Nur 42 Elimination vocabulary

• Personal habits
• Fluid/dietary factors
• emotional
• exercise
• medication
• Age
• Psychological
• other

Diarrhea - the rapid movement of fecal mass through the intestine

The ability to voluntary control the passage of stool

a collection of putty like/hard stool that has accumulated in the rectum or sigmoid colon; prevents passage of a normal stool

Blockage occurs because of a mass or adhesions in the colon preventing the elimination of stool

Abnormal amount of gas in the GI tract causing abdominal distention and discomfort. Flatulence is expelled throught the lower tract.

• a mass of dilated, tortuous, swollen veins in the anorectal region: Two types
• internal - dilated veins in the lower rectum
• External - dilated veins extending outside of the anal mucosa with the anal skin

• Decrease/Increase fx of defecation
• Ha8rd, dry, stool vs. loose stool
• Straining, painful defecation
• Rectal fullness/pressure/incomplete bowel evacuation
• Abdominal cramps, pain, distention
• Use of laxatives
• Decrease apetite/food allergies
• Headache/malabsorption syndrome/stress

• x-ray
• upper GI/ Barium Swallow
• Upper Endoscopy
• Barium Enema
• Ultrasound
• Colonoscopy
• Flexible Sigmoidoscopy
• CT Scan, MRI

An opening on the abdominal wall for the elimination of feces or urine

• Gastrosotomy
• Jejunosotomy
• Ileostomy
• Colostomy
• Uretheostomy

Know the parts of the intestines!!

• Emotional support
• Gather supplies
• Peri-Stomal skin care
• Assess Stoma (size, color, shape, drainage, type of feces.)
• Dietary habits

• Bulk forming
• Emollient or wetting
• Saline
• Stimulant cathartics
• Lubricants

• Positioning
• Prepare equpiment
• Encourage client to retain solution/assist with toileting
• Document/record output/client response
• other skills - sitz bath

• Verify fecal impaction
• Explain procedure, V/S, Positioning
• Provide privacy
• Don Clean gloves and lubricated finger
• Periodically assess vital signs; stop if clients heart rate goes up
• Assist the client to toilet/bedpan

The act of making urine;the desire to urinate; aka voiding

• Developmental
• Psychosocial
• Personal Habits
• Fluid & food intake
• Medications
• Muscle tone and Activity
• Pathological conditions
• Surgical and Diagnostic procedures

the absence of urine formation

Diminished urinary output relative to intake ( ussually 400mL/24hr)

Excessive passage of urine, as in diabetes

The uncontrolled or involuntary discharge of urine

Involuntary withholding by the body of wastes or secretions that are normally eliminated.

an infection of one or more structures in the urinary system. The condition is more common in women than in men. UTI may be asymptomatic but is usually characterized by urinary frequency, burning pain with voiding, and, if the infection is severe, visible blood and pus in the urine. Diagnosis of the cause and location of the infection is made by microscopic examination and bacteriologic culture of a urine specimen. Teaching the patient about increased fluid intake, frequent voiding, and good perineal hygiene is also helpful.

To flow or fall in drops or an unsteady stream; trickle

The quantity left over at the end of a process; a remainder.

excessive urination at night; especially common in older men

Painful or difficult urination.

The presence of blood in the urine.

Urinary hesitancy describes a difficulty in passing urine that may involve starting or maintaining the flow of liquid wasteRead more

ity to control the flow of urine and involuntary urination

• Inspection
• Olfaction - smells indicating incontinence
• Palpation
• V/S
• Weight
• Abdominall Girth

• Intake and Output
• Characteristics of urine
• Urine testing
• Las - Specific Gravity/BUN/Creatinine/U/A
• other procedures - IVP, CT, Cystoscopy

• Urinalysis
• Urine Cultural
• Clean Voided
• Timed Urine
• Indwelling Catheter
• Intermittent Catheterization

Feels the urge to go suddenly and cant get to the toilet

Coughing, Sneezing, Laughing, r/t increased abd. pressure

Unaware the bladder is full and the client voids in response to spinal reflex

Part of the ileum is removed; the intestinal ends are re-attached; one end is closed to create a pouch and the other is brought out through the abd. wall to create a stoma

Part of ileum is used as a pouch to collect urine- client must self catheterize

A nephrostomy tube is a small rubber tube that is placed through a hole in the skin and that extends into the kidney. The tube allows direct drainage from the kidney.The device attaches to a collection bag that collects and measures urine output. The tube allows urine to bypass blocked or damaged ureters in order to avoid the risk of infection or irreversible damage that the backflow of urine causes for a patient with a blockage or leak.

• Assess for clients last void
• Assess clients knowledge re:purpose for catheterization
• Hand hygiene, privacy, place waterproof pad, position client
• Cleanse the genital area
• Insert catheter
• Collect a specimen
• Promote client comfort
• Document the procedure and client response