Care Plan Assignment Case Scenario "Oh, this is awful," Jenny...
Care Plan Assignment
Case Scenario
"Oh, this is awful," Jenny muttered to herself. She was sitting on the toilet with a pair of very wet panties
and slacks around her ankles. Jenny said that she never knew when it would hit, this need to urinate
quickly. She would find herself running to the bathroom like a woman possessed and then usually not
making it in time. "It also seems like I'm 'peeing' all the time, she said. "This is getting old and is no fun at
all."
Nursing Assessment
Jenny Hill is an 82 yr older woman who lives in a home for older women. She has trouble controlling her
urination. She finds that when she has to urinate, she has to get to the bathroom quickly or wet her
panties. She has started wearing incontinence pads, but she hates them because they are uncomfortable,
and she's afraid they show when she wears pants. Also, they cost a lot of money.
She finds herself getting up to urinate two to three times per night. Sometimes she finds she really smells
of urine in the morning, and her sheets are wet with urine. She limits her usual social activities because of
the possible embarrassment of smelling like urine.
Over the last week, she has decrease drinking tea, coffee, and other fluids during the day.
She makes an appointment with the Nurse Practitioner to discuss her problem. Mrs. Hill complained that
she had some vaginal pain and burning.
Vitals taken by the nurse was 128/92, P-96 R-22 T-36.2 wt 136lb. The nurse noted that she looked pale,
had chapped lips and a dark circle under her eyes. Last week Mrs. Hill weighed 142lbs.
Instructions
Pain and Urinary incontinence are the priority two nursing diagnoses for the Case Study.
1) Please develop these two nursing diagnoses for the Case Study. Remember, when constructing your
statement, include the condition r/t the problem AED subjective and objective data. Remember that you
want to address patient needs but need to prioritize them using Maslow's hierarchy of needs. Ex.
Decreased mobility r/t osteoporosis as evidenced by an inability to walk to the bathroom, stated "I am
having trouble walking," and visible bone deformities (kyphosis)
2) Based on your nursing diagnoses, develop three goals for each diagnosis. Remember that your goals
have to follow the SMART parameters and have to include a timeline that is realistic ex. Two weeks.
Ex. The client will learn how to use a walker in her home successfully in two weeks.
3) Develop interventions for each one of your goals; remember that interventions are how you will achieve
your goals. They can include other multi-disciplinary team members and family.
Interventions: The client will be referred to occupational therapy to assess her home; the client will be
referred to physiotherapy to assist with mobilization; education will be provided to family members
regarding pain control to increase mobility
4) Develop a rationale for three of your interventions - why are you going to be doing what you are
doing. An occupational therapist will evaluate the client's home and ensure that it is safe, accessible and
provide necessary aids to help increase independence.
5) Evaluation, write three evaluation statements, remember that the stated goals are either met or unmet,
and you must re-state your goal with the timeline and include proof. Ex. The client has learned to use her
walker in-home successfully within two weeks. She is able to manage her ADLs and required less
assistance from loved ones.
, Solution:
1) Impaired urinary elimination related to trouble controlling urination and inability to urinate in the toilet
on time as evidenced by incidents of wetting in the panties and slacks, urgency to urinate quickly, inability
to recognize when she needs to urinate, and the need to pee all the time especially at night.
2) Pain related to dehydration as evidenced by vaginal pain and burning.
The interventions, rationales, and evaluation and provided in details in the explanation.
Kindly comment down below if there is anything lacking and I am more than willing to provide it for you. I
really hope you'll do well in your studies. I wish you all the success in the future! Thank you :)
Step-by-step explanation
Hi there, I have made 2 nursing diagnosis based on your priority diagnosis suggestion.
NURSING CARE PLAN #1
ASSESSMENT NURSING GOALS AND INTERVENTION RATIONALE EVALUATION
DIAGNOSIS OUTCOMES
Impaired 1) Patient Help the patient list Identifying the Patient was able
Subjective urinary identifies the down and identify the underlying to identify the
Data: elimination cause of possible reasons why cause of reasons of her
related to incontinence. she is unable to get to incontinence incontinence
"Oh, this is trouble the toilet on time: can help the such as wearing
awful," while controlling patient to buttoned slacks,
sitting on the urination and - patient's ability to get receive insufficient fluid
toilet with a pair inability to to the toilet alone or appropriate intake, inability
of very wet urinate in the with assistance, any intervention if to hold the urine
panties and toilet on time difficulty going to the there's a before she gets
slacks around as evidenced toilet presence of to the toilet, and
her ankles. by incidents infection such drinking fluid
of wetting in - patient's recognition as in UTI or before bed time.
the panties of the need to void yeast infection;
and slacks, the patient's
urgency to - possibility of having ability to
urinate UTI or yeast infection recognize or
quickly, not recognize
inability to - patient's the need to
recognize underpants/clothing, is void will help
when she it easy to remove, with the doctor to
needs to buttons, tight-fitting consider if the
urinate, and patient has
the need to - availability of problem with
pee all the toileting facilities such in the pelvic
time as female portable muscles or
especially at urinal bladder; or if
night. the patient is
- possibility of really unable
dehydration/insufficient to feel that
fluid intake urgency to
urinate until
Care Plan Assignment
Case Scenario
"Oh, this is awful," Jenny muttered to herself. She was sitting on the toilet with a pair of very wet panties
and slacks around her ankles. Jenny said that she never knew when it would hit, this need to urinate
quickly. She would find herself running to the bathroom like a woman possessed and then usually not
making it in time. "It also seems like I'm 'peeing' all the time, she said. "This is getting old and is no fun at
all."
Nursing Assessment
Jenny Hill is an 82 yr older woman who lives in a home for older women. She has trouble controlling her
urination. She finds that when she has to urinate, she has to get to the bathroom quickly or wet her
panties. She has started wearing incontinence pads, but she hates them because they are uncomfortable,
and she's afraid they show when she wears pants. Also, they cost a lot of money.
She finds herself getting up to urinate two to three times per night. Sometimes she finds she really smells
of urine in the morning, and her sheets are wet with urine. She limits her usual social activities because of
the possible embarrassment of smelling like urine.
Over the last week, she has decrease drinking tea, coffee, and other fluids during the day.
She makes an appointment with the Nurse Practitioner to discuss her problem. Mrs. Hill complained that
she had some vaginal pain and burning.
Vitals taken by the nurse was 128/92, P-96 R-22 T-36.2 wt 136lb. The nurse noted that she looked pale,
had chapped lips and a dark circle under her eyes. Last week Mrs. Hill weighed 142lbs.
Instructions
Pain and Urinary incontinence are the priority two nursing diagnoses for the Case Study.
1) Please develop these two nursing diagnoses for the Case Study. Remember, when constructing your
statement, include the condition r/t the problem AED subjective and objective data. Remember that you
want to address patient needs but need to prioritize them using Maslow's hierarchy of needs. Ex.
Decreased mobility r/t osteoporosis as evidenced by an inability to walk to the bathroom, stated "I am
having trouble walking," and visible bone deformities (kyphosis)
2) Based on your nursing diagnoses, develop three goals for each diagnosis. Remember that your goals
have to follow the SMART parameters and have to include a timeline that is realistic ex. Two weeks.
Ex. The client will learn how to use a walker in her home successfully in two weeks.
3) Develop interventions for each one of your goals; remember that interventions are how you will achieve
your goals. They can include other multi-disciplinary team members and family.
Interventions: The client will be referred to occupational therapy to assess her home; the client will be
referred to physiotherapy to assist with mobilization; education will be provided to family members
regarding pain control to increase mobility
4) Develop a rationale for three of your interventions - why are you going to be doing what you are
doing. An occupational therapist will evaluate the client's home and ensure that it is safe, accessible and
provide necessary aids to help increase independence.
5) Evaluation, write three evaluation statements, remember that the stated goals are either met or unmet,
and you must re-state your goal with the timeline and include proof. Ex. The client has learned to use her
walker in-home successfully within two weeks. She is able to manage her ADLs and required less
assistance from loved ones.
, Solution:
1) Impaired urinary elimination related to trouble controlling urination and inability to urinate in the toilet
on time as evidenced by incidents of wetting in the panties and slacks, urgency to urinate quickly, inability
to recognize when she needs to urinate, and the need to pee all the time especially at night.
2) Pain related to dehydration as evidenced by vaginal pain and burning.
The interventions, rationales, and evaluation and provided in details in the explanation.
Kindly comment down below if there is anything lacking and I am more than willing to provide it for you. I
really hope you'll do well in your studies. I wish you all the success in the future! Thank you :)
Step-by-step explanation
Hi there, I have made 2 nursing diagnosis based on your priority diagnosis suggestion.
NURSING CARE PLAN #1
ASSESSMENT NURSING GOALS AND INTERVENTION RATIONALE EVALUATION
DIAGNOSIS OUTCOMES
Impaired 1) Patient Help the patient list Identifying the Patient was able
Subjective urinary identifies the down and identify the underlying to identify the
Data: elimination cause of possible reasons why cause of reasons of her
related to incontinence. she is unable to get to incontinence incontinence
"Oh, this is trouble the toilet on time: can help the such as wearing
awful," while controlling patient to buttoned slacks,
sitting on the urination and - patient's ability to get receive insufficient fluid
toilet with a pair inability to to the toilet alone or appropriate intake, inability
of very wet urinate in the with assistance, any intervention if to hold the urine
panties and toilet on time difficulty going to the there's a before she gets
slacks around as evidenced toilet presence of to the toilet, and
her ankles. by incidents infection such drinking fluid
of wetting in - patient's recognition as in UTI or before bed time.
the panties of the need to void yeast infection;
and slacks, the patient's
urgency to - possibility of having ability to
urinate UTI or yeast infection recognize or
quickly, not recognize
inability to - patient's the need to
recognize underpants/clothing, is void will help
when she it easy to remove, with the doctor to
needs to buttons, tight-fitting consider if the
urinate, and patient has
the need to - availability of problem with
pee all the toileting facilities such in the pelvic
time as female portable muscles or
especially at urinal bladder; or if
night. the patient is
- possibility of really unable
dehydration/insufficient to feel that
fluid intake urgency to
urinate until
