Nursing Assessment for Cystitis

Cystitis is an infection of the bladder that almost always follows bacterial infection in the urine. It is the most common type of urinary tract infection (UTI), particularly in women. Symptoms include painful or burning urination, a frequent urge to urinate, strong smelling urine, cloudy or bloody urine and lower abdominal pain.


Nursing Assessment for Cystitis

Identity

• Age: occurs at all ages.
• Sex: more common in women and increased incidence according to age and sexual activity.
• Place of residence: whether or not a predisposing factor.

Main Complaints:

• Pain or burning in the urethra when urinating
• Urine slightly
• Discomfort in the supra pubic region

Disease History

• History of Urinary Tract Infection
• Obstruction of the urinary tract
• Other health problems, such as diabetes mellitus, sexual history.

Physical examination

• Abdominal infection, and palpation of the lower urinary bledder: no maximum discharge
• Inflammation and lesions in the urethral meatus and vaginal introitus
• Assess urination: the urge, frequency, dysuria, the stinging smell of urine, pain in the supra pubic

Psychosocial Examination

• Often occurs in adolescence and young adulthood, sexual activitas arise feelings of shame and guilt.
• Feelings of fear of recurrence, which led to the rejection of sexual activity.
• Pain and fatigue are related to the infection can affect job performance and activities of daily living.

Laboratory examination

Urinalis
When infection occurs, showing bacteriuria, WBC (White Blood Cell), RBC (Red Blood Cell) and deposits of white blood cells with renal involvement.

Sensitivity tests: a lot of microorganisms sensitive to antibiotics and antiseptic associated with recurrent infections

Radiographic assessment

• Cystitis Diagnosis based on history, medical examination and laboratory, if there is urinary retention and urinary flow obstruction performed IPV (Identivikasi changes and structural abnormalities)
• Culture: Identifying the bacteria that causes
• X-ray kidney, ureter and bladder to identify the real structure of the anomaly.

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