Managing Basic Physiological Needs

Managing Basic Physiological Needs - Managing Basic...

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Unformatted text preview: Managing Basic Physiological Needs Managing Basic Physiological Needs Elimination Bowel function Bladder function Rest and Sleep Activity Special Needs of Older Adult Elimination-Bowel Function Main function of colon and rectum is storage and passage of feces Remember to find out what is normal pattern in your patient Constipation Fewer than 3 bowel movements per week, hard stools, and difficulty with evacuation Elimination-Bowel Function Constipation causes/precipitating factors Normal physiological changes in elderly Beliefs by older adults-cultural Numerous physical and psychological factors Remember that constipation is a symptom not a disease Often a reflection of poor habits, postponed passage of stool and many chronic illnesses Elimination-Bowel Function Fecal impaction Major complication of constipation Common in incapacitated and institutionalized elderly people Removal at times worse than the misery of the condition Prevent, prevent, prevent Elimination-Bowel Function Fecal or bowel incontinence Inability to control the passage of stool or gas via the anus or involuntary loss of stool from the rectum at inappropriate times Has social ramifications It is a symptom Promoting Healthy Aging Assessment Causes and precipitants of constipation, incontinence Physical examination to rule out systemic causes Interventions Examine the medications the patient is on Non-pharmacological interventions Pharmacological interventions e.g. laxatives and enemas Fecal impaction managed by digital removal Fecal incontinence managed same as urinary Elimination-Bladder Function Normal bladder function requires an intact brain and spinal cord, competent bladder, and active sphincters Urinary incontinence-loss of ability to control the elimination of urine on an occasional or consistent basis Consequences of urinary incontinence are: dependence, shame, guilt, and fear EBP-clinical practice guidelines for urinary incontinence in adults Types of Urinary Incontinence Stress Occurs more often in elderly women Occurs when intraabdominal pressure exceeds urethral resistance Involuntary loss may occur when person sneezes, coughs, bends over, lifts a heavy object Urge (overactive bladder) More common in younger women Caused by central nervous system lesions, bladder tumors or UTI Cannot inhibit urination long enough to reach toilet Types of Urinary Incontinence Overflow Result of neurological abnormalities of spinal cord that affect contractility of detrusor muscle of the bladder...
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This note was uploaded on 02/16/2011 for the course NURS 313 taught by Professor Astle during the Fall '10 term at South Carolina.

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Managing Basic Physiological Needs - Managing Basic...

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