Nursing care plan for urinary retention

As they say, nursing is a calling that necessitates a full-time commitment to patient care. The nurses provide patients with encouragement and prescribe individualized care plans based on their conditions.

Table of Contents

Urinary retention is a condition in which passing urine does not completely evacuate the bladder. Let’s examine the causes of urinary retention, the different forms of urinary retention, and the nursing care plan for urinary retention.

A comprehension of urinary retention.

As described previously, urinary retention is a condition in which a person is unable to completely empty their bladder. Urinary retention has a variety of causes that can be diagnosed by a physician, and a nursing care plan is prescribed based on the severity of the condition.

There are a variety of situations and conditions that can lead to urinary retention. In fact, it is extremely important to urinate without any complications, and it is strongly advised that you seek immediate medical attention if you observe any abnormalities when urinating.

Urine is stored in the bladder, and the other main organs involved with urine are the kidneys, ureters, and adrenal glands.

This conduit will transport the urinary tract to the exterior of the body.

The inner sphincter.

The internal sphincter, also known as the bladder outflow, prevents urine from leaving the bladder before its time.

Sphincter external.

The external sphincter is located on the canal’s exterior. It comprises muscles that can voluntarily contact the color red. Controls the release of urine when I am allowed to go outside.

Prostate (in only males).

This is also a part of urinary function and is near another system of the urinary tract.

Having clarified the urinary system, let’s examine what happens when you urinate.

Similar to other bodily processes, urination or micturition initiates the formation of the brain, which is the central nervous system. To urinate, the brain sends signals to the sphincters, which relax gradually as the bladder contracts and squeezes urine through the urethra and out of the body.

There are a variety of potential male and female causes of urinary retention. The following are examples of prevalent causes:

Obstruction

A urinary obstruction occurs when a foreign object obstructs the urinary tract.This may result in chronic urinary retention if the swelling persists and only a small quantity of urine is released. A distended urethra, urethra constriction that causes urine to struggle to exit, constipation, kidney stones, or a clot in the urethra are all possible causes of obstruction.Medication

Some medications impair the muscles, while others affect the urinary system.Among these medications are analgesics, Parkinson’s disease medication, morphine, and antipsychotic medicines.

Nerve difficulties

Urinary retentions would result from disruption or injury to normal nerve flow. Therefore, the brain cannot receive adequate signals from other parts of the body and cannot be controlled in any way. Conditions such as stroke, multiple sclerosis, diabetes complications, spine or brain injury, and Parkinson’s disease, to name a few, are treated at this facility.

Evaluation of a nursing care plan for urinary retention

When a patient with probable urinary retention symptoms visits a healthcare facility, an evaluation must be performed to determine whether the condition is chronic or acute. Urodynamic testing will be prescribed to determine the severity of the retention. Uroflowmetry is utilized to measure the quantity of urine released from the body and the rate at which it exits the body.

Examining the pressure at which urine is expelled will inform the possible nursing care plan for nurse leaders and health administrators. At this juncture, the nurse will be able to determine whether the patient’s urinary retention is acute or chronic.

Encourage continuous urinating

Urinating frequently protects the wound or afflicted area from additional infection.

Bladder scan

The evaluation could occur prior to treatment to determine the extent of the harm, or after treatment to assess the patient’s recovery. In either case, a scan should be performed if there are additional concerns about the bladder.

The bladder scan is performed to determine if the patient is still retaining urine and to what extent, as well as the rate of recuperation.

Abdominal evaluation

During an evaluation, the nurse also examines the abdomen to determine if the bladder is tender by palpating its palpitating rate. The purpose of these nursing care plans for urinary retention is to provide nurses with an accurate record of the patient’s excretion pattern.

Plan of nursing care for urinary retention

After diagnosis, medical professionals will determine whether the urinary retention is acute or chronic. The assigned nurse administers various treatments or care plans for each condition.

Acute urinary retention is diagnosed when pain and discomfort accompany the advent of inability to pass urine. Men are more likely to experience acute urinary retention due to the possibility of a swollen prostate. Both males and women have a distinct nursing care plan for urinary retention.

It has been observed that some patients with acute urinary retention can pass minor amounts of urine despite experiencing pain. The following are examples of nursing care plans for acute urinary retention:

Providing the patient with a list of activities or substances to avoid.

These activities considered to be triggers must be avoided. Such measures always aid patients by relaxing the central nervous system-controlled muscles of the urinary tracts.

Medication administration

After hospital treatment, the attendant will administer several medications before providing admission instructions. The family members must be enlightened on the timing and procedures of admissions. Typically, the medications are aimed at healing, preventing further infections in the afflicted areas, and preserving normal bladder function.

Plan of nursing care for urinary retention following surgery

Among the treatments for acute or chronic urinary retention is surgery. The best postoperative care programs for a patient are:

Catheter placement.

The patient may be temporarily disfigured, and insertion of a catheter would be optimal. The nurses should instruct the patient’s family on how to keep the catheter sanitary and how to replace it as needed.

Catheter treatment

The family members should also be informed about what a catheter is and why their relative needs one. Additionally, they should be instructed on how to care for it, how to check the position of the kink, and how to continuously ensure that it is properly positioned.

When catheter care is required, administer the proper care.

When catheter insertion becomes part of the postoperative treatment, appropriate precautions must be taken to prevent wound infections. Due to its susceptibility to infection, a nursing care strategy for urinary retention after surgery is sometimes considered the most delicate.

Planned nursing care for urinary retention

Occasionally, the nursing care plan for urinary retention includes a number of hazards.

Additional fatalities

Some care plans have resulted in increased morbidity in the past, while others have caused more damage to patients.

Infection resulting from catechization

Catheterization should only be recommended in extreme cases. Catheterization of the urethra should be regarded a last resort because it can lead to urinary tract infections and necessitate additional surgery.

Consequences of anesthesia

Additionally, the form of anesthesia used has an impact on the patients. The use of analgesics and opiates causes patients to experience a great deal of pain, with the effects lingering even after surgery.

Summary

A nursing care plan for urinary retention is the individualized treatment procedure that nurses administer to patients with urinary retention complications. Depending on whether the urinary retention is chronic or acute, the treatment plans vary case by case. The purpose of the treatment plan prescribed after diagnosis is to aid in the patient’s recovery and normalization of urination. Need a nursing care plan for urinary retention? Contact us at customnursingessays.com if you need assistance with your nursing papers.