Nursing Care Plan for Urinary Incontinence
Urinary incontinence is an uncontrolled release of urine in considerable amounts, so can be considered a problem for someone.
1. Make sure whether counseling is done, and or need urinary diversion, discussed at the first time.
R /: Provides information about the level of knowledge of patient / significant other on the individual situation and the patient receives. (example; incontinence was cured, infection).
2. Encourage the patient / person nearest to say feeling. Acknowledge normality feelings of anger, depression, and position at the loss. Discuss the "increase and decrease" every day that can occur after discharge.
R /: Give receive issues / misconceptions. Helping the patient / person closest to realize that the feelings experienced unusual and that their feelings of guilt at not need / help. The patient needs to recognize feelings before they can accept it effectively.
3. Consider withdrawing behavior, increased dependence, manipulation or not involved in the upbringing.
R /: Alleged problems on adjustments that require further evaluation and treatment more effective. Can show grief response to the loss of part / function of the body and worried about the acceptance of others, also the fear of inability to come / loss due to cancer later in life.
4. Provide opportunities for patients / people closest to look at and touch the stoma, use the opportunity to give a positive sign of healing, appearance, normal, etc.
R /: Although the integration of the stoma into the body image takes months / years, with a view stoma and hear comments (made in the normal way, real) can help patients in this acceptance. Touching stoma convince clients / people nearby that a stoma is not fragile and little movement in real stoma showed normal peristaltic.
5. Give the client the opportunity to accept the situation through participation in self-care.
R /: Independence in care improve self-esteem.
6. Maintain a positive approach, during maintenance activities, avoid insulting expressions or revulsion. Do not accept the patient's expression of anger personally.
R /: Helping patients / people closest to accept changes in the body and accept oneself. Angry most often indicated on the situation and the lack of control over what happens (not unexpected), not the caregiver.
7. Plan / schedule care activities with other people.
R /: Increase the sense of control and gives the message that the patient can handle it, improve self-esteem.