Bowel Elimination

Question 1

Age Related Changes affecting defecation

Answer 1

Slowing of GI motility with increased stomach emptying time
Decreased colonic peristalsis
Decreased muscle tone/incontinence
Weakening of intestinal walls
Reduced sensation for signal to defecated

Question 2

Fecal impaction

Answer 2

Prolonged retention or

Accumulation of fecal material that forms a hardened mass in the rectum

Question 3

Fecal incontinence

Answer 3

Fecal incontinence
Involuntary passing of stool or flatus
Can result from physiologic or lifestyle changes

Question 4

Constipating foods:

Answer 4

Cheese, lean meat, eggs, pasta

Question 5

Foods with laxative effect:

Answer 5

Fruits and vegetables, bran, chocolate, alcohol, coffee

Question 6

Gas-producing foods:

Answer 6

Onions, cabbage, beans, cauliflower

Question 7

Primary Prevention Strategy for Constipation

Answer 7

Maintenance of regular bowel routines
Respond to urge to defecate
25-38 grams of fiber/day
Increase fluid intake:
1500-2000ml of fluid/day
Adjust diet – add fiber

Question 8

Ostomy

Answer 8

Surgically formed opening from the inside of an organ to the outside

Question 9

Colostomy

Answer 9

Permits formed feces in the colon to exit through the stoma

Question 10

Ileostomy

Answer 10

Liquid fecal content from the ileum of the small intestine