Running head: NURSING CARE FOR A PATIENT SCENARIO

line of business: Continence\n nurse diagnosis (1). urinary in moderation, urge connect to irritation of vesica stretch \nreceptors create spasm supple psychological to Urinary tract Infection (UTI).\nGoals/ in demand(p) outcomes. Within the continuation of c be, Mrs. Jones will be able to: treat apprehension FOR A persevering SCENARIO 5\n divulge behaviors/techniques to confine/correct feature (incontinence).\nNursing interventions:\n1. invoice Mrs. Joness add up of piddle voided, especially noting amounts little than 100 cc \nor great than 550 cc (Doenges, Moorho employment and Geissler-Murr, 2004, p.574). \n rule: This is to assess the gradation of vesica constipation to control urination.\n2. baffle Mrs. Joness liquid use of goods and services at prescheduled generation (with and amidst meals) and \n keep on a continence record for 3 days (Berman, Snyder, Kozier, & Erb, 2008, p. 1296;\nDoenges, Moorhouse and Geissler-Murr, 2004, p. 574). \n rule: T o promote a predictable voidance pattern.\n3. promote Mrs. Jones to get-go and stop pour out for two or more clock during excreta \n(Doenges, Moorhouse and Geissler-Murr, 2004, p.574). \n precept: This isolates muscles involved in liquidation touch on for exercise training.\n4. take Mrs. Jones astir(predicate) Kegel exercises or the use of vaginal cones (Doenges, \nMoorhouse and Geissler-Murr, 2004, p.574). \n principle: This is to arm the pelvic stage and enhance bladder training exercises, \nthereby counteracting incontinence and promoting priggish urinary emptying.\n5. Encourage Mrs. Jones to consciously find out voiding (Doenges, Moorhouse and GeisslerMurr, 2004). \n principle: To gradually sum up intervals betwixt voiding to each 2 to 4 hours.\n6. kick up to Mrs. Joness family to have an commensurate lighting during iniquity as well as to \n submit grab interdict and elevated corporation seats as needed (Berman et al., 2008, p. 1298). \n rule: To promote cheer and safety.NURSING keeping FOR A uncomplaining SCENARIO 6\nNursing diagnosis (2). Urinary elimination, damage related to urinary tact transmittance (uti), \nas show by incontinence.\nGoals/ coveted outcomes. Within the date of cargon, Mrs. Jones will be able to: \n Display/verbalize concord of the condition in order to win normal elimination \npattern.\n Demonstrate behaviors/techniques to hold endure the further tortuosity and recurrence of \nurinary tract transmittal (Doenges, Moorhouse and Geissler-Murr, 2004, p.555).\nNursing interventions:\n1. depose the invitee that women are more fictile to UTI because of the shorter size of \nthe urethra (Berman et al., 2008, p. 1297; Doenges, Moorhouse and Geissler-Murr, 2004, \np. 555).\nrationale: To provide experience of the clients condition, thereby promoting utmost \nunderstanding.\n2. Encourage Mrs. Jones and the SOs to drinkable adequate amount of legatos, that is, or so octette \nto ten 8-ounce furnish of water or up to 3000 ml, with cardiac tolerance, daily (Berman et \nal., 2008, p. 1298; Doenges, Moorhouse and Geissler-Murr, 2004, p. 557). \nrationale: To promote urination (or urination), thereby flushing out the \nmicroorganisms from the urethra ( work and Perry, 2001, p.1411). Including the \nfamily/SOs in the health teaching/ procreation facilitates involvement in the care of the \nclient. Nevertheless, cardio-clearance must also be interpreted into status to prevent \nfluid overload. NURSING CARE FOR A PATIENT SCENARIO 7\n3. indoctrinate or read Mrs. Jones and female family members to pass over from front to back \n(from the urinary meatus toward the anus) every after voiding (Berman et al., 2008, p.\n1298; Doenges, Moorhouse and Geissler-Murr, 2004, p. 557). \n principle: cleaning from dirtiest to cleanest area promotes asepsis, thereby preventing \nUTI.\n4. Encourage Mrs. Jones to plump out the full physique of the prescribed medication regime n \nfor UTI and express her about the actions, ominous do and other(a) pertinent schooling \nabout the drugs (Berman et al., 2008, p. 1298). \nRationale: This is to ensure force of the treatment. Educating the client about the \nactions and adverse effects of the medications alters the client to readily report whatever \nuntoward reactions that the client may be experiencing. \n5. Monitor the strong suit of the prescribed antibiotics and by and by send the urine \nsamples to the laboratory (Doenges, Moorhouse and Geissler-Murr, 2004, p.557). \nRationale: This is to evaluate the say-so of the medication regimen.\n legal opinion shot\nBradens lance Score for Mrs. Jones pre #NOF: 20 (See Appendix A for further details)\nBradens son of a bitch Score for Mrs. Jones state of affairs #NOF: 16 = pocket-size risk of infection of infection\nDifferences between 2 advance:\nThe difference between the above 2 haves signifies the homely alteration of Mrs. \nJoness mobilit y. Her conk out predisposes her to compel ulceration ashesation, though it is of dotty \nrisk single (Bradens putz chronicle of 16).\nComment on Ease of delectation (For Tool):NURSING CARE FOR A PATIENT SCENARIO 8\nThe Braden force Ulcer essay estimation Tool is somewhat free to use because it \nprovides choices that enable us to clear picture-out or attract the scenario, thereby conduct us to \n conk out the appropriate score suitable for the client.\n grouping Member arranging/Disagreement of Assessment: The group was tout ensemble in \nconsensus about the scoring and sound judgement done.\nAny Problems with Tool Used:\nSo far, there are no problems encountered with the use of the tool. \nOther Risk Assessment Tools determine: \n1. Norton plate/nortons pressure area risk assessment form scale was the world-class pressure \nulcer risk assessment reported in the literature. It scores quintette risk factors namely, physiologic \ncondition, mental condition, ac tivity, mobility, and incontinence, wherein the chalk up score \nranges from 5 to 20 (Berman et al., p. 905; Potter and Perry, 2001, p. 1557).\n2. Gosnell scale authentic from a query on 30 clients in a nursing home, this scale scores \n quintette factors that include mental status, continence, mobility, activity, and nutrition (Potter \nand Perry, 2001, p.1557).\n frequence of Assessment:\n unceasingly (Potter and Perry, 2001, p.1557).NURSING CARE FOR A PATIENT SCENARIO 9\nAppendix A\nPRE #LNOFNURSING CARE FOR A PATIENT SCENARIO 10\nPOST #LNOF\n occupation: Image taken from Government of Alberta Seniors and residential district Supports (2010)