NOC Urinary Elimination


Assess presence of neurogenic bladder, degree of incontinence, potential for rehabilitation, age of child.

Assess urine for cloudiness, foul odor, fever, lethargy, dysuria, retention.

Offer and encourage intake of 30 ml/ lb/day including acid-containing beverages and dietary inclusion of foods high in acid content.

Maintain clean genital and anal area after each elimination episode or as needed if incontinent.


Provides information about condition for use in plan of establishing urinary elimination routine.

Indicates urinary bladder infection caused by urinary retention or residual resulting in urinary stasis and medium for bacterial growth.

Promotes renal blood flow and acidifies urine to prevent infection.

Controls introduction of microorganisms into urethra and urinary bladder.

Catheterize after urination if indicated and ordered.

Perform scheduled rehabilitation program of placing child on toilet or potty chair at same times each day.

Perform intermittent catheterization q 3 to 4h if indicated to resolve incontinence.

Perform Crede's maneuver if indicated.

Administer antispasmodic, smooth muscle relaxant, anticholinergic as ordered (specify drug, dose, route, and time).

Teach parents and child (age dependent) in use of external urinary device or procedure for intermittent self-catheterization; demonstrate and allow for return demonstration.

Teach about rehabilitative program of toileting and using Crede's method.

Encourage parents to avoid use of diapers for child over 3 years of age; suggest pad and water-proof undergarment as an alternative.

Inform parents of other methods available including implantation of an artificial sphincter, creation of an artificial reservoir, or creation of a urinary diversion to control incontinence.

Teach parents and child about changes in urine characteristics indicating bladder infection and measures to take to prevent this complication.

Encourage to monitor fluid intake/ day, weights and changes to report, foods and fluids that are acidic including citrus fruits, meat, eggs, cheese, prunes, breads.

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