Hematuria Chapter Nursing Considerations Assess factors that place the patient at increased risk for urinary tract infection - feeling of incomplete bladder emptying, sexual activity and history of urinary calculi, or history of known neurogenic bladder dysfunction or incontinence. Assess coping strategies, including medically prescribed regimens, medication and hydration. Advise the patient to maintain an adequate intake of fluids and avoid dehydration . Advise patient of importance of adherence to anti-infective medication regimen to reduce likelihood of recurrence or persistence of infection. Prevention Education about proper hygiene may prevent some infections in females.
Recurrent infections require evaluation of urologic abnormalities.
Children should be instructed about sexually transmitted diseases and barrier methods as they approach adolescence. It is very important to discuss the renal concentrating defect with patients, parents, and teachers to assure that there is sufficient intake of water and so the child can be allowed to urinate as frequently as may be required without stigmatization. The same understanding approach and positive reward systems must be stressed in the child with enuresis. Patients must be instructed about the importance of completing full courses of antibiotics as prescribed and in the importance of obtaining full-up cultures to assure bacteriological cure. Woeltje KF editors Lippincott-Raven Publishers 1998 Reller LB, The Patient with Urinary Tract Infection in Manual of Nephrology.