Week 9 Chapter 30 Flashcards
How often should people defecate
Everyday or every 2 to 3 days
4 to 6 times a day
What is normal for your client
Constipation
Is passage of hard, dry stool with less frequency then normal
How long till it is a problem they haven’t defecated
3 days
Normal stool is
Brown
Soft
Formed
Moist
Shaped like the rectum
Best time to have a bowel movement
20-30 mins after breakfast
Why is that a good time to have a bowel movement
Has the most peristalsis
Peristalsis
Series of wave like muscles contractions that move food through the digestive tract
Fibre is good for
Adds Bulk to move the chyme through
How to promote regular bowl movement
Nutrition, fluids, and activity
What’s the maximum amount of time you can leave a person on a bedpan
20 mins
Hemorrhoids
Swollen veins in the anal canal
When should you don’t do the valsalva maneuver
When you have a heart condition
Chyme
Food and fluid that are Partially digested in the stomach
What can you do as a Psw for constipation
Dietary changes, fluid and activities
Medication and enemas
Signs of fecal impaction
Nausea, vomiting, cramping
Diarrhea
Frequent passage of liquid stool
What should you do if diarrhea persists
Isolation
Diarrhea is dangerous for elderly why
They are already dehydrated
Signs of dehydration
Dry mucus membrane
Less urine output
Dryer skin
Lower blood pressure
Cognitive impairments
Fecal incontinence
Inability to control the passage of feces and gas through the anus
How often should you check briefs
Every three hours
Change right after they go
Flatulence
Is excessive formation of gas or air in the stomach and intestines
Goals of bowel training
To gain control of bowel movements
Develop a regular pattern of elimination
Enema
The introduction of fluid into the rectum and lower colon
Rectal tubes are inserted
Every 2 to 3 hours
Inserted in 10 cm
Stays there for 30 mins
Ostomy
Surgically created opening
Colostomy
Surgically created opening between the colon and the abdominal wall
Can be permanent or temporary
Ileostomy
Surgically created opening between the ileum and the abdomen
How often should you change a Ostomy bag
Every 3 to 7 days
Or when leaking or damaged
Colon cancer is on the rise and when do they check for it
50 years old
Fecal impaction
Prolonged retention and accumulation of feces in the rectum
Digital removal of an impaction
Manually remove fecal mass with a gloved finger
Relieve bloating
Exercise, walking, left-side-lying position to produce flatus
Suppository
Is a cone-shaped, solid medication
The more of the colon that the client has
The more solid and formed the stool will be
Factors that affect bowel movements
Lack of privacy
Personal habit
Diet
Fluid
Activity
Medication
Aging
Disability
If fecal impaction is not treated it can lead to what
Bowel obstruction
Our most important role as a Psw
Observing how much fluid is lost
Administering enemas is a
Delegated act
What is the risk of diarrhea
Skin breakdown and pressure ulcers
What is the risk of limited mobility
Constipation and fecal impaction
