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Bowel Elimination

Bowel Elimination. Nursing B20- Fundamentals of Nursing. Psychological/ Physiological Factors Affecting Elimination. Age and developmental factors Dietary intake Fluid intake Physical activity Psychological factors Personal elimination habits.

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Bowel Elimination

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  1. Bowel Elimination Nursing B20- Fundamentals of Nursing

  2. Psychological/ Physiological Factors Affecting Elimination • Age and developmental factors • Dietary intake • Fluid intake • Physical activity • Psychological factors • Personal elimination habits

  3. Psychological/ Physiological Factors Affecting Elimination (contd) • Position during defecation • Pain • Pregnancy • General anesthesia • Medications • Diagnostic GI tests

  4. Common Bowel Elimination Problems • Constipation • Fecal Impaction • Diarrhea • Incontinence • Flatulence • Hemorrhoids

  5. Bowel Diversions • Three types of colostomies • Loop Colostomy • End Colostomy • Double-Barrel Colostomy • Ileostomy

  6. Bowel Diversions • Single (End) Colostomy

  7. Bowel Diversions • Loop Colostomy

  8. Bowel Diversions • Double Barrel Colostomy

  9. Bowel Diversions

  10. Assessment of Bowel Function • Nursing History • Physical Assessment • Fecal Characteristics • Laboratory/ Diagnostic Tests • Fecal specimens • Guaiac test • Diagnostic tests • Direct visualization • Indirect visualization

  11. Nursing Diagnosis • Constipation • Diarrhea • Bowel Incontinence • Pain • Self-Care Deficit- Toileting • Body Image Disturbance • Risk for/ Impaired Skin Integrity

  12. Plan and Implementation • Promotion of regular bowel habits • Promotion of normal defecation • Digital removal of stool • Maintenance of proper fluid/ food intake • Promotion of regular exercise • Promotion of comfort

  13. Plan and Implementation (continued) • Use of enemas • Cleansing enemas • Tap water- hypotonic • Normal saline- isotonic • Fleets- hypertonic • Soap Suds- intestinal irritation • Oil Retention enemas • Carminative • Return flow or Harris flush • Medicated

  14. Plan and Implementation (continued) • Care of Ostomies • Pouching of Ostomies

  15. Plan and Implementation (continued) • Irrigating an ostomy

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