Urinary and Bowel Elimination Lecture
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Urinary and Bowel Elimination Lecture Lecture by: Maggie Keil MNe, RN Objective One: Physiology of Urinary Elimination Taylor: Pages 1132-1134-Read On Your Own Objective Two: Factors Affecting Urinary Elimination Taylor: Pages 1134-1136-Read On Your Own Objective Three: Plan Of Care To Promote Urinary Elimination Taylor: Pages 1136-1173 Plan Of Care Assessing Diagnosing Planning Implementing Evaluating Assessing Nursing History Physical Assessment Assessing(Nursing History) Functional Issues Associated With Urinary or Fecal Incontinence: Mental Status Mobility and Dexterity Focused Assessment Guide Urinary Elimination Usual Patterns Of Urinary Elimination Recent Changes in Urinary Elimination Aids to Elimination Present or Past Occurrence of Voiding Difficulties Presence of Artificial Orifices Health History Questions for Clients/Altered Elimination Determine Duration of Problem Determine Type of Urinary Incontinence Identify Complicating Factors of Urinary Incontinence Identify Bladder Management program Factors to Assess-Influence Urinary Elimination Fluid Intake Loss of Body Fluid Nutrition Position Psychological Factors Obstruction Of urine flow Infection Factors to Assess-Influence Urinary Elimination Hypotension Neurologic Injury Decreased Muscle tone Pregnancy Surgery Medications Urinary Diversions Indications Of Sexual Abuse Assessment-Terms- Describe Additional Urinary Problems Anuria Dysuria Frequency Glycosuria Nocturia Oliguria Assessment-Terms- Describe Additional Urinary Problems Polyuria Proteinuria Pyuria Suppression Urgency Assessing (Physical Assessment) Kidneys Bladder Urethral Orifice Skin Integrity and Hydration Vaginal Vault Urine Diagnostic And Lab Data Assessing (Diagnostic And Lab Data) Dipstick Urinalysis Microscopic Urinalysis Urine Culture and Sensitivity Urodynamic Studies Cytoscopy IVP Retrograde Pyelography Ultrasonography Diagnosing (Urinary Function As Problem) Impaired Urinary Elimination Stress Urinary Incontinence Reflex Urinary Incontinence Urge Urinary Incontinence Functional Urinary Incontinence Urinary Retention See Nursing Dx common Problems For Related To and M/B in Text Diagnosing(Urinary Function As The Etiology) Anxiety Risk for Infection Impaired Skin Integrity Knowledge Deficit Noncompliance Pain Self-Esteem Disturbance Sexual Dysfunction Sleep Pattern Disturbance Toileting Self-Care Deficit Planning Produce urine output about equal to fluid intake Maintain fluid and electrolyte imbalance Empty the bladder continually at regular intervals Report ease of voiding Maintain skin integrity Implementing Client Teaching Promote Normal Urination Promoting Fluid Intake Diet Lifestyle and Prevention Stress Management Strengthening Muscle Tone/Initiate Exercise Implementing Environmental Modifications Management Of Urinary Retention Management Of Urinary Incontinence Evaluating Produce a sufficient quantity of urine to maintain fluid, electrolyte, and acid-base balance Empty the bladder completely at regular intervals without discomfort Evaluating (Continued) Develop a plan to modify any factors that contribute to current urinary problems that might adversely affect urinary functioning in the future Correct unhealthy urinary habits, such as delaying voiding, drinking insufficient fluids, or abusing diuretics Objective Four: A&P Of Bowel Elimination Taylor: Pages 1182-1184 Objective Five: Factors That Affect Bowel Elimination Taylor: Pages 1185-1188 Objective Six: Plan Of Care To Promote Bowel Elimination Taylor: Pages 1188-1206,1213 Plan Of Care Assessing Diagnosing Planning Implementing Evaluating Assessing (Nursing History) Usual Pattern Of Bowel Elimination Aids To Elimination Recent Changes in Bowel Elimination Problems With Bowel Elimination Presence of Artificial Orifices Nursing History Questions/Altered Elimination Determine Type of Fecal Incontinence Identify Complicating Factors of Fecal Incontinence Identify Bowel Management Program Assessment (Physical Assessment) Mental Status Mobility and Dexterity Abdomen Anus and Rectum Stool Characteristics Warning Signs Assessment (Diagnostic And Laboratory Tests) EGD Colonscopy Sigmoidoscopy Upper GI and Small Bowel Series Stool Culture Defecography Diagnosing (Bowel Elimination As The Problem) See Nursing Diagnosing Diagnoses For Common Problems For R/T and M/B Constipation Perceived Constipation Diarrhea Bowel Incontinence Diagnosing (Bowel Elimination As The Etiology) Altered Nutrition: Less Than Body Requirements Anxiety Body Image Disturbance Fluid Volume Deficit Impaired Skin Integrity Diagnosing (Bowel Elimination As The Etiology)Continued Ineffective Individual Coping Knowledge Deficit Pain Self-Care Deficit Self-Esteem Disturbance Sexual Dysfunction Planning Have a soft, formed bowel movement every 1 to 3 days without discomfort Explain the relationship between bowel elimination and dietary fiber, fluid intake, and exercise Relate the importance of seeking medical evaluation if changes in stool color or consistency persist Implementing Client Teaching Promoting Regular Bowel Habits Nursing Management Of Fecal Incontinence Preventing And Treating Constipation Preventing and Treating Diarrhea Decreasing Flatulence Promoting Regular Bowel Habits Timing Positioning Privacy Nutrition Age Lifestyle Exercise Nursing Management Of Fecal Incontinence Manipulation of Environment Preventing and Treating Constipation Teaching About Nutrition Teaching About Cathartics And Laxatives Enemas Preventing And Teaching Diarrhea Initial Management Of Diarrhea Teaching About Nutrition Teaching About Antidiarrheal Medication Rectal Pouch Decreasing Flatulence Tympanities Gas-Producing Foods Movement Positioning Rectal Tube Evaluating Verbalize the relationships among bowel elimination and nutrition, fluid intake, exercise and stress management Develop a plan to modify any factors that contribute to current bowel problems or that might adversely affect bowel functioning in the future. Have A Nice Weekend! Best Wishes On Your Test! Mrs. Keil
