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For the priority nursing diagnosis, I would post that Ms. Snead is likely to have a Urinary Tract Infection as well as Dementia. The Urinary Tract Infection is due to the recent symptoms that she shows where she experiences a burning feeling during urinating. Additionally, she also has a history of the infection, therefore, the infection is likely to have reoccurred. My diagnosis of dementia for Ms. Snead is associated with her recent symptoms where she has been feeling tired therefore her ability to perform her daily activities has lowered. From the observation, she has also been feeling tired therefore showing changes in her personality and behaviors (Petersen, Stevens, Ganguli, Tangalos, Cummings, & DeKosky, 2001).
The expected outcomes that can be associated with Ms. Snead include pain in her lower abdomen found right above the pubic bone. She is also likely to notice some blood in her urine as well as experience some difficulties during urination or rather she may experience dribbling of her urine. If proper care is not given she may suffer from prostatitis.
Intervention is therefore important to ensure that Ms. Snead does not develop other complications due to the reoccurrence of the infections. Her first intervention measure should be to seek immediate medical intervention and explain all her symptoms without leaving out any. Through medical intervention, Ms. Snead will be properly diagnosed and the doctors will have all the necessary tests conducted on her to thoroughly investigate her condition. She will then acquire proper treatment for the conditions. Additionally, a second intervention for Ms. Snead would include drinking adequate fluids. This will ensure that her body is not dehydrated and the fluids will help in cleaning her urinary tract and help to keep her hydrated. Third, Ms. Snead should ensure that her genital areas are kept dry and clean. She should also wipe her genitals from front to back whenever she visits the toilet to avoid transferring bacteria from the anus to the genitals. This will help to keep her clean (Hooton, Bradley, Cardenas, Colgan, Geerlings, Rice, & Nicolle, 2010).
Hooton, T. M., Bradley, S. F., Cardenas, D. D., Colgan, R., Geerlings, S. E., Rice, J. C., ... & Nicolle, L. E. (2010). Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America. Clinical infectious diseases, 50(5), 625-663.
Petersen, R. C., Stevens, J. C., Ganguli, M., Tangalos, E. G., Cummings, J. L., & DeKosky, S. T. (2001). Practice parameter: Early detection of dementia: Mild cognitive impairment (an evidence-based review) Report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology, 56(9), 1133-1142.
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