Definitions
The removal of waste material from the body.
Elimination
The state of being enlarged/swollen from internal pressure
Distention
Fecal interventions
Obtain specimens
Patient education
Prepare/support patient with diagnostic
procedures
Promote and assist with regular bowel habits
Promote fluid and high fiber intake
Promote exercise and mobility
Prevention of incontinence
Prevention of infection
Prevent skin breakdown
Prevent and treat constipation
Medication education
Prevent and treat diarrhea
the condition where the motor activity of the bowel is impaired, usually without the presence of a physical obstruction
paralytic ileus
Interventions for urine
URINARY
Obtain specimens
Patient education
Placement of catheters, urinary sheath, PureWick
Prepare/Support patient with diagnostic procedures
Help patients maintain regular voiding habits
Promote fluid intake
Prevention of incontinence
Prevention of infection
Prevent skin breakdown
Strengthening muscle tone
Assistive devices
Medication education
Documentation for feces
Color, Odor, Consistency, Shape, Volume, Constituents, Frequency
Color, Odor, Clarity, Any sediment, Volume, Ph, Frequency
What is the scope of elimination?
Waste excretion
Impaired excretion
What is the frequency of urination?
Minimum 30mL/hour of urine produced
How does defecation differ in children?
Infant- no control of bowel
Toddler- 18-24 months voluntary control of elimination becomes possible
School-age, Adolescent- Defecation patterns in quantity, frequency, and rhythmicity vary great
Risk factors for urinary retention.
age, Gender (Male), Prostate enlargement, inflammation/infection, Pelvic organ prolapse, Pelvic mass, Pelvic trauma/surgery
Physical assessment for elimination
Inspection: Skin integrity, Abdomen, Bladder, Stool, Urine, Auscultation of abdomen, palpation of the abdomen
Factors that affect geriatric patients in defecating.
Delayed stomach emptying, decreased muscle tone, weakening of intestinal walls
Risk factors for urinary incontinence.
Age, gender (female), obesity, menopause, trauma
Risk factors for fecal incontinence.
Advanced age, Diarrhea, Impaired mobility, impaired cognitive, debilitated state, Injury, chronic condition affecting rectal neuropathways
Risk factors fecal retention.
Advanced age, Female, Pregnancy, Low-income, Poorly educated, Sedentary lifestyle, Dehydration, Chronic conditions