substances in UrineAt times, abnormal urine contains substances that are not normally found inside blood vessels, and these signs can be used to detect the disease. Common examples are protein, glucose, and blood, which can be easily identified due to their different colors (red or pink; protein white in color; and glucose, a clear, colorless liquid). Other DiagnosisThe nurse should also be aware that many other conditions can cause impairment in urinary elimination, including:
Care Plans for Impaired Urinary Elimination
Nursing Interventions for Impaired Urinary Elimination
ComplicationsLeft untreated, this could lead to renal failure because the kidneys will no longer be able to excrete waste products from the body efficiently, resulting in an accumulation of toxins that can cause further damage if not addressed. Treatment of Impaired Urinary Elimination
SummaryUrinary retention is the inability to completely empty the bladder. It is classified as either acute or chronic. The condition is most common in men due to prostate enlargement and older adults. Treatment is possible with managing the underlying causes, resolving infections, such as UTIs and prostatitis, and through the use of non-steroidal anti-inflammatory drugs (NSAIDs). |