Card Set Information
FT3 bowel eliminations
Bowel elimination and enemas
Factors affecting bowel elimination
Bowel routine is important so...
Daily time clock
Hot drinks (sometimes with lemon)
Position and abdominal pressure
Encourage fluids – fiber pill without water = cement blockage in the intestine
Proper diet – fresh fruits, vegetables, whole grains, fiber
Exercise – 3-5 times a week; range of motion for clients on bed rest
What can the nurse do to facilitate? – this would be the intervention portion of your Nursing Care Plan
What are some questions you would ask?
Subjective versus Objective
What are the assessments you would do?
What patient education would you provide?
Monitor stools to quantify diarrhea
Assess and monitor for fluid imbalance – how?
Monitor for alterations in perineal skin integrity – why?
Increase fiber intake.
: Bananas, Rice, Apple sauce, Toast.
Increase intake of high-fiber foods – like what and why?
Increase fluid intake
Help client in a position that facilitates defecation
Allow uninterrupted time
Laxatives when lifestyle changes are ineffective
Managing fecal impaciton
Prevention is the best treatment
: digital examination (finger exam)
: disimpacting (work it out with your fingers. Yay.)
Establish bowel program to prevent recurrence
Main purpose is the promotion of defecation, stimulate peristalsis
Fluid breaks up fecal mass, stretches the rectal wall and initiates defecation reflex
Position patient in left lateral position because fluid flow is best in this position.
: Protect the bed.
Have client lie on left side.
Warm the solution to 105 – 110 degrees
Insert tube, lubricated, gently, 3-4 inches. Hold 12–18 inches above client – the average adult can accommodate 350-500mL.
Listen to your patient and encourage to hold 15-20 min.
Monitor for adverse affects