Question

Please help

The patient with Urinary Tract Infection and chronic back pain (3^rd highest priority) includes:

1. Nursing diagnosis

2. Assessment

3. Plan

4. Implement

5. EVALUATION
6.. Supporting evidence (subjective and objective data)

8. One SMART* goal.
9. Minimum of 3 EB* interventions.
10. what kind the lab test

Answer 1

1.Impaired urinary elimination related to effects of urinary tract infection as evidenced by pain and burning on urination ,flank ,suprapubic and or lower back pain, urgency, frequency, nocturia or haematuria.

Ineffective therapeutic regimen management related to lack of knowledge regarding treatment regimen and prevention of recurrent infections as evidenced by verbalization of desire to manage treatment of illness and prevent recurrences.

2.Subjective data

Past health history: Previous urinary tract infections, urinary calculi, stasis, reflux, strictures or retention

Medications: Use of antibiotics, anticholinergics, antispasmodic

Surgery or other treatment s

Functional health patterns

Health perception-Urinary hygiene practices, lassitude ,malaise

Nutritional-metabolic,: nausea, vomiting and anorexia, chills.

Elimination-Urinary frequency, urgency, hesitancy

Cognitive-perceptual: Suprapubic or lowbackpain, costovertebral tenderness, bladder spasms, dysuria, burning on urination.

Sexuality -Reproductive: Multiple sex partners, use of spermicidal agents

Objective data

General

Fever, chills, overall clinical deterioration can be seen in elderly.

Urinary

Hematuria, cloudy, foul-smelling urine tender, enlarged kidney.

Possible Finding

Leukocytosis, urinalysis positive for bacteria, pyuria, RBC and WBC, positive urine culture.

3.The overall goals are that the patient with a UTI Will have bothersome LUTS, prevention of upper urinary tract in infection involvement and prevention of recurrence.

4.Implementation

Health promotion

The nurse can play a major role in the prevention of nosocomial infection s. Avoidance of unnecessary catheterization and early removal of indwelling catheters are the most effective means for reducing nosocomial UTI. Aseptic technique must always be followed during these procedures. Washing hands before and after contact with each patient and wearing gloves for care involving the urinary system are especially important

9.Nursing interventions

• Monitor urinary elimination, including frequency, consistency, odour, volume and colour to evaluate elimination status.
• Obtain midstream voided specimen for culture and sensitivity to determine pathogen causing UTI.
• Teach patient to drink eight ounces of liquid with meals, between meals and in early evening to prevent dehydration, relieve bladder irritability and a decrease bacterial colonization.
• Appraise patient current level of knowledge related to specific disease process to plan individuslized teaching.
• Explain pathophydiology of the disease and how it relates to anatomy and physiology.
• Describe rationale behind management/therapy/treatment recommendation to promote compliance with treatment.

5.Evaluation

Pain with urination subsided.

Urgency with urination is mild/moderate /severe.

8.

Patient experience normal urinary elimination patterns.

10Lab test

Dipstickurinalysis should be obtained initially to identify the presence of nitrites.

Urine culture is indicated in complicated or nosocomial UTI