1 / 25

Chapter 31 Bowel Elimination

Chapter 31 Bowel Elimination. Defecation. Defecation: the act of expelling feces from the body Peristalsis: rhythmic contractions of intestinal smooth muscle to facilitate defecation Gastrocolic reflex: increased peristaltic activity occurring during food consumption

adamjsmith
Download Presentation

Chapter 31 Bowel Elimination

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Chapter 31 Bowel Elimination

  2. Defecation Defecation: the act of expelling feces from the body Peristalsis: rhythmic contractions of intestinal smooth muscle to facilitate defecation Gastrocolic reflex: increased peristaltic activity occurring during food consumption Valsalva maneuver: increasing abdominal muscle pressure to facilitate defecation

  3. Common Factors Affecting Bowel Elimination

  4. Assessment of Bowel Elimination Elimination patterns Stool characteristics

  5. Characteristics of Stool

  6. Testing Stool for Occult Blood

  7. Common Alterations in Bowel Elimination Introduction Constipation Primary Secondary Iatrogenic

  8. Common Alterations in Bowel Elimination (cont’d) Constipation (cont’d) Pseudoconstipation Fecal impaction Flatulence Diarrhea Fecal incontinence

  9. Removing Fecal Impaction

  10. Inserting a Rectal Tube (Refer to Skill 31-1 in the textbook.)

  11. Managing Fecal Incontinence

  12. Measures to Promote Bowel Elimination Two physician-ordered interventions to promote elimination when not naturally occurring Insert a rectal suppository Administer an enema Cleansing enemas Tap water, normal saline Soapsuds, hypertonic saline

  13. Inserting a Rectal Suppository (Refer to Skill 31-2 in the textbook.)

  14. Administering a Cleansing Enema (Refer to Skill 31-3 in the textbook.)

  15. Administering a Hypertonic Enema Solution

  16. Measures to Promote Bowel Elimination (cont’d) Administer an enema (cont’d) Retention enemas Oil retention enema Mineral, cottonseed, or olive oil Retained at least 30 minutes Lubricate and soften stool to ease stool expulsion

  17. Ostomy Care Ileostomy: surgically created opening to the ileum Colostomy: surgically created opening to the colon Providing peristomal care Applying an ostomy appliance Draining a continent ileostomy Irrigating a colostomy

  18. An Ostomy Appliance

  19. Changing an Ostomy Appliance (Refer to Skill 31-4 in the textbook.)

  20. Draining a Continent Ileostomy

  21. Irrigating a Colostomy (Refer to Skill 31-5 in the textbook.)

  22. Nursing Implications Potential nursing diagnoses: Constipation, risk for constipation, perceived constipation Diarrhea, bowel incontinence Toileting self-care deficit Situational low self-esteem

More Related