Risk for urge urinary incontinence

Risk for urge urinary incontinence
Urge urinary incontinence (UUI) is a condition characterized by the sudden and intense urge to urinate, followed by involuntary loss of urine. It can have a significant impact on a patient’s quality of life and can lead to feelings of embarrassment and social isolation. However, not all patients with UUI have developed the condition yet, but they have risk factors that increases their chances to develop it. In these cases, the nursing diagnosis is “Risk for urge urinary incontinence”.

NANDA Nursing Diagnosis Definition

“At risk for the sudden and intense urge to urinate, followed by involuntary loss of urine, due to the presence of risk factors such as age, certain medical conditions, or certain medications.”

Defining Characteristics

  • Subjective: Patient reports feeling a sudden and intense urge to urinate and/or reports leakage of urine
  • Objective: Observation of leakage of urine, increased frequency of urination, or difficulty delaying urination

Related Factors

  • Age (older adults are at higher risk for UUI)
  • Neurological conditions such as stroke or spinal cord injury
  • Certain medical conditions such as diabetes, multiple sclerosis, or Parkinson’s disease
  • Certain medications such as diuretics, antidepressants, or antihistamines
  • Bladder outlet obstruction
  • Obesity
  • Smoking

Risk Population

  • Older adults
  • Individuals with neurological conditions or medical conditions such as diabetes or multiple sclerosis
  • Individuals taking certain medications
  • Individuals with bladder outlet obstruction
  • Obese individuals
  • Smokers

Associated Problems

  • Emotional distress and social isolation
  • Lack of sleep due to frequent bathroom trips
  • Impaired quality of life
  • Increased risk of falls and accidents related to urgency

Suggestions of use

  • Assessing the patient’s current symptoms and medical history related to UUI
  • Monitoring the patient’s response to interventions and adjusting as needed
  • Providing patient education on bladder retraining techniques and lifestyle changes to improve UUI
  • Consideration of medication management, such as anticholinergic drugs, as prescribed
  • Referral to a specialist, such as a urologist or physical therapist, for further evaluation and management

Suggested alternative NANDA diagnosis list

  • Risk for Urinary Tract Infection
  • Risk for Impaired Skin Integrity related to Incontinence
  • Risk for Impaired Mobility related to Incontinence

Usage tips

  • It is important to differentiate between UUI and other types of incontinence, such as stress urinary incontinence, to ensure appropriate management and treatment
  • Assess the patient’s risk factors for UUI and implement interventions to reduce the risk
  • Encourage the patient to keep a bladder diary to track symptoms and triggers for UUI
  • Consider referral to a continence nurse advisor for further support and management

NOC Results

  1. Urinary Continence: The patient will be able to control their urinary function and maintain continence, as evidenced by absence of leakage and ability to delay urination.
  2. Skin Integrity: The patient will maintain intact skin, free from pressure ulcers or other complications related to incontinence, as evidenced by absence of redness, tears, or breakdown.
  3. Mobility: The patient will maintain their mobility and physical function, as evidenced by the ability to move about and perform activities of daily living without difficulty related to incontinence.

NIC Interventions

  1. Bladder Retraining: Teaching the patient techniques to improve bladder control and reduce symptoms of UUI, such as timed voiding and pelvic floor exercises.
  2. Medication Management: Administering or adjusting medications as prescribed, such as anticholinergic drugs, to manage symptoms of UUI.
  3. Skin and Wound Care: Providing skin care and addressing any complications related to incontinence, such as providing skin care and addressing any emotional distress related to UUI.
  4. Patient and Family Education: Providing education to the patient and their family about UUI, including causes, symptoms, and management strategies.

Conclusion

Risk for urge urinary incontinence is a condition characterized by the presence of risk factors for the sudden and intense urge to urinate, followed by involuntary loss of urine. Early identification and management of these risk factors is crucial for preventing the development of UUI and improving patient outcomes. The NANDA nursing diagnosis for risk for urge urinary incontinence is “Risk for urge urinary incontinence.” Healthcare professionals can improve patient outcomes by identifying and managing risk factors for UUI through bladder retraining techniques, medication management, use of assistive devices and providing patient education on lifestyle changes to reduce the risk of UUI.

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