Elimination
Page 2: Learning Outcomes
Understand factors that affect urinary and bowel elimination
Familiarize with common urinary and bowel problems
Familiarize with how to diagnose problems
Familiarize with managing problems
Familiarize with stomas and indwelling catheters
Page 4: Factors affecting bowel elimination
Age
Diet
Fluid intake
Physical activity
Personal habits
Position during defecation
Pain
Pregnancy
Surgery and anesthesia
Infection
Medications
Psychological factors
Page 5: Common bowel elimination problems
Constipation
Impaction
Diarrhea
Incontinence
Flatulence
Hemorrhoids
Inflammatory bowel disease
Bowel cancer
Page 6: Bowel diversions
Certain diseases e.g. inflammatory bowel disease
Result in the need for temporary or permanent opening (stoma) in the abdomen
Stoma: piece of bowel which is exteriorized and pulled through the abdomen wall to re-route feces
Two types of stomas; ileostomy and colostomy
Page 7: Complications with a stoma
Stoma injury
Pouch leakage
Peristomal skin irritation
Allergic reaction to adhesives or ostomy products
Page 8: Documentation
Record the date and time of applying or changing the pouching system
Note the character of drainage, including color, amount, type, and consistency
Describe the appearance of the stoma and the peristomal skin
Document teaching provided to the resident and family (if applicable), their understanding of that teaching, and any need for follow-up teaching
Page 9: Common diagnostic tests
Endoscopic procedures
Gastroscopy
Colonoscopy
Radiological examination
Page 10: Health promotion
Routines
Toilet position
Equipment
Encourage food and fluid
Regular activity and exercise
Comfort
Reducing psychosocial impact
Laxatives
Rectal suppositories
Anti-diarrheal agents
Skin integrity
Page 12: Factors that influence urinary production
Growth & development
Fluid balance
Changes to renal function
Changes to bladder function
Illness & frailty
Psychological and environmental factors
Surgical procedures
Medications
Page 13: Diagnostics
Urinalysis
Bladder ultrasound scan
Imaging procedures
Abdo x-ray
Magnetic Resonance Imaging (MRI)
Computed Tomography (CT)
Endoscopy procedures
Page 14: Common urinary elimination problems
Lower urinary tract infections
Urinary incontinence
Prostatic hypertrophy and prostate cancer
Urinary retention
Chronic kidney disease
Renal calculi (Nephrolithiasis)
Page 15: Indications for catheterization
Perioperative use in selected surgeries
Acute urinary retention or obstruction
Hospice/comfort care/palliative care
Accurate measurement of urinary output in critically ill patients
Required strict immobilization for trauma or surgery
Assistance in healing of severe perineal and sacral wounds in incontinent patients
Page 16: Health promotion
Routines
Privacy and time to void
Stimulating micturition reflex
Encourage food and fluid
Pelvic floor exercises
Skin integrity
Routine catheter care
Preventing catheter-associated UTI
Continence aids and appliances
Page 17: Catheterization
Silicon tube inserted into the bladder via the urethra
Provides continuous flow
Several methods: indwelling catheter, intermittent catheterization, suprapubic catheterization
Catheter-associated urinary tract infection (CAUTI) accounts for 35% of healthcare-associated infections
Sterile technique
Be alert for post-obstructive diuresis
Sterile catheter selection should be based on client need and latex allergy
Catheter can be either Silicone, Silicone coated, Hydrogel coated, Silver coated, or Latex
Saline 0.9% or antiseptic are appropriate for cleaning
Securement device instead of adhesive tape to client's thigh
Page 18: Indications and Contraindications
Contraindications: urethral injury, urethral stricture, recent urinary tract surgery, and the presence of an artificial sphincter
Not a substitute for urinary or fecal incontinence
Indications: acute urine retention or bladder outlet obstruction, need for accurate urine output measurements in critically ill patients, perioperative use, prolonged surgery, surgery requiring large-volume infusions or diuretic use, continuous bladder irrigation, administration of drugs directly into the bladder, intraoperative urinary output monitoring, assistance in the healing of open sacral or perineal wounds or skin grafts, prolonged immobilization, improved comfort for end-of-life care if necessary
Page 20: Nursing care
Use sterile technique when inserting, manipulating, and maintaining
Maintain a sterile, continuously closed drainage system; don't disconnect or break the system unless absolutely necessary
Avoid irrigation unless necessary
Indwelling urinary catheter inserted for surgery, ensure its discontinuation within 24 hours after surgery unless another indication exists
Review the need for the indwelling urinary catheter daily
Remove it as soon as it's no longer necessary
Page 21: References
Watt, E. (2021). 'Maintaining continence; urinary'. In Potter and Perry's Fundamentals of Nursing 6th ed. Elsevier, pp. 1043-1088.
Watt, E. (2021). 'Maintaining continence; bowel'. In Potter and Perry's Fundamentals of Nursing 6th ed. Elsevier, pp. 1090-