ASSISTING WITH BOWEL ELIMINATION MOUTH ESOPHAGUS LIVER GALL

ASSISTING WITH BOWEL ELIMINATION MOUTH ESOPHAGUS LIVER GALL

ASSISTING WITH BOWEL ELIMINATION MOUTH ESOPHAGUS LIVER GALL BLADDER STOMACH PANCREAS SMALL INTESTINE APPENDIX

LARGE INTESTINE NORMAL BOWEL MOVEMENTS THE FREQUENCY OF BOWEL MOVEMENTS VARIES FROM PERSON TO PERSON. SOME PEOPLE HAVE A BOWEL MOVEMENT EVERY DAY, SOME EVERY 2 3 DAYS, SOME 2 3 TIMES A DAY. MANY PEOPLE HAVE A BOWEL MOVEMENT IN THE MORNING, SOME IN THE EVENING. STOOLS ARE NORMALLY BROWN IN COLOR. FECES ARE NORMALLY SOFT, FORMED, MOIST

AND SHAPED LIKE THE RECTUM. FECES HAVE A CHARACTERISTIC ODOR. DEFINITIONS DEFECATION - THE PROCESS OF EXCRETING FECES FROM THE RECTUM HAVING A BOWEL MOVEMENT FECES - THE SEMI-SOLID MASS OF WASTE PRODUCTS IN THE COLON THAT ARE EXPELLED THROUGH THE ANUS STOOL EXCRETED FECES BOWEL ELIMINATION REPORT ABNORMAL BOWEL MOVEMENTS TO NURSE:

TOO SOFT (DIARRHEA) TOO HARD (CONSTIPATION) CONTAINS BLOOD COMPLAINTS OF PAIN ABNORMAL COLOR ABNORMAL IN ANY WAY FACTORS AFFECTING BOWEL ELIMINATION PRIVACY USING A BEDPAN MAY PREVENT A PATIENT FROM DEFECATING. ODORS AND SOUNDS MAY BE EMBARRASSING. PERSONAL HABITS MANY PEOPLE HAVE HABITS THAT STIMULATE

BOWEL ELIMINATION (DRINKING A CUP OF COFFEE). AGE THE GI SYSTEM SLOWS DOWN WITH AGE. DIET NEED FIBER. CERTAIN FOODS MAY CAUSE CONSTIPATION OR DIARRHEA IN CERTAIN PEOPLE. FLUIDS STOOL CONSISTENCY DEPENDS ON HOW MUCH WATER IS ABSORBED BY THE INTESTINE. ACTIVITY EXERCISE STIMULATES PERISTALSIS. MEDICATIONS CAN CAUSE CONSTIPATION OR DIARRHEA DISABILITY - SOME PEOPLE CAN NOT CONTROL BOWEL MOVEMENTS AND DEFECATE WHENEVER FECES ENTER THE RECTUM.

COMMON PROBLEMS CONSTIPATION THE PASSAGE OF A HARD, DRY STOOL. COMMON CAUSES: LOW FIBER DIET IGNORING THE URGE TO DEFECATE DECREASED FLUID INTAKE INACTIVITY DRUGS AGING CERTAIN DISEASES

COMMON PROBLEMS FECAL IMPACTION THE PROLONGED RETENTION AND BUILDUP OF FECES IN THE RECTUM. FECES CAN BE HARD OR PUTTY-LIKE RESULTS IF CONSTIPATION IS NOT RELIEVED. SYMPTOMS TREATMENT LIQUID SEEPING DIGITAL FROM ANUS REMOVAL ABDOMINAL PAIN OIL

RETENTION NAUSEA, LOSS OF ENEMA APPETITE ABDOMINAL DISTENSION RECTAL PAIN COMMON PROBLEMS DIARRHEA THE FREQUENT PASSAGE OF LIQUID STOOLS. CAUSES:

TREATMENT: INFECTIONS ASSIST WITH ELIMINATION NEEDS PROMPTLY CERTAIN DRUGS IRRITATING FOODS MICROORGANISMS IN THE FOOD

DISPOSE OF STOOLS PROMPTLY GOOD SKIN CARE FLUID REPLACEMENT MEDICATION ANAL INCONTINENCE THE INABILITY TO CONTROL THE PASSAGE OF FECES THROUGH THE ANUS. CAUSES: THE MUSCLE THAT SURROUNDS THE ANUS IS WEAK.

TREATMENT: GOOD SKIN CARE IS ESSENTIAL. UNABLE TO GET TO THE BATHROOM. A BOWEL TRAINING PROGRAM MAY BE ESTABLISHED. THE BRAIN DOES

NOT GET THE MESSAGE. DO NOT EMBARRASS OR HUMILIATE THE PATIENT. FLATULENCE GAS OR AIR PASSED THROUGH THE ANUS IF THE GAS IS NOT EXPELLED, THE INTESTINES MAY BECOME DISTENDED. THE PATIENT IS FIRST AMBULATED TO SEE IF THAT HELPS HIM TO

PASS GAS. IF AMBULATION DOES NOT HELP, A RECTAL TUBE MAY BE INSERTED. GUIDELINES FOR GIVING A RECTAL TUBE LUBRICATE THE TIP OF THE TUBE. POSITION THE PERSON IN THE LEFT SIMS POSITION. INSERT THE TUBE GENTLY, 2 4 INCHES INTO THE

RECTUM. POSITION THE TUBE SO IT RESTS ON A BED PROTECTOR. LEAVE THE TUBE IN PLACE FOR 20 MINUTES. BOWEL TRAINING GOAL REGAIN CONTROL OF BOWEL MOVEMENTS DEVELOP A REGULAR PATTERN OF ELIMINATION STEPS USUAL PATTERN IS DETERMINED

REGULAR SCHEDULE IS ESTABLISHED EVALUATE AND CHANGE AS NECESSARY SUPPOSITORY A SUPPOSITORY IS A CONE-SHAPED, SEMISOLID SUBSTANCE THAT IS INSERTED INTO THE RECTUM USUALLY GIVEN BY THE NURSE

ENEMAS THE INTRODUCTION OF FLUID INTO THE RECTUM AND LOWER COLON ORDERED BY THE DOCTOR GIVEN TO REMOVE FECES AND TO RELIEVE CONSTIPATION ALSO GIVEN TO CLEAN THE BOWEL OF FECES BEFORE SURGERY, X-RAYS, OR CHILDBIRTH TYPES OF ENEMAS CLEANSING ENEMAS TAP WATER SOAPSUDS

ENEMAS TILL CLEAR COMMERCIAL FLEETS (PACKAGED) OIL RETENTION COMFORT AND SAFETY MEASURES HAVE THE PERSON VOID BEFORE BEGINNING SOLUTION TEMPERATURE SHOULD BE 105 ADULTS RECEIVE BETWEEN 500 1000CC OF SOLUTION

POSITION PATIENT IN THE LEFT SIMS POSITION THE ENEMA BAG IS RAISED 12 INCHES ABOVE THE ANUS OR 18 INCHES ABOVE THE BED LUBRICATE THE TUBING AND INSERT IT 3 4 INCHES INTO THE RECTUM GIVE THE SOLUTION SLOWLY ( OVER 10 15 MIN.) COMFORT AND SAFETY MEASURES

THE ENEMA TUBE IS HELD IN PLACE WHILE THE SOLUTION IS BEING GIVEN THE SOLUTION SHOULD BE RETAINED IN THE BOWEL FOR A CERTAIN LENGTH OF TIME THE BATHROOM MUST BE VACANT OBSERVE THE ENEMA RESULTS AND REPORT THEM TO THE NURSE

FLEETS PACKAGE ENEMA COMES READY TO GIVE WARM IT UNDER RUNNING WATER INSERT 2 INCHES INTO THE RECTUM ROLL UP FROM THE BOTTOM DO NOT RELEASE PRESSURE STOOL SPECIMEN USE A TONGUE DEPRESSOR TO

TRANSFER THE STOOL SPECIMEN FROM THE COLLECTION CONTAINER TO THE SPECIMEN CONTAINER. A STOOL SPECIMEN MUST NOT BE CONTAMINATED WITH URINE. TAKE THE SPECIMEN TO THE LABORATORY OR TO THE NURSE.

THE PERSON WITH AN OSTOMY AN OSTOMY IS THE SURGICAL CREATION OF AN ARTIFICIAL OPENING THE OPENING IS CALLED A STOMA A COLOSTOMY IS THE SURGICAL CREATION OF AN ARTIFICIAL OPENING BETWEEN THE COLON AND THE ABDOMINAL WALL AN ILEOSTOMY IS A SURGICALLY CREATED OPENING BETWEEN THE SMALL INSTESTINE AND THE ABDOMINAL WALL COLOSTOMY SITES

GUIDELINES FOR PERFORMING OSTOMY CARE KEEP THE PERSONS SKIN CLEAN AND DRY AND OBSERVE FOR REDNESS, RASH, OR SKIN BREAKDOWN. THE POUCH IS EMPTIED PRN (AS NEEDED) AND IS CHANGED EVERY 3 7 DAYS, OR AS NEEDED. GENTLY REMOVE THE COLOSTOMY APPLIANCE (COLOSTOMY BAG) AND PLACE IT IN THE BEDPAN. CLEAN AROUND THE STOMA WITH SOAP (MILD) AND WATER REMOVE THE ADHESIVE BACKING AND CENTER THE

POUCH OVER THE STOMA. APPLY GENTLE PRESSURE. FASTEN THE CLAMP AT THE BOTTOM OF THE BAG. DEODORANT IS PLACED IN THE BAG TO PREVENT ODORS. DO NOT LET THE PERSON SHOWER OR BATHE FOR 1-2 HOURS AFTER APPLYING THE POUCH.

THE WAFER MAY HAVE TO BE CUT TO THE PROPER STOMA SIZE

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