UTI Care Plan: Treatment for Urinary Retention

Urinary retention refers to the impotence to urinate although there is a natural impulse to do it. In other words, it is the disability of a person to urinate even though there is enough urine in the bladder to pass out of the body. Urinary retention often comes as a result of an infection. It is a serious disease that requires a special UTI care plan. 

  • The symptoms and signs of the disease are the following:
  • The urine passes out of the bladder with a slow and small flow;
  • Each of the subsequent urinations worsen and they become longer as the bladder cannot empty itself;
  • The stomach can swell a bit as there is pressure from the inside as a result of poor bladder emptying;
  • A person feels the constant desire to urinate although it is impossible;
  • In serious cases, urinary retention can be up to 3,000 cc.

UTI care plan is necessary for urinary retention treatment. As such, there are the following nursing interventions for UTI and it is crucial to discuss each intervention depending on the symptoms and the severity of the disease.

Nursing Interventions for UTI

1. Urinary retention as the bladder’s disability to regularly contract

Expected symptoms:

  • Lengthy urination in large amounts;
  • Bladder distension cannot be palpated.

Nursing care plan for UTI:

  • Ask patients to urinate not less than every 2-4 hours and in cases when there is a sudden impulse for urination;
  • Inquire patients about cases of incontinence during stressful situations;
  • Ask patients to pay attention to the flow of urine;
  • Carefully observe and indicate the time and amount of each urination;
  • Palpate suprapubic body section.

Rationale:

  • Reduce redundant urine retention in the bladder;
  • High pressure in the urethra prevents from adequate urination;
  • The UTI care plan is beneficial for analyzing intervention alternatives and figuring out obstructions;
  • Pressure in the upper urinary tract is increased as a result of the retention;
  • One can feel swollen bladder in the suprapubic range.

2. Physical discomfort (pain)

Expected symptoms:

  • Relaxation of the bladder interchanges with increased pressure;
  • Stating pain is felt.

Urinary retention care plan goals:

  • Evaluate the severity of the pain and figure out its precise location;
  • Fix drainage hose against the thing and apply abdominal catheter;
  • Adhere to bed rest if prescribed by doctors;
  • Ensure the patient is provided comfort measures;

Rationale:

  • Inform the patient on the ways of identifying intervention;
  • Ensure preventive measures against the bladder’s withdrawal;
  • At the initial stage of severe retention bed rest is a must;
  • A person should maintain rest for most of the time;
  • A patient is encouraged to relax muscles.

3. Intolerance to any forms of activity

Expected symptoms:

  • When prone to any kinds of activity, a patient suffers from weakness, dyspnea, and other signs of disease.

Medical intervention:

  • Evaluate how well a patient responds to a particular type of the activity;
  • Provide comfortable and relaxing environment for a patient; limit visitation hours, especially when a patient suffers from acute pain;
  • Explain the patient that rest is vitally important at times of disease severity and that activity and rest should be well balanced.

Rationale:

  • Take care of a patient’s needs and promote intervention opportunities;
  • Increase the relaxation time that a patient should take and reduce daily stress;
  • Adhere to bed rest as it helps save energy for healing (as it lowers metabolism);
  • Maintain balance between oxygen demand and supply.

Nursing Care Plan for Impaired Urinary Elimination:

  1. Motivate the patient to consume more water. Sufficient amount of water taken per day inhibits proper voiding. On average, the required intake of fluid on a daily basis is 1500 ml (if there is no serious medical reason to reduce it). In order to support acidic characteristics of urine, encourage the patient to consume more cranberry juice.
  2. Encourage the patient to take upright position as it leads to natural impulse for urination due to gravity. Besides, a patient should urinate every 4 hours (preferably) as frequent urination helps eliminate the threat of urinary retention.
  3. Try Crede’s maneuver by pressing the bladder down. Still, make sure to do it carefully as you enhance the outside pressure by inducing urination. If the patient has infection, it is crucial to address for medical help and seek catheterization program.

4. Crisis situations and anxiety

Expected:

  • Accept the health problem and discuss it as well as fears connected with it.

Medical intervention:

  • Find out how a patient feels about the disease or risk of the situation;
  • Pay attention to a patient’s responses such as stress, anxiety, deterioration of health (cardiovascular problems, breathing difficulties, etc.);
  • Help the patient deal with fear and accept it;
  • Identify what safety precautions can be taken.

All in all, caregivers should timely teach families how to deal with urinary retention starting from the earliest phases. Early treatment is fundamental as it helps prevent disease complication. In case a patient has further problems with urinating, he/ she should seek surgical ways of treatment.