1. ASSISTING WITH URINARY ELIMINATION
CHAPTER 22

2. 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

3. TERMS TO KNOW
VOID
HEMATURIA
FREQUENCY
URGENCY
NOCTURIA
DYSURIA

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

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

6. 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

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

8. 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

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