00018 Reflex urinary incontinence

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00018 Reflex urinary incontinence

Definition of the NANDA label

Reflex urinary incontinence is a state in which the individual presents an involuntary loss of urine, at intervals, to a certain predictable point, when a certain volume of bladder filling is reached.

Involuntary loss of urine at somewhat predictable intervals when a specific bladder volume is reached.

Defining characteristics

  • Lack of feeling of:
    – Urination urgency.
    – Bladder repletion.
    – Urination.
    Complete bladder emptying due to injury above the voiding reflex arc.
  • Incomplete bladder emptying due to injury above the sacral center of urination.
  • Inability to voluntarily inhibit or initiate urination.
  • Sensations associated with bladder fullness:
    – Sweating.
    – Agitation.
    – Abdominal discomfort.
  • Sense of urgency without voluntary inhibition of bladder contraction.

Related factors

  • Neurological impairment above the sacral center or the voiding reflex arc.
  • Tissue injury by:
    – Radiation cystitis.
    – Cystitis of other etiologies.
    – Radical pelvic surgery.

Associated condition

  • Neurological impairment above level of pontine micturition center
  • Neurological impairment above level of sacral micturition center – Tissue damage

NOC

  • Urinary Continence.
  • Urinary elimination.
  • Tissue integrity: skin and mucous membranes.
  • Urinary bladder training.
  • Bladder catheterization: intermittent.
  • Management of urinary elimination.
  • Urinary incontinence care.
  • Perineal care.
  • Pelvic floor exercises.

NIC

  • Urinary bladder training.
  • Bladder catheterization: intermittent.
  • Management of urinary elimination.
  • Urinary incontinence care.
  • Perineal care.
  • Pelvic floor exercises.

This diagnosis will retire from the NANDA-I Taxonomy in the 2021-2023 edition unless additional work is completed to bring it up to a level of evidence 2.1 or higher.

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