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25 Cards in this Set

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feces
waste or exrament from the gastrointestinal tract
flatus
intestinal gas
peristalis
rythmical contractions of the intestinethat propel gastric contents through the length of the gastrointestinal tract
defication
passage of feces from the digestive tract through the rectum
cathartic
drugs that act to promote bowel evacuation
suppository
a solid cone shaped medicated substance inserted into the rectum, vagina or urethra
hemorrhoids
distended veins in the anus and rectum
rectal tube
at tube inserted into the rectum to expell gas?
impaction
a condition of being firmly wedged or lodged; in reference to feces, a collection of hardened puttylike feces in the folds of the rectum
stool
feces-waste products excreted from the large intestine
bowel sounds
bowel sounds
enema
a solution injected into the rectum and the sigmoid colon
laxative
a medication that stimulates bowel activity
diarrhea
defication of liquid feces and increased frequency of defication
State factors that affect bowel function
developmental stage, diet,fluid intake (2000ml/d)
activity, psychological factors, defication habits, medications, diagnostic proceedures, anesthesia and surgery, pathologic conditions(irratable bowel synd.)Pain
describe the changes that occur in the bowel function throughout the life cycle:
Infants/newborns
- immature intestine
- water is not well absorbed,less bacterialflora.
- pass frequent,soft,liquid stools.
-Meconium x1wk->transitional stools x1wk.
-Breast-fed=yellow,mustard seed stools
describe the changes that occur in the bowel function throughout the life cycle:
toddlers
some control 1 1/2- 2 years of age, secondary to nervous and muscular developement.toilet training begins when aware of -discomfort dirty diap.and recognition of sensationto defecate
describe the changes that occur in the bowel function throughout the life cycle:
school-aged children
similar habits to adults may delay defication because of an activity
describe the changes that occur in the bowel function throughout the life cycle:
older adults
condtipation,
teaching is key re:definitions of regularity, laxative abuse, diet, fluids,exercise.
REFER to MD. for full evaluation if bowel chges, wt.loss, pain, fever
descibe the charateristics of normal stool
Color- brown-yellow
Consistency-formed,moist,soft,semi-solid,
Shape- varies w/diet
amount/shape-
descibe the charateristics of constipated stool
color- usually dark
consistency- small dry hard
shape- pellet
amount/shape- less that 3x wk
small amount
descibe the charateristics of diarrhea
color- variable
consistency- liquid
shape- uniform
amount/shape- incresed frequency
data to be collected during a nursing history when assesing a client's ability to meet the need for bowel elimination
-Defication patterns: usual pattern,any recent changes.
-Characteristics of stool& any recent changes:describe normal stool,color, texture & shape
-Fecal elimination problem identified(past/present)& what contributes to it.
-Factors ifluencing elimination:elimination aids, diet,fluid intake,exercise,medications,
physical influencing factors(pregnacy,disease)
Health promoting activities/behaviors in relation to fecal elimination
-Reg exercise,
-high fiber diet,veggies,fruits,whole grains.
maintain fluid intake of 2,000 ml/day
-Do not ignore urge to defecate
-Allow time to deficate
(same x daiy)
-Avoid OTC meds.to treat constpation & diarrhea(may cause dependency and electrolyte imbalance)
Measures that promote normal/regular defication
-provide privacy
-timing, routine
-nutrition
-exercise
-positioning (lean slightly forward)