NUR 326 Elimination
- normal bowel elimination
Answer GI tract
breakdown/absorption of nutrients from ingested foods
- upper GI tract
Answer mouth, salary glands, esophagus, and stomach
- lower GI tract
Answer smal intestine, large intestine (colon), rectum
- organs
Answer liver, pancreas, gallbladder
- populations at risk for slowed elimination
- clinical management of GI retention/ incontinence
- what are the most common clinical management
Answer children (greatest risk), pregnant women, and older adults
Answer hydration adequate dietary fiber regular toileting practice regular exercise avoidance of environmental contamination
Answer collaborative intervention s for GI retention/incontinence
pharmacotherapy (stool softener) incontinence managments invasive procedure (LAST RESORT)
- what is the last resort for clinical management of GI retention /incontinence- 1 / 3
Answer invasive procedure
- pharmacotherapy for bowel elimination
- alterations
Answer laxatives stool softners antibiotcs antispasmodics analgesics
Answer
- fecal incontinence
- fecal incontinence contributing factors
Answer recurrent involuntary passage of stool from the rectum for at least 3 months
Answer weakness/disruption of internal or external anal sphincter
damage to nerves pr anal tissue amount and consistency of stool motility inflammtion disorder of evil floor (rectal prolapse) impaction with overflow diarrhea
- fecal incontinence treatment
Answer
depends on the underlying cause regular defecation/ bowel training
high fiber diet & psyllium fiber supplement increase intake of caffeine free foods eliminate foods that cause diarrhea and rectal irritation kegal exercises treat diarrhea IF applicable (make sure you know the cause) remove fecal impaction if applicable 2 / 3
stop laxatives and stool softners
- fecal incontinence major priority
Answer skin integrity
- fecal incontinence nursing implications
Answer
timed toileting maintain skin integrity
bowel management system (do not overinflated the cuff)
- bowel retention/ constipation
Answer fewer than 3 BM weekly OR BMs that are hard, dry, small, or difficult to pass
obstruction, inflammation, or ineffective neuromuscular activation leads to the reten- tion of stool in the rectum
- constipation is a not a
Answer symptom, disease
- bowel retention contributing factors
Answer
ignoring the "urge to go" decreased peristalsis insufficient dietary fiber or fluids deceased activity
medications (opioids, antidepressants, anticonvulsants) emotions (fatigue/stress) pregnancy recent surgery
- bowel retention more clinical manifestations
- / 3