Altered Urinary Elimination

 

Instructions: Fill out this form, print it, and hand it in with your assessment to your instructor. When you click on Next at the bottom of the page, you see the data you submitted. Please follow the instructions on how to save the data on the next page.

AOL users: Read this instruction.

Definition: state in which the individual experiences a disturbance in urine elimination

1. Your initials (required): 

2. Defining Characteristics- check those that apply to your client:

None- high risk diagnosis  urgency dysuria incontinence retention  hesitancy frequency nocturia  
3. Related Factors- check those that apply to your client:

infection  sensory or motor impairment  obstruction  surgery  anesthesia  medications 
impaired mobility  confusion, dementia  inability to communicate needs 


4. Goal (ultimate, long term) 

5. Outcome Criteria (short term) 

6. Evaluation: Was the outcome criteria met? 

Yes- Give Evidence: 

No- Explain how you would change the plan: 

7A. Interventions 

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7B. Rationale for each intervention
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