Essay based on one care management decision the student has made in

Based on one care management decision the student has made in practice this semeester - Essay Example ing data for an analysis of the causes and consequences of the problem, exploring alternative solutions, selecting the appropriate solution, implementing the solution and evaluating the results (Judd, 2005). Patient had been admitted with the complaint of retention of urine and overnight did not pass urine leading to abdominal discomfort and pain. Providing quality care is vital not only to the patient, but to the nursing professional as well (Hakesley-Brown & Malone, 2007). Hence addressing the problem of urine retention to relieve the abdominal discomfort and pain became relevant. Assessment of condition of the patient helps in identifying the problem faced. The next step is identifying those problems that have nursing solution and the order in which the solutions need to be applied. There are some problems that can be provided with an immediate nursing solution and some that require the knowledge and skills of other professionals in the healthcare delivery system (Faulkner, A. 1996). Urine retention could be chronic or acute. In chronic urine retention the ability to pass urine in small quantities remains and the build up of urine in the bladder is slow, with pain a less frequent possibility. In the case of acute urine retention there is no urine passed and is normally accompanied with pain (Kurasawa, Kotani, Kurasawa, Takama & Orimo, 2005). This suggests that the patient has a problem of acute retention of urine (AUR). Acute retention of urine (AUR) is a common urological emergency, which is characterized by a sudden inability to pass urine associated with lower abdominal pain. There are several causes for AUR, as anything that blocks the flow of urine through the urethra can lead to AUR. Such blocks could occur as a result of the presence of stones in the bladder. Infection of the urinary tract is also a possible cause of urine retention. Nerve damage as a result of conditions like diabetes or multiple sclerosis can affect control over the bladder and