Objective: To describe the nursing diagnoses, outcomes and interventions related to urinary dysfunction in Parkinson disease.

Background: The complexity of motor and nonmotor symptoms in patients with Parkinson’s disease (PD) requires multidisciplinary health actions. Bladder symptoms may be present in up to 96% of the patients with Parkinson’s disease and they are characterized as storage symptoms (urgency, urge incontinence, increased daytime urinary frequency, and nocturia) and emptying symptoms (hesitancy, decreased, or intermittent urine stream, sensation of incomplete emptying, and urinary retention)[1]. The standardization of the nursing language enables communication and comparison of data worldwide, and maximizes the scientific knowledge from clinical data [2]. The International Classification for Nursing Practice (ICNP®), was developed by the International Council of Nurses and is integrated into the family of international classifications of the World Health Organization.

Methods: We analyzed 2123 nursing documentations from 352 medical records of patients with Parkinson’s disease who participated in a rehabilitation program at a neurorehabilitation centre in Brazil, from May 2009 to March 2014. From these documents, was extracted the empirical evidence regarding nursing diagnoses, outcomes, and interventions related to bladder dysfunction, and than, these dates were cross‐mapped with ICNP® 2013 and validated by judges (nurses).

Results: The ICNP® diagnoses, outcomes related to bladder dysfunction in Parkinsons disease were: Impaired Urinary System Process, Enuresis, Stress Incontinence, Impaired Urine, Urge Incontinence, Urinary Incontinence, Risk For Urine Infection, Urinary Tract Infection. The ICNP® interventions related to bladder dysfunction in Parkinsons disease were: Teaching Patient about the Urinary System Process, Evaluating Genitourinary Status, Assessing Bowel Status, Measuring Fluid Intake, Measuring Fluid Output, Assessing Urinary Retention Using Ultrasound, Teaching for Urination Controlling, Teaching Self Catheterisation, Referring to Interprofessional Team, Catheterising Bladder to Collecting Specimen of Urine, Collecting Specimen of Urine.

Conclusions: Nurses play a key role in the evaluation and treatment of urinary dysfunction in Parkinson’s disease. The determination of empirical evidence based on a standardized language enables to guide the clinical reasoning of nurses for comprehensive care of patients with Parkinson’s disease and their families worldwide.

References: [1] Uchiyama T, Sakakibara R, Yamamoto T, Ito T, Yamaguchi C, Awa Y, et al. Urinary dysfunction in early and untreated Parkinson’s disease. J Neurol Neurosurg Psychiatry. 2011;82(12):1382–6. [2] Tosin MH, Campos DM, Blanco L, Santana RF, Oliveira BG. Mapping nursing language terms of Parkinson’s disease. Rev Esc Enferm USP. 2015;49(3):409–16.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/nursing-diagnoses-outcomes-and-icnp-interventions-related-to-urinary-dysfunction-in-parkinsons-disease/