Urinary and Bowel Elimination Flashcards
Is a basic human function that can be compromised by a variety of illnesses and conditions
Urinary Elimination
The intentions
Scientific Knowledge Base
Controls blood pressure / Produces prostaglandin E2 and prostacyclin / Supposes elimination of body wastes
Kidneys
Drains urine
Ureters
Expands urine
Bladder
Holds urine
Urethra
Functional unit of Kidneys
Nephrons
RBC production / Bone Marrow maturation
Erythropoietin
Acts of Urination
Urination
Micturition
Voiding
1-2L urine per day
30mL urine per hour
Factors Influencing Urination
Physiological Factors
Psychosocial Conditions
Diagnostic Induced Factors / Treatment Induced Factors
Growth Development
Sociocultural Factors
Psychological Factors
Personal Habits
Pathological Conditions
Surgical Procedures
Medications
Diagnostic Examination
Inability to empty Bladder
Urinary Retention
Instrumentation of Urinary Tract
Urinary Tract Infection
Involuntary loss of urine
Urinary Incontinence
Injury or neurogenic dysfunction
Urinary Diversions
Immediate
Urgency
8x
Frequency
Painful
Dysuria
Excessive
Polyuria
Delayed
Hesitancy
Diminished
Oliguria
Awake
Nocturia
Leak
Dribbling
Disability
Retention
The factors
Nursing Knowledge Base
Infection Control and Hygiene
Growth and Development Psychosocial Implications
Through the Patient’s Eyes / Self-Care Ability / Cultural Considerations / Environmental Factors / Nursing History / Physical Assessment / Assessment of Urine / Laboratory and Diagnostic Testing
Assessment
Data Cues
Diagnosis
Outcomes / Setting Priorities / Teamwork and Collaboration
Planning
Health Promotion
Implementation
Through the Patient’s Eyes / Patient Outcomes
Evaluation
Is essential for normal body functioning
Bowel Elimination
The intentions
Scientific Knowledge Base
Breaks down nutrients
Mouth
Contracts food
Esophagus
Storage of food and liquid, mixing of food with digestive juices, and regulates emptying of contents or substances
Stomach
Facilitates digestion and absorption
Small Intestine
Tends waves of peristalsis
Large Intestine
Supposed expel of feces and flatus
Anus
The factors
Nursing Knowledge Base
Factors Influencing Bowel Elimination
Age
Diet
Fluid Intake
Physical Activity
Psychological Factors
Personal Habits
Position During Defecation
Pain
Pregnancy
Surgery and Anesthesia
Medications
Diagnostic Tests
Improper diet
Constipation
Unrelieved Constipation
Impaction
Increased stools
Diarrhea
Uncontrolled feces
Incontinence
Abdominal fullness
Flatulence
Engorged lining
Hemorrhoids
Determines stool consistency
Ostomies
Ileoanal Pouch Anastomosis
Others
Through the Patient’s Eyes / Nursing History / Environmental Factors / Physical Assessment / Laboratory Tests / Diagnostic Examinations
Assessment
Actual or Potential Elimination Problems
Diagnosis
Outcomes / Setting Priorities / Teamwork and Collaboration
Planning
Health Promotion / Acute Care / Restorative Care
Implementation
Through the Patient’s Eyes / Patient Outcomes
Evaluation