About
Prolapsed bladder through the vaginal canal.
Assess
Urinary frequency, difficulty, urgency; urinary tract infection; stress incontinence
Complications
Bleeding, urinary retention
Post-operative complications- infection, pneumonia, pain, paralytic ileus, constipation, blood clots
Diagnosis
- Urge incontinence related to prolapsed bladder
- Stress urinary incontinence related to prolapsed bladder
- Risk for infection related to impaired urinary elimination
Goals
- The client will understand pre-, intra-, and post-operative instructions.
- The client will be free from infection.
- The client will be able to normally eliminate urine.
Interventions
- Teach pelvic floor muscle strengthening exercises ( kegel exercises).
- Initiate teaching for pessaries, as indicated.
- Prepare for surgery. Teach client what to expect prior to, during, and after procedures. The following interventions apply for surgery.
- Teach client coughing and deep breathing exercises to minimize risk of pneumonia.
- Post-operatively, monitor VS every 15 minutes X 2, every 30 Minutes X 2, every 1 hour X 2, than every 4 hours ( may have different guidelines for each clinical agency).
- Monitor voiding amount and residuals times 2-3 as ordered.
- Notify physician if unable to void greater than 6 hours after removing indwelling catheter.
- Provide proper catheter care; monitor for s/s of infection.
- Initiate early ambulation to minimize risks of complications.
- Administer medicines ( analgesics, stool softeners, etc.) as ordered.
- Perform assessments every 4-8 hours to monitor for complications ( circulation, oxygenation, auscultation, etc).
- Monitor for signs/ symptoms of complications.
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