Week 7 - Enteral Feeding, Bowel and Bladder Elimination

Bowel 1. Describe the anatomy and physiology of the gastrointestinal tract and the processes involved in the formation, storage, and elimination of waste products.

Esophagus, Stomach, Small intestine (Duodenum Jejunum, Ileum), Large intestine (Cecum, Ascending colon, Transverse colon, Descending colon, Sigmoid colon, Rectum, Anus)

Bowel 2. Identify common alterations in bowel elimination.

Diarrhea - Secretory (toxins); osmotic (poorly absorbed solutes); Inflammatory (damage: Crohn’s, Cdiff) | dehydration, eletrolye loss, metabolic acidosis

Incontinence - accidental passing

Constipation - less than 3 per week, difficulty, hard & dry | Low fiber, dehydration, immobility opioids, iron supplements

Impaction

Bowel 3. Recognize cues to identify issues with bowel elimination.

Bowel 4. Prioritize nursing diagnoses related to bowel elimination.

Bowel 5. Generate goals for patients experiencing alterations in bowel elimination.

Bowel 6. Implement and evaluate interventions to maintain normal bowel elimination.

Urinary 1. Describe the anatomy and physiology of the urinary system.

Urinary 2. Describe abnormal patterns of urinary elimination, including causative factors.

Urinary 3. Complete a comprehensive assessment of the patient with urinary elimination problems.

Urinary 4. Identify nursing diagnoses related to urinary elimination.

Urinary 5. Create collaborative, patient-centered care plans for patients experiencing alterations in urinary elimination.

Urinary 6. Implement interventions to address altered elimination concerns and evaluate their effectiveness.

Enteral Feeding 1. Identify nursing diagnoses for patients experiencing an alteration in nutrition.

Enteral Feeding 2. Determine nursing care goals and outcome criteria for patients experiencing complications from an alteration in nutrition.

Enteral Feeding 3. Explain the implementation and evaluation of interventions designed to address nutritional needs.