Functional Urinary Incontinence - Nursing Diagnosis NIC NOC

Functional Urinary Incontinence (1986, 1998) according to Diagnosis NANDA, NIC NOC Interventions, Nursing

A. Definition

The inability of individuals who typically continent to reach the toilet in time to avoid unintentional urine output.


B. Defining characteristics

1. Being able to empty the bladder completely.
2. The length of time needed to reach the toilet longer than the time between the felt urge to urinate and urinate uncontrollably.
3. Passing urine before reaching the toilet.
4. Possibility incontinence only in the morning.
5. Feeling the urge to urinate.

C. Related factors

1. Changes in environmental factors.
2. Impaired cognition.
3. Visual impairment.
4. Neuromuscular limitations.
5. Psychological factors.
6. Weakness.

D. Suggestions Usage
Nothing


E. Alternative diagnoses suggested

1. Urinary incontinence: overflow.
2. Urinary incontinence: reflex.
3. Urinary incontinence: stress.
4. Urinary incontinence: the total.
5. Urinary incontinence: urgency.
6. Self-care deficit, elimination.
7. Urinary elimination, interruption.
8. Urinary retention.

F. Results NOC

1. Self Care: Elimination: the ability to elimination independently with or without assistive devices.
2. Urinary continence: elimination of control urine from the bladder.
3. Urinary elimination: collection and urine output.

G. Goal / Evaluation criteria

Examples of using NOC
a. Urinary continence shows: as evidenced by the following indicators: (1-5 designations never, rarely, sometimes, often or always)

• Mengidentasikan desire to urinate.
• Respond in a timely boost to urinate.
• Reach the toilet between the time the urge to urinate and urine expenditure.
• Managing clothing independently.
• Eliminating independently.
• Maintaining the elimination predictable.

b. Another example:

• Using adaptive equipment to help manipulate clothing (removing and putting on clothes for elimination) and move if incontinence associated with impaired mobility.

H. NIC interventions

1. Timely micturition: urinary continence with increasing reminded verbally at a certain time to urinate and positive social feedback for the successful elimination.
2. Assistance with personal care: elimination: helping other people do the elimination.
3. Urinary elimination management: maintaining optimum urinary elimination pattern.
4. Training micturition habits: set pattern bladder emptying can be expected to prevent incontinence in individuals with limited cognitive abilities and suffering from urge incontinence, stress or functional.

I. Activity of Nursing

1. Assessment

• Management of urinary elimination (NIC):
• Monitor urine elimination, including frequency, consistency, odor, volume, and color; if necessary.
• Collect the urine specimen for urinalysis central portion, if necessary.
• Identification of factors that cause episodes of incontinence.

2. Extension to the patient or family

1) Discussion reduce bedwetting episodes, consider the following strategies:

• Improve the lighting environment to improve eyesight.
• Installing a higher toilet seat and handrail.
• Providing seat pee, bedpans and urinals portable.
• Removing the carpet that is easy to shift.

2) Instruct the patient and family to establish routines to urinate at a certain time (often reminded) based on the patient's pattern of elimination to reduce bedwetting episodes.
3) Instruct the patient and family to do the skin care and hygiene to prevent skin damage.
4) Perform bladder management strategies for conducting activities in a place away from home.
5) Management of Urinary Elimination (NIC):

• Teach patients about the signs and symptoms of urinary tract infection.
• Teach the patient to immediately respond to the desire to urinate if necessary.
• Teach patients and families to record urine output [and patterns] if necessary.
• Teach the patient to drink 200 ml of liquid during meals, between meals.

6) collaborative activity

• Consult a physician and occupational therapists to help to manual agility.
• Management of Urinary Elimination (NIC): refer to your doctor if signs and symptoms of urinary tract infection occurs.

7) Other Activities

• Give protective clothing or footwear, if necessary.
• Modifications clothes easily and quickly removed (eg: using elastic belt, or Velcro, not reseleting, buttons, and hook).
• Training urination habits (NIC).
  • Set the interval schedule of early elimination, based on voiding patterns and routines that usually (for example: eat, get up and break).
  • Help the patient to urinate and timely elimination at programmed intervals.
  • Use the power of suggestion (eg, running water or flush toilets to help the patient to urinate.
  • Avoid leaving the patient in the toilet for more than 5 minutes.
  • Reduce the elimination half-hour intervals in case of more than two episodes of incontinence in 24 hours.
  • Increase elimination half-hour intervals if the patient does not experience episodes of incontinence for 48 hours until the optimal interval every 4 hours.

8) Care at home

• The above actions can be used or adapted for home care.
• Teach caregiver to clean the skin after incontinence episodes and routine cleaning and drying of the skin every day.
• Recommend absorbent weakness if indicated.
• Help clients and families make changes to the home environment to improve access to reach the toilet.