Question: create a Care Map with 3 nursing diagnoses developed, using the case study below
Case Study—Mrs. Hill_Bathroom Accident
Case Scenario
"Oh, this is awful," Jenny muttered to herself. She was sitting on the toilet with a pair of very wet
panties and slacks around her ankles. Jenny never knew when it would hit―this need to urinate
quickly. She would find herself running to the bathroom like a woman possessed and then
usually not making it in time. "It also seems like I'm peeing all the time," she said. "This is
getting old really fast," she thought, as she continued trying to squeeze the urine out of her
panties using quantities of toilet paper.
Nursing Assessment
Jenny Hill is a 72-year-old woman who lives in a condominium. She recently moved out of her
large home when it became too much to care for. Jenny is widowed and has three adult children
who help her as needed. Jenny wants to be as independent as possible; she has been all of her
life. Her husband died of cancer 4 years ago, and she took care of him so that he could die at
home. Jenny worked as a bookkeeper at a local company until she was 70 years old. She loves to
garden, walk with friends, and read books.
Jenny has trouble controlling urination. She finds that when she feels the need to urinate, she
must get to the bathroom quickly or she will wet her panties. She has started wearing
incontinence pads, but she hates them because they are uncomfortable, and she is afraid they
show when she wears pants. In addition, they cost a lot of money. Jenny has had some
incontinence for years, but it has gotten much worse during the last year.
She finds herself getting up to urinate three to four times each night. Sometimes, she believes she
really smells of urine in the morning, and her sheets are wet with urine. She is starting to limit
her usual social activities because of the possible embarrassment of smelling like urine. Jenny
makes an appointment to talk to her nurse practitioner to see whether anything can be done about
this situation.
Health ScienceScienceNursingNURSING 247
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