Altered Urinary Elimination and Impaired Skin Integrity r/t Uterine Fibroids

Nursing Diagnosis and Interventions for Uterine Fibroids


1. Acute pain related to surgical intervention.

Expected outcomes: Pain does not exist or can be controlled

Interventions:
  • Determine the location of pain, characteristics, quality and severity before clients receive the treatment.
  • Check the medical order to the drug, the dose and frequency of administration of analgesics.
  • Check the history of drug allergy.
  • Relaxation aids to facilitate the response to analgesics.
  • Tell patients and families about the need for medication and possible side effects.

Rational :
  • Provide data about the pain experienced by the client so it can be taken immediately.
  • Preventing the occurrence of errors in drug administration.
  • Provide information.
  • Improving the best response to the administration of drugs.
  • Improving the understanding and knowledge of the client's drug therapy given.

2. Altered urinary elimination related to the disease process or surgical interventions that aggravate retention.

Expected outcomes: Demonstrate understanding and management of regular urine.

Interventions:
  • Monitor urinary elimination include frequency, consistency, odor, volume and color.
  • Monitor for signs and symptoms of urinary retention that includes no urination and lower abdominal distension.
  • Note the elimination of urine last time.
  • Encourage clients to drink the recommended amount of water.
  • Record the time of first micturition and urine appearance account after the procedure.
Rational :
  • Provide basic information about the state of the client.
  • Preventing the occurrence of errors in drug administration.
  • Provide data on the change in urinary elimination on the client.
  • Increase urine flow is adequate.
  • Provide information for early detection of potential problems.

3. Impaired skin integrity related to normal skin response to radiation.

Expected outcomes: Clients identify skin reaction, which is expected reaction on the local radiation and the skin will be restored.

Interventions:
  • Assess the integrity of the skin color and drainage.
  • Monitor changes in skin integrity.
  • Clean the area of treatment, during radiotherapy.
  • Discuss the need for skin care.
  • Avoid using narrow clothing on the treated areas.
  • Avoid stretching the skin in the treated area.
Rational :
  • Provide information about the nursing care plan.
  • Develop early identification of the changes in skin integrity.
  • Preventing an increase in skin reactions, lowering the possibility of burning and or friction.
  • Protects skin from trauma pliers are not irradiated or increase skin reaction.
  • Lowering friction in the area of irradiation.
  • Prevent mechanical trauma.

Nursing Care Plan for Reproductive System Disorders : Uterine Fibroids

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