CCR2 UNIT 3 - ASSIST CLIENT WITH ELIMINATION NEEDS

Define elimination

Is the body’s way of removing waste products and toxic substances through digestive and urinary tract

Identify common types of elimination device

• bedpan

• Commode

• Urinal

Outline the steps when assisting client with the use of bedpan

• positioned under individual and remove carefully

• Assist client if required

• Ensure safety - call bell, cot side , toilet paper within the client’s reach

Describe bedpan

It is to assist client in their urinary and bowel movements on the bed. It can washed with hot water as sterilization process

Describe urinal

Is a vessel (plastics or metal ) into which urine is passed and measured

Outline the steps to take when assisting client when using the urinal device

• Assistant gives urinal to the client

• Assist as required

Describe commode

Is a chair like toilet with a container below the toilet seat that slides out for cleaning

Outline the steps to take when assisting client using the commode device

• Bedpan to be place under the seat

• Ensure client privacy and safety

• Ensure the wheels are all lock.

Outline the assessment to be made prior to helping client use toilet aid

• Elimination practices of client

• Mobility and mental states of client to determine the choice of elimination device. And the manpower required to assist in elimination

• Fluid/dietary intake - facilitie normal elimination

• Assess the environment for proper lighting, ventilation and privacy. For safety, call bell should be within the reach of the client.

The principles of standard precautions when assisting client with the use of toileting aids(give 3)

• observe, record and report the abnormal found

• Provide perinatal care

• Remain with the client who are weak, confusion, unsteady and assist as required-safety measure

• Toilet device should be offered at regular intervals and as soon as requested

• Position the client appropriately to facilitate voiding

• Ensure toilet device are clean, dry and covered

• Ensure privacy

• After procedures - cover & remove the device

Things to observe for

Colour

• Brown, black, green , yellow or blood stained stool

Amount

• small/fair , moderate or large

Consistency

• soft, loose, watery or hard

Odour

• affected by indigested food or and normal flora

List down the Bristol stool chart

Principles of using elimination aids

• Measure intake and output - pour in measuring jug for accurate measurement and corresponding diet with output nutrition assessment

• Record

• Report - for any abnormality