Ncmp107 Rle Revalida PDF

ATENEO DE NAGA UNIVERSITY BS NURSING BATCH 2027 CARE OF MOTHER, CHILD AT RISK, OR WITH PROBLEMS (ACUTE AND CHRONIC) ADAPTED FROM: POWERPOINT/LECTURE COURSE OUTLINE: REVALIDA o Older Ad...

ATENEO DE NAGA UNIVERSITY BS NURSING BATCH 2027 CARE OF MOTHER, CHILD AT RISK, OR WITH PROBLEMS (ACUTE AND CHRONIC) ADAPTED FROM: POWERPOINT/LECTURE COURSE OUTLINE: REVALIDA o Older Adults – Gastrocolic Reflex (increased peristalsis) 1. Oxygenation 2. Suctioning Pathologic Conditions 3. Enema Administration Position during defecation 4. NGT Feeding Surgery or anesthesia 5. Basic Life Support Pain Medications o Narcotics – delayed gastric emptying Enema Administration Diet Fluid Intake BOWEL MOVEMENT Activity Psychological Factors passage and dispelling of stools through the intestinal tract by means of intestinal smooth COMMON BOWEL PROBLEMS muscles Diarrhea LARGE INTESTINE Constipation cecum, ascending, descending Bowel Obstruction primary organ of bowel stimulation absorption of water and nutrients after eating CONSTIPATION mucus protects lining from acids causes: three movements: o insufficient fiber and fluid intake o Haustral Churning – movement of chyme o irritable bowel syndrome (IBS) within haustra o insufficient activity o Peristalsis – wavelike movement; forwards management: content o adequate fluid intake, high fiber o Mass Peristalsis – after eating o establishing a regular pattern of elimination o respond immediately to urge FECES 75% water, 25% solid FECAL IMPACTION mass or collection of hardened feces in folds or rectum COLOR adult – brown infant – yellow management: o manual extraction/fecal disimpaction black/tarry – bleeding; medication o increased fluid intake, bulk diet (iron), dark green veggies clay/white – absence of bile DIARRHEA pigment red – bleeding in lower GIT passage of liquid feces and increased frequency of defecation orange/green – intestinal infection major cause: stress yellow – greasy food/fats management: o replace fluid and electrolyte ODOR normal: aromatic o good perianal care abnormal: pungent o promote rest o BRAT, low fiber diet SHAPE normal: cylindrical abnormal: narrow, pencil-shaped BOWEL INCONTINENCE loss of voluntary ability to control fecal and gaseous normal: small amount discharges abnormal: pus, parasites FLATULENCE sources: diarrhea – irritation in colon o action of bacteria on chyme o swallowed air causes: FACTORS AFFECTING BOWEL MOVEMENT o food o abdominal surgery Development management: o Newborn & Infants – meconium, frequent o avoid gas forming food passing of stool o warm fluids o Toddlers – some control at 1.5-2 years old o early ambulation for post-op o School-aged Children 1 I BY TIN ARMEA, RR26  ATENEO DE NAGA UNIVERSITY BS NURSING BATCH 2027 CARE OF MOTHER, CHILD AT RISK, OR WITH PROBLEMS (ACUTE AND CHRONIC) ADAPTED FROM: POWERPOINT/LECTURE NURSING PROCESS use gloves sim’s position ASSESSING Nursing History TYPES OF ENEMA o client’s normal pattern o description of usual feces 1. CLEANSING ENEMA o recent changes stimulates peristalsis by irritating the colon and o post problems with elimination rectum by distending the intestine with volume of Physical Exam fluid introduced o abdomen, rectum, anus solution: soap water/normal saline o auscultate before palpate because o Adult: 500-1000 ml palpation alters peristalsis (Inspection, o Children: 500-1000 ml Auscultate, Percussion, Palpation) o Toddler: 250-500 ml o normal gurgling: 5-30 bowel sounds/min o Infant: