CHAPTER 16

ELIMINATION NEEDS

DESCRIBE HOW THE NA CAN HELP PATIENTS MAINTAIN NORMAL ELIMINATION, AND LIST PROBLEMS THAT AFFECT NORMAL ELIMINATION

LIST THE GUIDELINES TO FOLLOW WHEN ASSISTING PATIENTS WITH TOILETING

ASSIST WITH USE OF A URINAL, BEDPAN, BEDSIDE COMMODE, AND BATHROOM

PROVIDE PERINEAL CARE

ID THE TYPES OF URINARY CATHETERS AND HOW THEY ARE USED

DESCRIBE THE NA’S RESPONSIBILITIES FOR CATHETER CARE

EMPTYING THE URINE DRAINAGE BAG

Key Terms

Bed pan

Condom catheter

Constipation

Defecation

Diarrhea

Feces

Foley catheter

Incontinence briefs

Key Terms

Perineal care

Perineum

Portable bedside commode

Urinal

Urinary catheter

Urinary meatus

Foley Catheter/indwelling Urinary

Catheter

Foley Catheter

Condom Catheter

Bed Pan

Fracture Pan

Male Urinal

Female Urinal

Bedside Commode

Adequate fluid intake and high-fiber foods help to maintain normal elimination.

Adequate Fluid Intake

Balanced Diet: Encourage Fiber

Encourage Activity

Toilet Every 2 Hours with Privacy

Maintaining Normal Elimination Patterns

Constipation

Diarrhea

Incontinence

Problems Affecting Normal Elimination

Respond to Request Right Away

Provide Privacy and Warmth

Leave Call Button with Patient

Assist: Clean and Dry Perineal Area

Key Guidelines for Toileting

At least Daily Included in Bathing

Front to Back

Encourage Patients to do Own Care

Wear Disposable Gloves

Follow Facility’s Policy

Warm H20 Temp 100-105 F

Perineal Care

Keep the drainage bag below the level of the patient’s bladder.

Reduces Urinary Infections

Times: AM/PM Care, Along with Perineal

Care

Keep Drainage Bag Below Bladder

Do not Disconnect Drainage Bag

Catheter Care