Domain 3. Elimination and exchange
Class 1. Urinary function
Diagnostic Code: 00022
Nanda label: Risk for urge urinary incontinence
Diagnostic focus: Incontinence
Nursing diagnosis is an important step in nursing care, which is especially true for patients who are at risk for various disorders and conditions. In this article, we will discuss the Nursing Diagnosis Risk for Urge Urinary Incontinence (UI) – discussing its definition, risk factors, population at risk, associated conditions, and suggested alternatives. We will also provide some tips on usage, objectives of evaluation, nursing activities, a conclusion, as well as recommended NOC outcomes and NIC interventions, as well as five FAQs written in the schema.org application/ld+json script.
Nanda Nursing Diagnosis Definition
The diagnosis Risk for Urge UI is defined by the North American Nursing Diagnosis Association (NANDA) as “an increased likelihood of urinary incontinence caused by an overactive bladder, which can lead to frequent urination, urgency, as well as stress and urge incontinence”. This diagnosis has been classified by NANDA in the domains of Risk Factors / Complications, Health Promotion, and Activity /Rest.
The risk factors for Urge UI include age, general health, family history, gender, weight, chronic illness, psychosocial factors, neurological impairment, medications, and lifestyle habits. Age increases the risk of this condition, with women over 45 more likely than their male counterparts to experience Urge UI. In addition, people of all ages who have general health issues, chronic illnesses, or neurological impairment can be at higher risk. Women who are overweight, or those with a family history of UI, may also be at higher risk. Finally, certain medications and lifestyle habits can increase the risk for Urge UI, such as caffeine consumption, smoking, alcohol use, and use of diuretics.
The populations most at risk for developing Urge UI include women over 45, pregnant women, those with psychological or neurological impairment, and those with chronic illnesses or who engage in certain lifestyle activities that can increase the risk. This includes substance abuse, smoking, or excessive caffeine consumption.
Urge UI is most commonly associated with other UTI infections, such as cystitis, which can worsen the symptoms of UI. Other associated conditions can include bladder spasms, decreased bladder contractility, and bladder outlet obstruction. In addition, those with complications from diabetes, neurological compromise, such as Parkinson’s disease, stroke, multiple sclerosis, spinal cord injuries, and some medications can increase the risk.
Suggestions For Use
There are several treatments available for those with Urge UI, including pelvic floor physical therapy, medications, electrical stimulation, lifestyle changes, and surgery. Depending on the severity of the condition, medications or lifestyle changes should be considered first, followed by physical therapy or electrical stimulation. For cases where the condition has become severe or has not responded to other treatments, surgery may be the only recourse.
Suggested Alternatives to NANDA Nursing Diagnosis
If the condition does not respond to the above treatments, there are a few alternative NANDA nursing diagnoses that may be applicable. These include Impaired Bowel Elimination, Risk for Impaired Urinary Elimination, and Impaired Ability to Self-Care.
When treating patients with Urge UI, it is important to work with them to develop a plan of care that takes into consideration the patient’s individual health needs and lifestyle. Discuss any safety concerns and if needed, performing a full medical assessment. Collaborate with the patient to identify current and potential risk factors, and provide education and support regarding healthy lifestyle changes.
Recommended NOC Outcomes
The following NOC outcomes are recommended to assess the outcome of treatment on patients with Urge UI: Patient Has Control of Bladder, Patient Lifestyle Management, Emotional Status and Self Care.
Patient Has Control of Bladder
This outcome requires that the patient have a greater degree of control over his/her bladder, with fewer wetting accidents, controlling the urge to urinate, engaging in toileting behaviors, and using personal protection measures.
Patient Lifestyle Management
This outcome encompasses the patient’s ability to identify and manage environmental and lifestyle factors that can exacerbate their condition, including reducing intake of fluids, avoiding caffeine or carbonated beverages, voiding at regular intervals, and exercising regularly.
This outcome seeks to assess the patient’s emotional well-being, including any anxiety or depression that may be related to their condition.
This outcome evaluates the patient’s ability to recognize how their condition affects their self care, and includes performance in areas such as mobility, appetite, nutrition, sleep, hygiene and leisure activities.
Recommended NIC Interventions
The following NIC interventions may be recommended to help the patient achieve optimum health: Comfort Measures, Education, Fall Prevention, Assessment and Documentation, Environmental Management, Fluid Management, and Modifying activity.
The purpose of this intervention is to improve the patient’s comfort and quality of life through physical, emotional, and educational techniques. These may include providing comfort items such as blankets and pillows, massage, relaxation techniques, and pain management strategies.
This intervention helps the patient understand their condition and understand how their lifestyle choices can affect it. Education may be provided in the form of attending classes or counseling sessions, reading materials, or participating in support groups.
This intervention works to prevent falls due to reduced muscle strength or coordination. This may include using assistive devices like walkers or shower chairs, implementing exercises to strengthen muscles, and adjusting the environment to reduce the risk of slips and falls.
Assessment and Documentation
The goal of this intervention is to monitor and document the progress of treatment. This includes conducting physical assessments, monitoring for side effects, and completing nursing documentation related to the patient’s condition.
This intervention seeks to reduce environmental factors that can contribute to the exacerbation of Urge UI, such as avoiding too much or too little stimulation. This may include eliminating caffeine and other diuretics, avoiding activities that could irritate the condition, reducing noise levels, decreasing glare, and labeling personal items.
This intervention focuses on teaching the patient how to limit fluid intake to reduce symptoms. It may also involve providing suggestions on which fluids to avoid and when to drink them.
This intervention modifies activities that could cause irritation or exacerbation of the condition. This may include adjusting exercise routine, avoiding physical activities that may trigger symptoms, and understanding what positions or movements can cause discomfort.
Nurses should conduct assessments, establish plans of care, provide patient education materials, and complete documentation, as well as observe and record patient progress. They should also monitor for complications and provide comfort measures, such as heat/cold, rest, and positioning. In addition, nurses should monitor and adjust medications and address any concerns about lifestyle modification.
To recap, the Nursing Diagnosis Risk for Urge UI is an overactive bladder that often leads to frequent urination, urgency, stress, and urge incontinence. There are many risk factors that can increase the likelihood of developing this condition, and those who suffer from it often struggle with a variety of associated conditions. A variety of treatments are available to those with Urge UI and often a combination of treatments can produce the best results. Nurses play an important role in helping patients assess their condition, devise a plan of care, and monitor their progress to ensure the best outcome possible.
Urge UI is a complex condition that can impact many aspects of a person’s life. It is important for nurses to assess the patient’s individual health needs and develop a comprehensive plan of care to manage the condition. There are many treatments available, but a combination of treatments is often recommended. Nurses should educate their patients about the condition and help them make lifestyle changes to reduce the risk of developing complications. Finally, nurses should monitor the patient’s progress and adjust treatments accordingly in order to achieve the best outcome possible.
- What is Nursing diagnosis?
- Nursing diagnosis is an important step in nursing care, which involves assessing the patient’s individual health needs and developing a plan of care to meet those needs
- What are the risk factors for Urge UI?
- The risk factors for Urge UI include age, general health, family history, gender, weight, chronic illness, psychosocial factors, neurological impairment, medications, and lifestyle habits.”
- Who is at highest risk of Urge UI?
- The populations most at risk for developing Urge UI include women over 45, pregnant women, those with psychological or neurological impairment, and those with chronic illnesses or who engage in certain lifestyle activities that can increase the risk.
- What treatments are available for Urge UI?
- There are several treatments available for those with Urge UI, including pelvic floor physical therapy, medications, electrical stimulation, lifestyle changes, and surgery.
- What are the recommended NIC interventions for those with Urge UI?
- The following NIC interventions may be recommended to help the patient achieve optimum health: Comfort Measures, Education, Fall Prevention, Assessment and Documentation, Environmental Management, Fluid Management, and Modifying activity.