Fundementals Defication

What initiated bowel movement?

• Relaxtion of Internal spinchter

How should you position during defecation?

• Should be squatting

• This gets rid of kink when normally sitting

What stool symptom has a distinct odor?

• C. diff

What is constituents in feces?

• Blood

  • Melena (dark, upper)

  • Hematochezia (bright, lower)

What else can cause dark stool?

• Too much Iron

What are Hypoactive bowel movements?

• <5 sounds/min

What are Hyperactive bowel movements?

• >34 sounds/min

What are absent bowel movements?

• Must listen for 2 minutes

How does fiber affect stool?

• Bulks and softens it

What should be considered in assessing constipation?

• Volume

• Frequency

• Difficulty

• Incomplete feeling

What can constipation cause?

• Neurological injury

• Megacolon

• Medication affects

• Lifestyle

How does age affect bowel elimination?

• Slowing of GI motility with increase stomach emptying

• Decreased muscle tone

• Decreased fluid intake, poor nutrition

What can cause constipation in the hospital?

• Demographic

• Illness severity

• Latrogenic factors (Meds, immobility)

What is Relistor used for?

• Opioid induced constipation