Under supervision of Dr: ‫بسمة الشيخ‬

Introduction
“sending heat up to the bladder”
”‫” إرسال الحرارة صعودًا إلى المثانة‬
It is one of the oldest and most important medical papyri of ancient Egypt , and was purchased by the German Egyptologist Georg
Ebers in Luxor in the winter of 1873–74. It is currently preserved in the library of the University of Leipzig in Germany .
The Ebers Papyrus is an ancient Egyptian medical papyrus containing herbal knowledge and dating to about 1550 BC.
Definition:

•A urinary tract infection (UTI) is an infection that occurs in any part of

•UTI are a common type of infection, and they can affect people of all
ages, from infants to the elderly.
Anatomy of Urinary System
 Types of Urinary Tract Infection
Urinary tract infection can be categorized into different types based on the specific location within the urinary system that is
affected.
 Clinical Manifestations Of Urinary Tract Infection
- Common symptoms of a urinary tract infection can vary depending on which part of the urinary system is affected.
 COMPLECATION
If left untreated, urinary tract infection can lead to several complications:
DANGER SIGN
NURSING DIAGNOSIS GOAL NURSING INTERVENTION
Acute pain patient will be 1- Apply heat therapy to the lower of the abdomen in the suprapubic area
(Iower abdominal reported to pain to relieve pain and relaxes muscles.
pain) Decrease. 2- Encourage patient increase oral fluid intake to above 3L TO help flush
Related to:
out bacteria causing the UTI.
Inflammation and
3- Encourage patient use technical deep breathing exercise to reduce pain
irritation of the urinary
tract secondary to UTI and massage
Evidenced by: 4- Monitor and document the patient's pain level using a pain scale.
1-patient reports of *Evaluate the characteristics and location of the pain.
burning sensation *Assess factors that may aggravate or alleviate the pain Avoid the patient
when urinating, and from coffee, tea, spice food, and alcohol
suprapubic cramping 5- Administer prescribed analgesics as ordered and assess their
and pain effectiveness. To
2-Foul-smelling urine reduce acute pain quickly
6- Educate the patient on the importance of completing the full course of
antibiotics.
7- Reassess pain characteristics and vital signs
*Monitor for side effects of analgesic
NURSING DIAGNOSIS GOAL NURSING INTERVENTION
Impaired Urinary 1-Achieve a 1-Monitor Urinary Patterns: Record frequency, volume, and any changes in urine color or odor.
Elimination normal urinary Observe for any burning sensation or pain during urination.
Related to: elimination 2-Encourage Fluid Intake: Offer fluids regularly, unless contraindicated, to promote urination
and prevent stone formation. Avoid caffeine and bladder-irritating beverages (like alcohol).
1- Urinary tract pattern.
3- Health Education Instruct the patient on techniques to stimulate urination (e.g., running
infection (UTI) water).Educate on the importance of responding quickly to the urge to urinate to avoid
2-Bladder control retention.
issues Bladder training:
As evidence by: 1. Set a schedule for urination: Start by setting fixed times for urinating throughout the day (e.g., every two
1-Frequent urination hours). Even if you don’t feel the need to go, try to urinate at these scheduled times.
2. Gradually increase the intervals: After a few days of training, try to extend the intervals between
2- Pain or burning urination. For example, if you were urinating every two hours, try to wait for two and a half hours, then
sensation during three hours, and so on.
urination 3. Resist the urge to urinate: In the beginning, you may feel a strong urge to go, but the training involves
trying to resist that urge for a few minutes before going to the bathroom when necessary.
4. Relaxation and mental techniques: Learning techniques like deep breathing or focusing on something else
can help reduce the urgency to urinate.
5. Muscle training: It's also helpful to practice exercises that strengthen the pelvic floor muscles (like Kegel
exercises) to improve bladder control.
4- Prevent Infection: Teach the patient about personal hygiene, especially after urination.
Encourage regular bladder emptying to reduce infection risk.
5- Catheter Care, if Needed: If a catheter is in place, monitor urine color and volume and follow
catheter care protocols.
6- Report any signs of UTI, such as fever, lower abdominal pain, or cloudy urine, to the
physician.
7- Reassessment: Improved urinary pattern without signs of infection or retention. Increased
comfort with reduced symptoms.
 NURSING DIAGNOSIS GOAL NURSING INTERVENTION
Mild Anxiety Pt Will be relaxed 1- Observe pt. behavior "clenched hands, rapid speech, wide eye“
Related to: 2- Provide calm and quiet environment
1-Decrease knowledge 3- Allow pt. to express about anxious feelings
about disease "UTI“
4- Provide information about disease "diagnosis and treatment“
2-Pain
5- teach pt. about relaxation technique "deep breathing exercises“
As Evidenced by:
1- restlessness 6- Use therapeutic communication techniques "active listening“
2- Change in vital signs 7- Encourage pt. to engage in regular activity program
tachycardia and 8- Encourage pt. to do positive self talk" I can manage this pain for now"
tachypnea 9- Reassess anxiety level and sleeping pattern
3-Diffecult
concentration
4-Difficult Sleeping
 NURSING DIAGNOSIS GOAL NURSING INTERVENTION
Hyperthermia The patient will •Monitor the patient's vital signs, including core temperature every 1
Related to: have a stabilized hour.
Urinary tract infection temperature •Monitor for hyperthermia signs and symptoms, including flushed face,
Evidenced by: within the normal weakness,
axilary temperature rash, respiratory distress, tachycardia ,malaise, headache, and irritability.
range (37.5)
38 degree, warm • Monitorfor reports of sweating, hot and dry skin, or bein too warm and
skin, flushed skin Monitor the patient's heart rate and blood pressure.
and restlessness (HR and BP increase as hyperthermia progresses).
•Apply ice packs to the patient Surface coaling by placingice packs in the
groin area, axillae, neck, and torso is an effective way of cooling the core
temperature.
•Encourage the patient to bed rest
•Remove excessive clothing and covers.
•Encourage the patient to increase oral fluid intake to prevent
dehydration (cause sweating) .
•Encourage patient take shower or tap water compress
•Encourage patient take diet rich protein and vitamin C.
•Administer antipyretics.
•Reassess vital signs specially temperature
 NURSING DIAGNOSIS GOAL NURSING INTERVENTION
Risk for recurrence of UTI The patient will 1- Monitor the patient’s history of UTIs and current symptoms.
Related to: demonstrate 2- Start antibiotic treatment immediately.
history of previous preventive 3- Educate on proper hygiene practices.
urinary infections and behaviors and
4- Instruct the patient to wipe from front to back after using the toilet.
predisposing factors. avoid recurrence of
5-Encourage fluid intake (at least 2-3 liters daily, if not contraindicated).
UTI.
6- Advice on regular, complete emptying of the bladder.
7-Prevent moisture in the perineal area..Perform strict aseptic
technique with catheters.
8-Encourage the patient to urinate at least every 2-4 hours and to avoid
holding urine.
9- Discuss dietary modifications, such as reducing caffeine, alcohol, and
sugary drinks.
10- Monitor for signs and symptoms of UTI recurrence (e.g., dysuria,
frequent urination, fever, cloudy urine).
11- Collaborate with the healthcare team for urine culture and
sensitivity tests if UTI symptoms appear.
NURSING DIAGNOSIS GOAL NURSING INTERVENTION
High Risk for Fluid 1.The patient will verbalize 1- Administer prescribed antibiotics to treat the urinary tract
Volume Deficit understanding of the infection and monitor for any adverse reactions.
Related to: importance of fluid intake 2- Encourage the patient to increase fluid intake, focusing on
1-decreased oral and adhere to the prescribed water and other non-caffeinated beverages, to at least 2-3 liters
intake fluid regimen. per day, unless contraindicated due to other medical conditions.
2-secondary to urinary
tract infection. 3- Offer small, frequent fluid intake throughout the day to improve
hydration.
4- Monitor intake and output accurately, including urine output,
vomitus and diarrhea.
5- Provide oral hygiene and mouth care to alleviate dryness and
promote oral intake.
6- Collaborate with the dietitian to provide a well-balanced diet
that meets the patient's nutritional needs.
7- Educate the patient about signs and symptoms of dehydration
and the importance of reporting any changes promptly.
8- Document fluid intake, output, and the patient's response to
interventions accurately
 NURSING DIAGNOSIS GOAL NURSING INTERVENTION
Disturbed sleeping improve sleep 1- Monitor sleep patterns.
pattern ( insomnia ) patterns. 2- Monitor the use of stimulants or drug abuse.
Related to : 3- Restrict napping during the day if possible.
*UTI
4- Encourage pt yo sleep in dark and quiet room.
*Physical discomfort
5- Do not drink fluids right before bed or consume large meals.
(pain )
Evidenced by : 6- Encourage pt not to eat spicy food.
*Difficult maintaining 7- Encourage pt to take hot shower befor bed time .
sleep state 8- Teach pt relaxation techniques as massage.
*feeling unrested 9- Administer prescribed medication for insomnia as order.
* Difficult in daily 10- Reassess sleep pattern.
functioning
 NURSING DIAGNOSIS GOAL NURSING INTERVENTION
Knowledge Deficit: The patient will 1- Monitor the patient's current knowledge about UTI causes and
Related to : demonstrate an prevention:
lifestyle modifications understanding of 2- Educate the patient on the importance of adequate hydration (e.g.,
necessary to prevent and the necessary
drinking at least 8 glasses of water daily
manage (UTI) lifestyle
3- Instruct the patient on the importance of maintaining personal
modifications to
prevent and hygiene, such as wiping from front to back after using the restroom:
manage UTIs by 4- The patient will show compliance with lifestyle modifications, such
the end of the as maintaining personal hygiene.
nursing care period 5-Teach the patient about the importance of urinating before and after
sexual activity
As Evidenced by: 6- Encourage the patient to wear loose-fitting, cotton underwear:
The patient will 7-Discuss the need to complete any prescribed antibiotic course fully,
show compliance
even if symptoms improve
with lifestyle
8- Encourage the patient to report any recurrent symptoms of UTI,
modifications, such
as maintaining such as burning during urination or frequent urges to urinate
personal hygiene.
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