Impaired Urinary Eliminaton: Dysfunction in urinary elimination related to lifestyle disruption, ischuria,

and urinary retention as evidence by reports of difficulty in urination and pelvic pain.

Cues Nursing Analysis Goals and Intervention Rationale Evaluation

Diagnosis Objectives
Impared Immediate cause: Short Term:
urinary Insufficient intake
elimination: of water Long Term:
Subjective related to Intermediate
Data: dysfunction cause:
in urinary The lifestyle
Objective elimination disruption;
Data: secondary to difficulty in
ischuria and urination; pelvic
urinary pain
retention as Root cause:
evidence by Fluid intake per
reports of day is 1-2 glasses
lifestyle of water, soft
disruption, drinks or
difficulty in carbonated drinks,
urination coffee, and juice
and pelvic for the past two
pain. weeks.
Pathophysiological
Analysis:
Retention of urine
is hazardous
because the
resulting urinary
stasis contributes
to UTIs, stone
formation, and
eventual
complications of
long-term
structural damage
to the
bladder, ureters,
or kidneys.
Additionally,
continued bladder
distention leads to
loss of bladder
tone.
The pathologic
process of
retention
produces a
snowball effect.
Retained urine
increases
hydrostatic
pressure
against the
bladder wall,
which results in
hypertrophy of
the detrusor
muscle, formation
of trabeculae
(connective
tissue in the
bladder wall), or
development of
diverticula. The
ureter may
gradually become
elongated,
tortuous, and
fibrotic. Increasing
pressure is also
transmitted
through the renal
pelvis and calices
into the renal
parenchyma. The
resulting
hydronephrosis
exerts pressure on
the blood vessels,
causing ischemia
and increasing the
renal damage. If
the process is not
interrupted, it
can proceed to
renal failure and
death.
Scientific Analysis:
Urinary retention,
also known as
ischuria, happens
when the body
fails to completely
empty the
bladder. It may
take place in
conjunction with
or independent of
urinary
incontinence.
There are factors
that increase the
possibility of
experiencing
urinary retention.
A person with
benign prostatic
hyperplasia, disk
surgery, or
hysterectomy may
encounter this
disorder same
with a person who
is experiencing
the side effects of
the medication
they take. Urinary
retention needs
attention to avoid
complications. In
women, however,
pelvic pain can
very well be an
indication that
there may be a
problem with one
of the
reproductive
organs in the
pelvic area
(uterus, ovaries,
fallopian tubes,
cervix, or vagina).
Possible causes of
pelvic pain in
women only may
include: Ectopic
pregnancy,
miscarriage, pelvic
inflammatory
disease,
Ovulation,
 Menstrual
cramps, Ovarian
cysts or other
ovarian disorders,
Fibroids,
Endometriosis,
Uterine cancer,
and Cervical
cancer.

Cues:

Diagnosis of Ischuria and Urinary retention as reported by the patient with a acute pelvic pain restricting
mobile activities such as long walks, jogging, and running. Urine elimination is 1,200cc, interval is 2x a
day for 24-hours, 50cc per hour. Fluid intake per day is 1-2 glasses of water, soft drinks or carbonated
drinks, coffee and juice for the past two weeks. Medication: Antibiotics (Cefurex) Cefuroxime 500mg 1
tab every 12 hours.

Goals and Objectives:

Short Term: Resolve/ Treat diagnosis secondary to Ischuria and Urinary Retention, discontinue
medication of antibiotics of (Cefurex) Cefuroxime 500mg 1 tab every 12 hours.

Long Term: Patient will resume mobile activity such as long walks, jogging, and running. Urine
elimination will be 2,000cc for 24 hours, intervals will be 6x a day of 200cc for every 4 hours. Fluid intake
per day will be 8-11 glasses of water, reduce fluid intake of soft drinks or carbonated drinks, caffeinated
drinks, and juices.

REFERENCE

https://pdfs.semanticscholar.org/bf17/83bb3d388047259d33e152bb1cf5df4f1154.pdf

https://nurseslabs.com/urinary-retention/
https://www.webmd.com/pain-management/guide/pelvic-pain#1

https://pdfs.semanticscholar.org/bf17/83bb3d388047259d33e152bb1cf5df4f1154.pdf