Nursing Care Plan
Mercer County Community College
F.H. is an 83 year old male, whom was cared for on January 31,2007 by the writer. He was
admitted to Capital Health System at the Mercer Campus with diagnoses of an Urinary
Tract Infection and Generalized Weakness. F.H. also had pre-existing medical condition
prior to being admitted. Plan of care for F.H. had to be designed to accommodate his
existing and pre-existing medical conditions.
Nursing Care Plane
F.H. is a 83 year old white male, whom was admitted to the hospital with a diagnoses of
Urinary Tract Infection and Generalized Weakness. He also has Chronic Obstructive Pulmonary
Disease, Degenerative Joint Disease, Neurogenic Bladder, Chronic Renal Dysfunction,
Depression, and age related Dementia. F.H. is a widower, who retired from his profession about
20 years ago. His primary and only spoken language is English. F.H. lives in his home located in
the Central part of New Jersey with a 24 hour caregiver.
Upon entering F.H. room he was calmly sitting in a chair working on a crossword puzzle
from a newspaper. He appeared to be relaxed and comfortable, dressed in a hospital gown. As the
writer observed F.H., it was noted that the client was awake, alert, and oriented times three, he
was receiving 2L of oxygen via nasal cannula. Client skin appearance was dry, intact, and had an
even pink tone, as I palpated the skin it was smooth; warm with good skin turgor. F.H. blood
pressure was 139/62, pulse rate of 84, respiration rate of 18, and oxygen saturation of 99%. Upon
auscultation of his lungs there was wheezing in all fields of the left lung and at the base of the
right lung on expiration, all of the other fields where clear. F.H abdomen was soft, round, and
non tender with positive bowel sounds in all 4 quadrants. Clients oral temperature was 97.1, and
he denied the presence of any pain stating that it was a 0 on a 0-10 scale.
F.H. was admitted to Capital Health System with medical diagnosis of a Urinary Tract
Infection and Generalized Weakness. Normally, urine is sterile, it is usually free of bacteria,
viruses, and fungi. An infection occurs when tiny organisms, usually bacteria from the digestive
tract, cling to the opening of the urethra and begin to multiply. The urethra is the tube that carries
urine from the bladder to outside the body. Most infections arise from one type of bacteria,
Escherichia coli, which normally lives in the colon. In many cases, bacteria first travels to the
urethra and multiplies, causing an infection. An infection limited to the urethra is
called urethritis. The urinary system is structured in a way that helps ward off infection. The
ureters and bladder normally prevent urine from backing up toward the kidneys, and the flow of
urine from the bladder helps wash bacteria out of the body. In men, the prostate gland produces
secretions that slow bacterial growth. In both sexes, immune defenses also prevent infection. But
despite these safeguards, infections still occur.
A common source of infection is catheters, or tubes, placed in the urethra and bladder. A
person who cannot void or who is unconscious or critically ill often needs a catheter that stays in
place for a long period time (www.niddk.nih.gov). In F.H. particular case, he has a surgical
insertion of a suprapubic cystostomy due to a nervous system disorder, that caused him to lose
bladder control. Often time if the...