Case Study Week 12.docx - Running head CASE STUDY WEEK 12 1 Case Study Week 12 Dysfunctions of Elimination and Incontinence J.L is a 60-yr old man with

Case Study Week 12.docx - Running head CASE STUDY WEEK 12 1...

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Running head: CASE STUDY WEEK 12 1 Case Study Week 12: Dysfunctions of Elimination and Incontinence J.L. is a 60-yr old man with a history of stoke three years ago who lives at the long-term care facility. He has right-sided hemiplegia with little voluntary movement on that side. In the last 24 hours J.L. has experienced frequent liquid stools. Upon entering the room at the beginning of the shift, the nurse notices a strong fecal odor. 1. What assessments ought the nurse to perform regarding the frequent stooling? The nurse should… o Assess JL’s vitals, including blood pressure, heart rate and temperature o Auscultate JL’s bowel sounds o Palpate lower abdomen and determine firmness of bowel and if there is any distention o Assess the amount, color and consistency of JL’s diarrhea o Determine the type of diarrhea JL is releasing o Assess for signs of malnutrition o Assess for signs of infection, including fever and flushed skin o Assess for signs of dehydration and assess characteristics of urine (amount and concentration) o Review what JL has eaten in the past 48 hours o Determine if JL has had any medication changes or medical procedures in the past few days that could cause diarrhea o Review JL’s past BM habits, including frequency, amount and consistency o Assess JL for pallor, dry mucus membranes and poor skin turgor o Assess perianal region for signs of irritation
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CASE STUDY WEEK 12 2 o
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  • Summer '18
  • Laura Weissback
  • Nursing

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