WEEK 6: Bowel elimination and ostomy Flashcards
What are the 2 things that can be offered to a pt who is unable to maintain normal elimination?
1) Bedpan
2) Enema administration
True or false? Chronic constipation is a functional GI disorder
TRUE
True or false? Constipation is a complication of acute stroke
TRUE
How does constipation occur in palliative care population?
It is most usually opioid induced
What is classified as failure of adequate bowel function?
Postoperative ileus and severe abdominal distention
What are some common safety guidelines for pt’s elimination?
- When possible, place pt’s on toileting schedule
- When digital removal of impacted fecal material is ordered you MUST take baseline vitals and monitor heart rate through the procedure
- Always use standard protocol when handling fecal matter
What are the 2 types of bedpans?
1) Regular bed pan (big one) = usually for independent pt’s
2) Fracture bedpan (smaller one) = immobile pt’s
What are the types of feces? From the Bristol stool form
1) Difficult to pass, separated hard
2) Sausage shaped but lumpy
3) Sausage with cracks
4) Smooth and soft
5) Soft blobs (passed easily)
6) Fluffy pieces
7) Watery, no solid (entirely liquid)
Define fecal impaction
Inability to pass a collection of hard stool. Occurs in all age groups
When are digital removal performed?
When enemas and suppositories are not successful. This procedure requires an order
Define implementation
Help patient to a left side-lying position with knees flexed and back.
When do you stop with the enema?
Enemas until clear
What are the types of stomas and its relation to the type of surgery done?
1) Budded stoma = colostomy
2) Retracted stoma = ileostomy
What is a one piece pouching system vs two piece?
One piece: integrates the skin barrier and pouch together
Two pieces: skin barrier and pouch are separate
