Urinary Elimination (PDF) - University of Buraimi

URINARY ELIMINATION SLIDES NURS 112/ Funda – 2 Team PREPARED BY PRESENTER NURS 112/ Funda – 2 Team COLLEGE / COHS CENTRE PROGRAM NURSING SEMESTER 1  Course Outcomes (From Course Specification) A...

URINARY ELIMINATION SLIDES NURS 112/ Funda – 2 Team PREPARED BY PRESENTER NURS 112/ Funda – 2 Team COLLEGE / COHS CENTRE PROGRAM NURSING SEMESTER 1  Course Outcomes (From Course Specification) At the end of the session students will be able to, Define urinary Elimination Explain the factors influencing urination Discuss the common urinary Elimination problems Explain the Nursing responsibility while collecting urine specimen. 2 U N I V E R S I T Y O F B U R A I M I  Urinary Elimination ‫ ﺗﺼﻔﻴﺔ ﻧﻔﺎﻳﺎت اﻷﻳﺾ ﻣﻦ اﻟﺪم‬- ‫اﻟﻜﻠﻰ‬ ‫ ﻳﻨﻘﻼن اﻟﺒﻮل ﻣﻦ اﻟﻜﻠﻰ إﻟﻰ اﻟﻤﺜﺎﻧﺔ‬- ‫ اﻟﺤﺎﻟﺒﺎن‬ The- last step in the -M removal and elimination of excess water and by- products of body - - metabolism Cenergy producing) west products T Kidney – filter waste products of - metabolism from the blood & Loading… types Ureters – transport urine from the kidneys & to the bladder bag/balow/relux mussel Bladder – holds urine ‫ ﺗﺤﺘﻔﻆ ﺑﺎﻟﺒﻮل‬- ‫ اﻟﻤﺜﺎﻧﺔ‬ sensation ‫ ﻳﺤﺪث ﻋﻨﺪﻣﺎ ﻳﻌﻄﻲ اﻟﻤﺦ‬- ‫اﻟﺘﺒﻮل‬ - Micturition – occurs when the brain gives the - - ‫ ﻓﺘﺘﻘﻠﺺ اﻟﻤﺜﺎﻧﺔ وﺗﺴﺘﺮﺧﻲ‬،‫اﻟﻤﺜﺎﻧﺔ إﺷﺎرة ﻹﻓﺮاﻏﻬﺎ‬ bladder signal to empty, the bladder contracts - - - ‫اﻟﻌﻀﻠﺔ اﻟﻌﺎﺻﺮة اﻟﺒﻮﻟﻴﺔ وﻳﺨﺮج اﻟﺒﻮل ﻣﻦ اﻟﺠﺴﻢ ﻋﺒﺮ‬ and urinary sphincter relaxes and urine leaves - ‫ﻣﺠﺮى اﻟﺒﻮل‬ 3 U N I V E R S I T Y O F B U R A I M I  Factors Influencing Urination Growth and Development age factore Sociocultural factor ‫اﻟﻌﻮاﻣﻞ اﻟﻤﺆﺛﺮة ﻋﻠﻰ اﻟﺘﺒﻮل‬ ‫ اﻟﻨﻤﻮ واﻟﺘﻄﻮر‬ Psychological factors Quiz/exame because stress - ‫ اﻟﻌﺎﻣﻞ اﻻﺟﺘﻤﺎﻋﻲ واﻟﺜﻘﺎﻓﻲ‬ ‫ اﻟﻌﻮاﻣﻞ اﻟﻨﻔﺴﻴﺔ‬ Personal Habits ‫ اﻟﻌﺎدات اﻟﺸﺨﺼﻴﺔ‬ Pathological Conditions ‫ اﻟﺤﺎﻻت اﻟﻤﺮﺿﻴﺔ‬ ‫ اﻹﺟﺮاءات اﻟﺠﺮاﺣﻴﺔ‬ Surgical Procedures to abdomen effect - ‫ اﻷدوﻳﺔ‬ Medication increase decreases or ‫ اﻟﻔﺤﺺ اﻟﺘﺸﺨﻴﺼﻲ‬ Diagnostic Examination test in hospital any prsigail in abdomen / lab test 4 U N I V E R S I T Y O F B U R A I M I  Common Urinary Elimination Problems ‫ ﻋﺪم اﻟﻘﺪرة ﻋﻠﻰ إﻓﺮاغ اﻟﻤﺜﺎﻧﺔ ﺟﺰﺋﻴًﺎ أو ﻛﻠﻴًﺎ‬- ‫ﻣﺸﺎﻛﻞ ﺷﺎﺋﻌﺔ ﻓﻲ إﺧﺮاج اﻟﺒﻮل اﺣﺘﺒﺎس اﻟﺒﻮل‬ -- - ‫ ﻋﺪوى اﻟﻤﺴﺎﻟﻚ اﻟﺒﻮﻟﻴﺔ‬ ‫ اﻟﺘﻬﺎﺑﺎت اﻟﻤﺴﺎﻟﻚ اﻟﺒﻮﻟﻴﺔ اﻟﻤﺮﺗﺒﻄﺔ ﺑﺎﻟﻘﺴﻄﺮة‬ P back - Urinary Retention – inability to partially or i m - completely empty the- - bladder Urinary Tract infection any in ears Loading… ei - Catheter –associated UTIs urinary always back/voluntry an voluntary - or Urinary Incontinence – defined as the “complaint of & - - any involuntary loss of urine” - & Urinary Diversion – Urine is diverted to the outside - - of the body through an opening in the abdominal wall called theE stoma - "‫ ُﻳﻌَّﺮف ﺑﺄﻧﻪ "ﺷﻜﻮى ﻣﻦ أي ﻓﻘﺪان ﻻ إرادي ﻟﻠﺒﻮل‬- ‫ ﺳﻠﺲ اﻟﺒﻮل‬ & ‫ ﻳﺘﻢ ﺗﺤﻮﻳﻞ اﻟﺒﻮل إﻟﻰ ﺧﺎرج اﻟﺠﺴﻢ ﻣﻦ ﺧﻼل ﻓﺘﺤﺔ‬- ‫ ﺗﺤﻮﻳﻞ اﻟﺒﻮل‬ - U N I V E R S I T Y O F B U R A I M I C ‫ﻓﻲ ﺟﺪار اﻟﺒﻄﻦ ﺗﺴﻤﻰ اﻟﻔﻐﺮة‬ 5  Types and Collection of Urine specimen Random (routine urinalysis) any patient routine -- do can -58 · Clean-voided or midstream (culture and sensitivity) which organism - - & not present Sterile specimen for culture and sensitivity - -Timed Urine specimens ‫أﻧﻮاع ﻋﻴﻨﺎت اﻟﺒﻮل وﺟﻤﻌﻬﺎ‬ (‫ ﻋﺸﻮاﺋﻲ )ﺗﺤﻠﻴﻞ ﺑﻮل روﺗﻴﻨﻲ‬ (‫ ﻋﻴﻨﺔ ﺑﻮل ﻓﺎرﻏﺔ أو ﻋﻴﻨﺔ ﺑﻮل وﺳﻄﻴﺔ )ﺛﻘﺎﻓﺔ وﺣﺴﺎﺳﻴﺔ‬ ‫ ﻋﻴﻨﺔ ﻣﻌﻘﻤﺔ ﻟﻠﺜﻘﺎﻓﺔ واﻟﺤﺴﺎﺳﻴﺔ‬ ‫ ﻋﻴﻨﺎت ﺑﻮل ﻣﺤﺪدة اﻟﻮﻗﺖ‬ 6 U N I V E R S I T Y O F B U R A I M I  Facilitating Urine Elimination 1. Maintain Elimination Habits - ‫ﺗﺴﻬﻴﻞ إﺧﺮاج اﻟﺒﻮل‬ 2. Maintaining - Adequate fluid intake ‫ اﻟﺤﻔﺎظ ﻋﻠﻰ ﻋﺎدات إﺧﺮاج اﻟﺒﻮل‬.1 3. Promote Complete bladder emptying ‫ اﻟﺤﻔﺎظ ﻋﻠﻰ ﺗﻨﺎول ﻛﻤﻴﺔ ﻛﺎﻓﻴﺔ ﻣﻦ اﻟﺴﻮاﺋﻞ‬.2 >j ‫ ﺗﻌﺰﻳﺰ إﻓﺮاغ اﻟﻤﺜﺎﻧﺔ ﺑﺎﻟﻜﺎﻣﻞ‬.3 - 4. Preventing Infection & ‫ ﻣﻨﻊ اﻟﻌﺪوى‬.4 7 U N I V E R S I T Y O F B U R A I M I  Assisting Patient with Urinal and Bedpan https://www.youtube.com/watch?v=BzvzCOu_l5c https://www.youtube.com/watch?v=gXU41fczu-A&t=326s 8 U N I V E R S I T Y O F B U R A I M I  Nursing Alert when Collecting Urine Specimen J. : ‫ وﺿﻊ ﻣﻠﺼﻖ ﻋﻠﻰ ﺣﺎوﻳﺎت أو زﺟﺎﺟﺎت اﻟﻌﻴﻨﺎت ﻗﺒﻞ أن ﺗﻔﺮغ اﻟﻌﻤﻴﻠﺔ اﻟﺒﻮل‬ ‫ وﺿﻊ ﻣﻼﺣﻈﺔ ﻋﻠﻰ ﻣﻠﺼﻖ اﻟﻌﻴﻨﺔ إذا ﻛﺎﻧﺖ اﻟﻌﻤﻴﻠﺔ ﺗﻌﺎﻧﻲ ﻣﻦ اﻟﺪورة اﻟﺸﻬﺮﻳﺔ ﻓﻲ ذﻟﻚ اﻟﻮﻗﺖ‬.‫ ُﻳﻨﺼﺢ ﺑﺘﻨﻈﻴﻒ اﻷﻋﻀﺎء اﻟﺘﻨﺎﺳﻠﻴﺔ ﺑﺎﻟﻤﺎء واﻟﺼﺎﺑﻮن ﻣﺒﺎﺷﺮة ﻗﺒﻞ ﺟﻤﻊ اﻟﻌﻴﻨﺔ‬،‫ ﻟﺘﺠﻨﺐ اﻟﺘﻠﻮث وﺿﺮورة ﺟﻤﻊ ﻋﻴﻨﺔ أﺧﺮى‬ Label specimen containers or bottles before the client voids It should not maxt - - ONote on the specimen label if the female client is menstruating at that time To avoid contamination and necessity of collecting another specimen, soap - & - and water cleansing of the genitals immediately preceding the collection of - - the specimen is supported. - - Maintain body substances precautions when collecting all types of urine - specimen..‫ اﺗﺨﺎذ اﻻﺣﺘﻴﺎﻃﺎت اﻟﻼزﻣﺔ ﻋﻨﺪ ﺟﻤﻊ ﺟﻤﻴﻊ أﻧﻮاع ﻋﻴﻨﺎت اﻟﺒﻮل‬ Be sure to document the procedure & ‫ ﺗﺄﻛﺪ ﻣﻦ ﺗﻮﺛﻴﻖ اﻹﺟﺮاء‬ 9 U N I V E R S I T Y O F B U R A I M I  Procedures Batched - Collecting a single voided specimen ** https://www.youtube.com/watch?v=j19V1HhN3ns Collecting a 24-hour Urine Specimen - https://www.youtube.com/watch?v=T4uQJ05SIe0&t=17s Collecting a urine specimen from a retention catheter https://www.youtube.com/watch?v=jW_GNTEbmiw Collecting a urine culture https://www.youtube.com/watch?v=T9eOPhpUeF8 Emptying Urinary Bag https://www.youtube.com/watch?v=1nJFET8qzmI See attached Checklist 10 U N I V E R S I T Y O F B U R A I M I  References Taylor, C. et. Al (2008). Fundamentals of Nursing, The Art and Science of Nursing Care, Sixth Edition, Lippincott Williams & Wilkins. Mosby Elsevier (2012). Clinical Nursing Skills and Techniques, Seventh Edition, Evolve Learning System. Loading… Potter and Perry (2013). Fundamentals of nursing, 8th edition, Elsevier’s publication. ttps://www.easynotecards.com/book/M8nCMgEACAAJ 11 U N I V E R S I T Y O F B U R A I M I Thank You 12