ASSISTING WITH URINARY ELIMINATION CHAPTER 22

PROMOTING NORMAL URINATION ENCOURAGE FLUIDS ANSWER CALL LIGHTS PROMPTLY OFFER EVERY 2 HOURS POSITION UPRIGHT PRIVACY TOILET PAPER IN REACH HAND HYGIENE WEAR GLOVES OBSERVATION

TERMS TO KNOW VOID HEMATURIA FREQUENCY URGENCY NOCTURIA DYSURIA

ASSISTING WITH BEDPAN & URINAL Type of bedpan Position Bedpan is “dirty” Infection Control

CARING FOR CATHETERS Catheter Care Emptying the bag Gravity Promote drainage Prevent pulling Keep bag off floor Can be a source of infection

Caring for an Incontinent Person Stress Incontinence Urge Incontinence Functional Incontinence Overflow Incontinence Reflex Incontinence Incontinence Pads and briefs Bed Protectors Condom Catheters Bladder Training Can cause skin problems

MEASURING URINE OUTPUT Why is it important? INDICATOR OF FLUID BALANCE SHOWS KIDNEY FUNCTION HELPS WITH MEDICATION MANAGEMENT

ASSISTING WITH BOWEL ELIMINATION CHAPTER 23 YOUR ROLE ENCOURAGE FLUIDS FIBER EXERCISE ASSIST AS NEEDED PROVIDE PRIVACY DO NOT RUSH COMMON PROBLEMS DIARRHEA CONSTIPATION FECAL IMPACTION FLATULENCE BOWEL INCONTINENCE

ASSISTING WITH OSTOMY CARE ILLEOSTOMY COLOSTOMY STOOL CAN HARM SKIN CAN LEAK EMBARRASSING FOR RESIDENT