Podcast
Questions and Answers
What is fecal incontinence also known as?
What are the three primary sources of flatus?
What is an ostomy?
What is the purpose of a gastrostomy?
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What is a stoma?
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What is one of the key aspects of assessing bowel incontinence?
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What is a colostomy?
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What is a key aspect of managing bowel incontinence?
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What is the primary goal of maintaining normal urinary elimination?
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What is the main reason for urinary retention?
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What is the purpose of applying external urinary draining devices?
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What is the term for the sudden, intense urge to urinate followed by an involuntary loss of urine?
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What is the primary mechanism of bowel elimination?
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What is the term for the inability to empty all urine from the bladder?
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What is the purpose of habit training in managing urinary incontinence?
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What is the term for the involuntary urination in children beyond the age of 4?
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What is the primary goal of using absorbent dressings in wound care?
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What is the purpose of applying topical antimicrobial medication in wound care?
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What is the primary goal of debridement in wound care?
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What is the purpose of maintaining skin integrity in wound care?
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What is the purpose of using pressure dressings or elastic bandages in wound care?
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What is the primary goal of wound irrigation in wound care?
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What is the purpose of providing supportive devices in wound care?
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What is the primary goal of maintaining skin hygiene in wound care?
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Study Notes
Fecal Incontinence
- Fecal incontinence refers to the loss of voluntary ability to control fecal and gaseous discharges through the anal sphincter.
- Continence aids such as a condom catheter or absorbent pads may be used.
Flatulence
- Three primary sources of flatus are:
- Action of bacteria on the chyme in the large intestine
- Swallowed air
- Gas that diffuses between the bloodstream and the intestine
Bowel Diversion Ostomies
- Ostomy is an opening for the gastrointestinal, urinary, or respiratory tract onto the skin.
- Stoma is the opening created in the abdominal wall by the ostomy.
- Types of ostomies:
- Gastrostomy (opening through the abdominal wall into the stomach)
- Jejunostomy (opening through the abdominal wall into the jejunum)
- Ileostomy (opening into the ileum)
- Colostomy (opening into the colon)
Assessment
- Nursing history
- Physical assessment
- Inspecting the feces
- Diagnostic studies
Diagnosing
- Bowel incontinence
- Constipation
- Risk for constipation
- Prevent associated risks such as infection, skin breakdown, fluid and electrolyte imbalance, and lowered self-esteem
Urinary Elimination
- Voiding at frequent intervals (less than 4 up to 6 times a day)
- Urinary hesitancy (delay and difficulty in initiating voiding)
- Enuresis (involuntary urination in children beyond the age of 4)
- Urinary incontinence (stress, urge, and overflow types)
Implementation
- Maintaining normal urinary elimination
- Preventing urinary tract infection
- Managing urinary incontinence
- Maintaining skin integrity
- Applying external urinary draining devices
Bowel Elimination
- Process of bowel elimination/defecation involves peristalsis wave creating feces that moves to the anus
Wound Care
- Dressing wounds:
- Protects the wound from mechanical injury
- Protects the wound from microbial contamination
- Provides or maintains moist wound healing
- Absorbs drainage or debrides a wound or both
- Provides thermal insulation
- Prevents hemorrhage (when applied as a pressure dressing or with elastic bandages)
- Implementing wound care:
- Supports wound healing
- Prevents infection
- Prevents pressure ulcers
- Provides nutrition and fluids
- Maintains skin hygiene
- Avoids skin trauma
- Provides supportive devices
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Description
This quiz assesses understanding of fecal incontinence, its management, and flatulence. It covers topics such as medication timing, continence aids, and the sources of flatus.
