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Nursing Interventions to Promote Normal Bowel Elimination

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Nursing Interventions to Promote Normal Bowel Elimination
NURSING INTERVENTIONS
TO PROMOTE NORMAL
ELIMINATION
Aujero, Cacar
Bilon, Kristine
Domingo, Essie
Ibrahim, Omaeir
Panopio, Eunice
Salcedo, Demsky

Urination
 Micturition, voiding, and urination all refer to the process of emptying the urinary bladder.
Defecation
 Elimination of the waste products of digestion from the body.
- Expulsion of feces from the anus and rectum.
- The excreted waste products are referred to as feces or stool.


Maintaining Normal Urinary
Elimination




Promoting fluid intake
Maintaining normal voiding habits
Assisting with toileting

Promoting Fluid Intake




Increasing fluid intake increases urine production, which in turn stimulates the micturition reflex
Normal daily intake averaging 1500 ml of measurable fluids is adequate for most adult clients

Maintaining Normal Voiding
Habits


Prescribe medical therapies often interfere with the client’s normal voiding habits Assisting With Toileting




The nurse should assist clients who are weaken by a disease process or impaired physically to the bathroom and remain with them if they are at risk for falling
For clients unable to use bathroom facilities, the nurse provides urinary equipment close to the bedside and provides the necessary assistance

Intervention for Clients with
Indwelling Catheters






Fluids
Dietary Measures
Perineal care
Changing the catheter and tubing
Removing indwelling catheters

Fluids






Client with a retention catheter should drink up to 3000 ml per day if permitted
Large amounts of fluid ensure a large urine output which keeps the bladder flushed out
Large volumes of urine minimize th risk of sediment or other particles obstructing the drainage tubing

Dietary Measures


Acidifying the urine of clients with a retention catheter may reduce the risk of urinary tract infection

Perineal Care


No special cleaning other than routine hygienic care is necessary for clients with retention catheters nor special meatal care recommended

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