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Daluping, Rica Joy J.

Actual NCP
BSN III-6 Urinary Tract Infection(UTI)

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

SUBJECTIVE: Acute pain After 8 hours of Independent: After 8 hours


“Masakit ang related to nursing Assess pain, Provides of nursing
pagihi ko” as biological interventions, the noting location, information to interventions, the
verbalized by the factors such as patient’s pain intensity (scale aid in patient’s pain
patient. trauma or will be of determining will be
activity of relieved or 0 – 10), choice or relieved or
Objective: disease controlled. duration. effectiveness of controlled
Facial process interventions.
grimace. Encourage Increased
Restlessness. increased fluid hydration
V/S taken as intake. flushes bacteria
follows: and toxins.
T: 37.3 Investigate Urinary
P: 82 report retention may
R: 19 of bladder develop,
BP: 120/90 fullness. causing tissue
distention (
bladder or
kidney), and
potentiates risk
for further
infection.
Provide comfort Promotes
measure like relaxation,
back rub, refocuses
helping patient attentio may
assume enhance
position of coping abilities.
comfort.
Suggest
use of relaxation
technique and
deep breathing
exercises.
Encourage use
of Promotes
sitz baths, warm muscle
soaks to the relaxation.
perineum.
Collaborative:
Administer Reduces
antibacterial as bacteria present
prescribed. in urinary tract
and those
introduced by
drainage
system.

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