Documentation Guidelines

• Urinary tract assessment: Urinary drainage system (patency, color of urine, presence of bloody urine or clots, amount of urine, appearance of catheter insertion site); fluid balance (intake and output, patency of intravenous catheters, speed of fluid resuscitation); wound healing (wound drainage, extravasation of urine from wound, tracts of urine extending beneath the skin)

• Assessment of level of anxiety, degree of understanding, adjustment, family or partner's response, and coping skills

• Concern over sexual dysfunction, content of conversations, and content taught

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