Bowel Elimination Flashcards

1
Q

defecation

A

: process of elimination of waste

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2
Q

Feces

A

semisolid mass of fiber, undigested food, inorganic material, etc.

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3
Q

what is the process of bowel elimination

A

Fecal material reaches rectum
Stretch receptors initiate contraction of sigmoid colon/rectal muscles
Internal anal sphincter relaxes
Sensory impulses cause voluntary “bearing down”
External sphincter relaxes

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4
Q

what are the factors affecting bowel elimination

A
Developmental stage
 Personal factors
 Sociocultural factors
 Nutrition/hydration
 Medications
 Procedures
Pregnancy
 Pathological conditions
 Bowel diversions
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5
Q

How many ounces of water should you take in a day for healthy defecation

A

6-8 ounces of water a day

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6
Q

what are bowel diversions

A

Ileostomy

Colostomy

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7
Q

what are some common diagnostic tests

A
Direct visualization
       *Colonoscopy
        *Sigmoidoscopy
Radiographic views
         *Flat plate of the abdomen
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8
Q

ileostomy

A

a surgical opening constructed by bringing the end or loop of small intestine (the ileum) out onto the surface of the skin

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9
Q

colostomy

A

a surgical procedure in which a stoma is formed by drawing the healthy end of the large intestine or colon through an incision in the anterior abdominal wall

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10
Q

colonoscopy

A

a test that allows your doctor to look at the interior lining of your large intestine (rectum and colon)

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11
Q

sigmoidoscopy

A

a procedure used to see inside the sigmoid colon and rectum.

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12
Q

what are the different studies of feces

A

Stool for occult blood
Stool for fecal fat
Stool for ova and parasites

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13
Q

how do you promote regular defecation

A
Encourage fluids
Proper diet
Fresh fruits, vegetables, whole grains, fiber
Exercise
3–5 times a week
Range of motion for clients on bedrest
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14
Q

what are some common alterations in defecation

A

Diarrhea

Constipation

Fecal impaction

Bowel diversions

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15
Q

what is the BRAT diet

A

controls diarrhea ….bananas, Rice, Apples, Toast

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16
Q

how do you manage a bowel diversion

A

Stoma assessment and care
Strict attention to skin care/peristomal skin assessment
Monitor amount and type of effluent
be attentive to client’s psychosocial needs
Be professional; show acceptance
Attend to odor control
Address client participation in ostomy care
Client teaching for home care