urinary
Instructed in S/S of possible urinary tract infection such as back pain, burning, oliguria, dysuria, retention, fever, etc.
Instructed in possible complication of urinary incontinence such as urinary tract infections (cloudy, foul-smelling, urine), depression and loss of self-esteem, skin breakdown, etc.
Instructed patient about possible complications of urinary incontinence, such as, urinary tract infections (cloudy, foul-smelling, urine), depression and loss of self-esteem, skin breakdown, etc.
Instructed patient about S/S of possible urinary tract infection, such as, back pain, burning, oliguria, dysuria, retention, fever, etc.
The patient was instructed to obtain appropriate supplies for care of a urinary diversion by the bladder cancer. The female patient was taught to reduce the incidence of urinary tract infections by voiding after sexual intercourse, avoiding bubble baths, and wearing cotton undergarments. The patient was advised to avoid fluids and foods that irritate the bladder such alcohol, tea, and spices.
The patient was instructed in spinal cord injury to use a mirror to check skin for break. The patient was instructed on perineal care after removal. The patient was taught in intermittent self-catheterization. The patient was taught in the attention of the indwelling urinary catheter. The patient was taught in the need to use anesthetic jelly abundantly for urinary catheterization and insertion of suppository or enema. The patient was advised in the importance of following the prescribed rehabilitation program.
SN observed bag technique and performed proper hand washing per CDC guideline before and after patient contact. Vital signs taken & recorded. Assessed all body systems with focus on urological status. SN educated patient/pcg that benign prostatic hyperplasia (BPH) is a condition where the prostate glands become enlarged which usually happens when a man ages. It may compress the urethra which courses through the center of the prostate. This can impede the flow of urine from the bladder through the urethra to the outside. It can cause urine to back up in the bladder leading to the need to urinate frequently during the day and night. Signs and symptoms of BPH include hesitant, interrupted, weak stream of urine, urgency and leaking or dribbling, more frequent urination, especially at night. Possible complications of BPH include urinary tract infection and complete blockage of urethra/ SN instructed patient/pcg for patient to increase fluid intake, drink 6-8 glasses of water to prevent the onset of urinary tract infection which is characterized by cloudy urine, fever, foul odor, pain in bladder area. SN instructed patient to report to SN or MD if any of these symptoms occurs and become bothersome or if pain persists go to the nearest hospital or ER.
SN instructed patient / caregiver about Bethanechol. Sometimes given orally or subcutaneously to treat urinary retention resulting from general anesthetic, diabetic neuropathy of the bladder, or a side effect of antidepressants or to treat gastrointestinal atony (lack of muscular tone). Adverse reaction are rare following oral administration of Bethanechol, but are more common following subcutaneous injection. Adverse reactions are more likely to occur when dosage is increased. Adverse reactions that have been observed: Body as a Whole: malaise; Digestive: abdominal cramps or discomfort, colicky pain, nausea and belching, diarrhea, borborygmi, salivation; Renal: urinary urgency; Nervous System: headache; Cardiovascular: a fall in blood pressure with reflux tachycardia, vasomotor response; Skin: flushing producing a feeling of warmth, sensation of heat about the face, sweating; Respiratory: bronchial constriction, asthmatic attacks; Special Senses: lacrimation, miosis.
SN instructed patient about urinary infection's Diet. The use of cranberry products seems to decrease the ability of bacteria to
adhere to the lining of the urethra and bladder. As cranberry juice can have a high amount of sugar, cranberry extract can
be taken in capsule or pill form instead. Increasing water intake by one or two glasses per day may help limit the length of
time that you have symptoms and reduce the infections.
SN instructed patient / caregiver on medication Flomax. SN explained that Flomax is indicated for urinary retention such as the case in people who have prostate enlargement. SN explained that side effects of Flomax includes arthralgia, dizziness, flushing, headache, nausea and vomiting. SN instructed patient / caregiver to notify physician ( MD ) if experiencing persistent urinary retention and if experiencing the side effects of this medication persistently.