Question

Client has UTI (primary focus), sepsis, urinary retention, hypertension, diabetic and on DIALYSIS. Patient have a history of alcoholic liver cirrhosis and smoking. Labs (creatinine and bun is high, sodium,calcium, eGFR are low as well as protein and albumin) what would be a good... Short Term Goal: Long Term Goal: Nursing Interventions: 1 2. 3. Influencing Psychosocial/Cultural Aspects: (Two Physical and Two Psychosocial) 1. 2. 3. 4. Patient/Family Teaching:

Answer 1

Short term Goal

To achieve normal urinary elimination pattern, as evidenced by absence sign of urinary disorders (Low sodium and trace of protein).

Long term Goal

Patient will demonstrate behavioral techniques to prevent urinary infection.

Nursing intervention	Rationale
Assess the urinary pattern	To identify the baseline data
Provide 3-4 liters of water	To improve the renal circulation
Encourage for frequent voiding	To prevent the bacterial growth
Advice vitamin C	To Help in acidification of urine
Limit the use of indwelling catheter	To prevent accumulation of urine
Administer non- Pharmacological techniques	Alternative technique will decrease the pain and provides comfort
Instruct to avoid, coffee, and alcohol	To prevent mucous irritation

Influencing factors

Psychological

Non-recognition of distress may lead to unnecessary and aggressive

Psychological distress and impaired social function should become routine in the clinical follow-up

Psychological

Stress

Depression

Loss of self esteem

Psychosocial

Avoiding social events

Reduce personal activities

Social insularity

Loss of independence

Physical

Cellulitis

Infection

Decubitus ulcer

Falls and fraction

Sexual dysfunction

Patient education

• Teach the importance of preventing urinary tract infection.
• Advice to take shower bath
• Maintain perineal hygiene after bowel movement.
• Empty the bladder completely.
• For female advice to use tampons during mensuration
• Advised to take warm milk during bed
• Avoid mucous irritant food such as coffee, alcohol and chocolate
• Advice to take cranberry juice
• Advise to take 3-4 litters of water
• Apply heating pad to the suprapubic area to relieve pain.