Student Nurses Community

NURSING CARE PLAN Overfow Urinary Incontinence

ASSESSMENT

Subjective:
I feel like I need to
strain when I pass
urine
OBJECTIVES:
Frequent
leakage of small
amounts of
urine

DIAGNOSIS

INFERENCE

PLANNING

Overflow urinary
incontinence
related to nerve
damage secondary
to Diabetes Mellitus

Prolonged elevated
sugar levels

After 48 hours of
nursing
interventions,
the patient will
be able to start
and stop stream,
and empty
bladder
completely.

Nerve damage
(diabetic
neuropathy)

weak bladder
muscles

Frequent urinary
tract infections
little or no
warning when
you need to
pass urine
weak urine
stream

sensation of a full
bladder and with
bladder emptying
are affected (body
cannot feel when
the bladder is full
and the bladder
does not contract

bladder is unable to
empty completely

INTERVENTIONS

Independent:
Encourage patient
to perform Kegel
exercises
Perform
Biofeedback where
the instructor feeds
you information
about bodily
processes,
including when
your bladder and
urethral muscles
contract.
Monitor urinary
elimination,
including
consistency, odor,
volume, and color

RATIONALE

To strengthen or
retrain pelvic floor
muscles and
sphincter muscles
can reduce or cure
stress leakage.
This helps you gain
control. It's also
often used in
combination with
Kegel exercises.
These parameters
help determine
adequacy of
urinary tract
function
Alcohol, coffee, and
tea have a natural
diuretic effect and
are bladder
irritants

Limit ingestion of
bladder irritants
(e.g., colas, coffee, Stress or anxiety
tea, and chocolate).
can inhibit
relaxation of the

EVALUATION

After 48 hours of
nursing
interventions,
goal partially
met, patient still
reported of
having difficulty
initiating urine
stream, but
experienced less
dribbling and
nocturia.

Student Nurses Community

frequent urine
leakage; dribbling

Provide enough
time for bladder
emptying (10
minutes).
Encourage Bladder
training
Record urinary
output

Dependent:
Implement
intermittent
catheterization, as
appropriate.

urinary sphincter.
Sufficient time
should be allowed
for micturition.
This can help
patients learn to
delay urination.
Serves as an
indicator of urinary
tract and renal
function and of
fluid balance.
Helps maintain
tonicity of the
bladder muscle by
preventing
overdistention and
providing for
complete
emptying.