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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
Psychological/ Physiological Factors Affecting Elimination (contd)
Position during defecation Pain Pregnancy General anesthesia Medications Diagnostic GI tests
Common Bowel Elimination Problems Constipation Fecal Impaction Diarrhea Incontinence Flatulence Hemorrhoids
Bowel Diversions
Three types of colostomies– Loop Colostomy– End Colostomy– Double-Barrel Colostomy
Ileostomy
Bowel Diversions
Single (End) Colostomy
Bowel Diversions
Loop Colostomy
Bowel Diversions
Double Barrel Colostomy
Bowel Diversions
Assessment of Bowel Function
Nursing History Physical Assessment Fecal Characteristics Laboratory/ Diagnostic Tests
– Fecal specimens– Guaiac test– Diagnostic tests
• Direct visualization• Indirect visualization
Nursing Diagnosis
Constipation Diarrhea Bowel Incontinence Pain Self-Care Deficit- Toileting Body Image Disturbance Risk for/ Impaired Skin Integrity
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
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
Plan and Implementation (continued)
Care of Ostomies– Pouching of Ostomies
Plan and Implementation (continued)
Irrigating an ostomy