nursing ult holtneht of stool and needs to be cleaned up and his sheets changed

Question

nursing

ult holtneht of stool and needs to be cleaned up and his sheets changed 2. Mr. Tobler has an enema ordered to be given Mr. Johnson needs a colostomy irrigation and bag change. 5. CRITICAL THINKING ACTIVITIES 1. Elisa Dimaggio is a 36-year-old executive who eats on the run for most meals. She is having difficulty with increasing constipation. Outline a patient education plan for her to combat this problem. Consider her lifestyle. Prepare to instruct a clinic patient how to collect a stool specimen at home for testing for occult blood. Outline vour points of instruction 2. 3. Prepare a patient education plan for someone who needs to learn to self-catheterize a continent diver- sion. Outline your plan. MEETING CLINICAL OBJECTIVES Directions: The following suggested ac Review your school's clinical objectives for the week and outline a plan of activities that will help you meet them. If you are unsure how to meet them, consult with your instructor at the beginning of the clinical day th n neer to abserye technique. Prac-

Explanation / Answer

(1)Patient Education for constipation:

Education should discuss the factors that relate to constipation:

-Imperfect fluid consumption

-Low-fiber régime

-Absence of activity

-Inactive lifestyle

-Medicine usage

-Purgative overuse

-Pressure / Stress situations

-Despair

-Deficiency of privacy

-Anxiety of discomfort with defecation

-Disregarding need to defecate

-Cancer

-Neurogenic complaints

Outcome of education:

-Patient preserves passageway of soft, shaped stool at an occurrence apparent as “normal” by the patient.

-Patient situates reprieve from uneasiness of constipation.

-Patient classifies procedures that stop or treat constipation.

-Patient or caregiver expresses actions that will avert reappearance of constipation.

Interventions:

-Inspire the patient to take in liquid up to 3000 mL/day, if not contraindicated pathologically.

-Support patient to take at minimum 20 g of dietary fiber per day.

-Wish patient for approximately physical activity and workout. Reflect isometric stomach and gluteal exercises.

-Inspire a regular period for removal.

-A balanced diet that comprises passable fiber, fresh fruits, vegetables, and grains

-Adequate liquid consumption like eight glasses per day.

-An unvarying period for elimination and a passable time for defection.

(2) The doctor or the testing laboratory will give a kit to use for gathering stool samples for the fecal occult blood test. Retain this kit in the bathroom at home. Inscribe your name and other obligatory data on the front of the collection slides.

Flush the toilet twice beforehand your bowel movement. After you move your bowels, use one of the minor wooden sticks from the kit to gather a minor sample of stool. Place this stool sample on the specimen slide. Replicate this process for two extra days or for two more bowel movements, either way as directed per physician.

Use a dissimilar postcard each day. Amid samples, conceal the slides and stock them absent from heat, light and strong elements such as bleach and iodine. When collected all three trials, seal the test cover and return the kit to your doctor or testing laboratory.

(3)Patient education:

A continent urinary diversion is a way of gathering and storage your urine after the bladder has been detached. After the surgery, patient must to stay in hospital for about two weeks so that our medics and nurses can prudently screen your retrieval. Patient will have a catheter in the channel, as well as supplementary catheters straight into your reservoir. This is to help restore inside. The catheter in the channel will continue in place for about three weeks. It will need to be irrigated frequently to clear it.

A person with an ileal conduit or with cutaneous ureterostomy also mechanisms to learn how to maintain for an external pouch. The pouch system typically contains of two fragments—a fence that sticks to the covering, known as a wafer, and a throwaway plastic bag or bag that ascribes to the fence. Occasionally the barrier and pouch are one element. The barrier defends the skin from urine and is intended to be as tender as possible on the skin. The measurement of time the barrier halts closed to the skin be determined by numerous things, such as whether the barrier fits properly, the condition of the skin around the stoma, etc.

The pouch has a drain regulator at the lowest so the patient can empty it into a lavatory deprived of eradicating the pouch from the stoma. Throughout the day, maximum patients necessitate to empty the pouch about as frequently as they used the lavatory beforehand having urinary diversion operation. Patients must empty the pouch when it is about one-third to one-half full. At evening, patients can ascribe a piece of supple plumbing to the gutter valve on the pouch to let urine movement into a superior pouch throughout snooze. Patients should solution and clean the pouch every day and modify it all 5 to 7 days. When altering a pouch, patients need to sanitize the skin around the stoma with a wet towel or wash material. The skin should be totally arid beforehand smearing a new pouch. If the continuous movement of urine from the stoma annoys the skin, patients can use protecting skin rubs or an ostomy dust intended to guard the skin around the stoma.

Related Questions

Navigate

• Browse (All)
• Browse N
• Subjects

---

---

Integrity-first tutoring: explanations and feedback only — we do not complete graded work. Learn more.