Original literature support available at www.nanda.org

Domain 3. Elimination and Exchange      Class 1. Urinary Function

00166

Defining Characteristics

• Expresses desire to enhance urinary elimination

Domain 3. Elimination and Exchange      Class 1. Urinary Function

00020

Defining Characteristics

• Completely empties bladder
  
• Early morning urinary incontinence
  
• Sensation of need to void
  
• Time between sensation of urge and ability to reach toilet is too short
  
• Voiding prior to reaching toilet

Related Factors

• Alteration in cognitive functioning
  
• Alteration in environmental factor
  
• Impaired vision
  
• Neuromuscular impairment
  
• Psychological disorder
  
• Weakened supporting pelvic structure

Domain 3. Elimination and Exchange      Class 1. Urinary Function

00176

Defining Characteristics

• Bladder distention
  
• High post-void residual volume
  
• Involuntary leakage of small volume of urine
  
• Nocturia

Related Factors

• Bladder outlet obstruction
  
• Detrusor external sphincter dyssynergia
  
• Detrusor hypocontractility
  
• Fecal impaction
  
• Severe pelvic prolapse
  
• Treatment regimen
  
• Urethral obstruction

Original literature support available at www.nanda.org

Domain 3. Elimination and Exchange      Class 1. Urinary Function

00018

Defining Characteristics

• Absence of sensation of bladder fullness
  
• Absence of urge to void
  
• Absence of voiding sensation
  
• Inability to voluntarily inhibit voiding
  
• Inability to voluntarily initiate voiding
  
• Incomplete emptying of bladder with lesion above pontine micturition center
  
• Predictable pattern of voiding
  
• Sensation of bladder fullness
  
• Sensation of urgency to void without voluntary inhibition of bladder contraction

Related Factors

• Neurological impairment above level of pontine micturition center
  
• Neurological impairment above level of sacral micturition center
  
• Tissue damage

Domain 3. Elimination and Exchange      Class 1. Urinary Function

00017

Defining Characteristics

• Involuntary leakage of small volume of urine (e.g., with coughing, laughing, sneezing, on exertion)
  
• Involuntary leakage of small volume of urine in the absence of detrusor contraction
  
• Involuntary leakage of small volume of urine in the absence of overdistended bladder

Related Factors

• Degenerative changes in pelvic muscles
  
• Increase in intra-abdominal pressure
  
• Intrinsic urethral sphincter deficiency
  
• Weak pelvic muscles

Original literature support available at www.nanda.org

Domain 3. Elimination and Exchange      Class 1. Urinary Function

00019

Defining Characteristics

• Inability to reach toilet in time to avoid urine loss
  
• Involuntary loss of urine with bladder contractions
  
• Involuntary loss of urine with bladder spasms
  
• Urinary urgency

Related Factors

• Alcohol consumption
  
• Atrophic urethritis
  
• Atrophic vaginitis
  
• Bladder infection
  
• Caffeine intake
  
• Decrease in bladder capacity
  
• Detrusor hyperactivity with impaired bladder contractility
  
• Fecal impaction
  
• Treatment regimen

Original literature support available at www.nanda.org

Domain 3. Elimination and Exchange      Class 1. Urinary Function

00022