00022 Risk for urge urinary incontinence

Domain 3: elimination and exchange
Class 1: urinary function
Diagnostic Code: 00022
Nanda label: risk of urinary urgency incontinence
Diagnostic focus: incontinence
Approved 1998 • Revised 2008, 2013, 2017, 2020 • Evidence level 2.2

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « risk of urgent emergency incontinence »  is defined as: susceptible to suffering an involuntary urine emission shortly after experiencing an intense sensation of urgent urgent, which can compromise the Health.

Risk factors

  • Alcohol consumption
  • Anxiety
  • Coffee consumption
  • Consumption of carbonated drinks
  • Fecal impact
  • ineffective elimination habits
  • Involuntary relaxation of the sphincter
  • Overweight
  • Pelvic floor disorders
  • prolapse of a pelvic organ

Risk population

  • People exposed to abuse
  • People with a history of urinary urgency in childhood
  • Older adults
  • Women
  • Women who experience menopause

Associated problems

  • Atrophic Vaginitis
  • Obstruction of the bladder probe
  • Depression
  • Diabetes mellitus
  • Nervous system diseases
  • Nervous system trauma
  • Hyperactive pelvic floor
  • Pharmacological preparations
  • Therapeutic regime
  • Urological diseases

NOC Results

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

Note : The following are some results associated with the risk factors of urgent emergency incontinence.

  • Self -care: Use of the toilet: Ability to use the toilet independently, with or without help devices
  • Behavior to cessation in alcohol abuse: personal actions to eliminate alcohol consumption that represents a health risk
  • Gravity of infection: Intensity of associated infections and symptoms
  • Answer to medication: therapeutic and adverse effects of prescribed medications

Evaluation objectives and criteria

  • See also objectives/criteria for functional urinary incontinence evaluation.

NIC Interventions

  • Nursing interventions focus on preventing urgency urinary incontinence.
  • Help in self -care: Use of the toilet: Help another person with the elimination
  • 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
  • Stimulated elimination: Promotion of urinary continence through the use of verbal reminders of the need to go to the bathroom and positive social feedback every time it does it properly
  • Urinary habit training: establishment of a predictable pattern of bladder emptying, to prevent incontinence in people with limited cognitive capacity and who have functional, urgency or effort incontinence
  • Urinary elimination management: Maintenance of an optimal urine elimination pattern
  • Medication management: facilitation of the safe and effective use of drugs with and without recipe
  • Liquid management: promotion of water balance and prevention of complications resulting from abnormal or undesirable water concentrations

Nursing Activities

  • See also urinary elimination nursing activities, disposition to improve the.

Valuations

  • Evaluate risk factors (see risk factors)
  • Assess environmental obstacles to reach the toilet on time
  • Evaluate self -care skills and patient mobility
  • Control the frequency, consistency, smell, volume and color of the urine

Patient and family education

  • Instruct the patient about the techniques to increase the ability of the bladder, how to initiate the elevation of the pelvic floor when the urgency of urinating feels, and apply an urinary training schedule that expands the interval between the emptiness
  • Analyze with the patient and the family, the ways to modify the environment to eliminate obstacles and improve the self -care ability, considering the following strategies:
    • Increased environmental lighting to improve visibility
    • Installation of a high toilet and handrail
    • Provide a comfortable, a bacinilla and a urinal, next to the bed
    • Use of auxiliary devices (for example, wheelchair, canes, walkers and antiderrapant shoes)

Collaboration activities

  • Request the help of physical and occupational therapists to develop manual ability

Others

    • Get clothes that can be easily removed
    • Replace with sailboat or elastic at the waist, instead of zippers, buttons, automatic closures or brooches, when possible
    • Help the patient to urinate before sleeping, and motivate him to get up to urinate during the night to reduce the urgency
    • Discourage the consumption of bladder irritants such as caffeine, alcohol, citrus juices, carbonated drinks, cigarettes and some very seasoned meals