00017 Stress urinary incontinence

Domain 3: elimination and exchange
Class 1: urinary function
Diagnostic Code: 00017
Nanda label: urinary effort incontinence
Diagnostic focus: incontinence
Approved 1986 • Revised 2006, 2017, 2020 • Level of evidence 2.3

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « urinary effort incontinence »  is defined as: involuntary urine loss with activities that increase intra -abdominal pressure, which is not associated with the urgency of eliminating. >

Definite characteristics

  • Involuntary urine loss in the absence of detrusor contraction
  • Involuntary urine loss in the absence of over -viewed bladder
  • Involuntary loss of urine when coughing
  • Involuntary urine loss when making an effort
  • Involuntary loss of urine when laughing
  • Involuntary urine loss when performing physical exercise
  • Involuntary loss of urine when sneezing

Related factors

  • Overweight
  • Pelvic floor disorders
  • prolapse of a pelvic organ

Risk population

  • People who perform high intensity physical exercise
  • Multiparas women
  • Pregnant women
  • Women who experience menopause
  • Women with vaginal delivery

Associated problems

  • Pelvic floor muscles damaged
  • Degenerative changes in pelvic soil muscles
  • Incompetence of the urinary sphincter
  • Nervous system diseases
  • Prostatectomy
  • Urethral sphincter injury

Suggested alternative diagnostics

  • Self -care: Use of the toilet, deficit of
  • Urinary elimination, deterioration of the
  • Urinary emergency incontinence
  • Functional urinary incontinence
  • Urinary incontinence for overflowing
  • Urinary incontinence reflects
  • Urinary retention

NOC Results

  • Urinary continence: control of the urine elimination of the bladder

Evaluation objectives and criteria

  • See also Noc of Functional Urinary Incontinence.
  • Demonstrates urinary continence, as manifested by the following indicators (specify from 1 to 5: usually, often, sometimes, rarely, never):
    • loses urine by increasing abdominal pressure (for example, when sneezing, laughing, lifting weight)
    • Wet underwear during the day

Other examples

  • Describe a plan to treat effort incontinence
  • Maintain an urinary frequency of more than two hours

NIC Interventions

  • Urinary incontinence care: Help to promote continence and maintenance of perianal skin integrity
  • Exercise of the pelvic muscle: training and strengthening of the lifting muscle of the anus and the urogenital muscles through voluntary and repetitive contraction, to reduce urinary incontinence of effort, urgent or combined

Nursing Activities

  • See also Nursing activities of functional urinary incontinence.

Valuations

  • Evaluate skin break in the patient and maintain adequate hygiene, as well as a skin care routine

Patient and family education

  • Teach the patient hygiene measures and for skin care
  • Teach the self -administer of oral or topical estrogens to improve symptoms
  • Teach techniques to strengthen the sphincter and structural support of the bladder (for example, pelvic muscles exercises and to stop and empty urine)
  • Inform the patient that he might need several weeks of exercise to notice an improvement
  • Indicate the patient and the family to report the signs and symptoms of an urinary tract infection (for example, fever, chills, side pain, hematuria and changes in the consistency and smell of urine) >

Collaboration activities

  • Consult the doctor about the surgical or medical management of incontinence episodes

Others

  • Help the patient select proper clothes, or diapers, for the management of incontinence in the short term
  • Provide positive feedback to do pelvic floor exercises
  • (NIC) Care of urinary incontinence: Limit the intake intake of the bladder (such as tail, coffee, tea and chocolate drinks)