2. The physiological aspects of normal defecation.
- Squad position (sitting position) how will your promote defecation in a patient who is
immobile? IT CANNOT BE LAYING FLAT (LAST OPTION) OR LAYING WITH
A 30 DEGREE ANGLE …. HAVE THE PATIENT IN A SITTING POSITION.
PLACING THE PATIENT IN A BED PAN IS THE LAS RESORT
3. Bowel elimination using a bedpan, bedside commode or toilet
- BEDPAN- a device used for elimination when a person is unable to get out of bed
- BEDSIDE COMMODE- a chair frame with a toilet seat and removable collection bucket
4. Characteristics of normal and abnormal feces.
- Bristol stool chart
5. Psychological and physiological factors that influence the elimination process.
- Stress
- Medication that the patient takes
- Fluid intake
- Activity level
, - Immobility
6. Nursing interventions that promote normal elimination; include bowel training.
- Have small and frequent meal
- Avoid laxatives
- Bowel retrain program
- Bowel training has to do with learn how to control your bowel
- Stay within the reach of the bathroom (those people who only go to the bathroom at their
houses)
- Encourage activity
- High fiber diet
- Manage stress
7. Laxative use and issues associated with laxative use
- Dependency
- Can make Constipation worse
- Gas becomes trapped in your intestine they do not get rid of the water
8. Common physiological alterations in elimination (colostomies and ileostomies).
- Colostomies- there is a diversion in your large intestine no liquor on the colostomy, red
and shinny (if not report to the physician) NOT PINK
- Ileostomies- diversion in the small bowel (not entering the small bowel yet) waterly stool
normal (mid-to right quadrant) be careful w/ skin break down
9. Assessment of bowel elimination.
- Stool
- Consistency
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