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CHAPTER 16
ELIMINATION NEEDS
DESCRIBE HOW THE NA CAN HELP PATIENTS MAINTAIN NORMAL ELIMINATION, AND LIST PROBLEMS THAT AFFECT NORMAL ELIMINATION
LIST THE GUIDELINES TO FOLLOW WHEN ASSISTING PATIENTS WITH TOILETING
ASSIST WITH USE OF A URINAL, BEDPAN, BEDSIDE COMMODE, AND BATHROOM
PROVIDE PERINEAL CARE
ID THE TYPES OF URINARY CATHETERS AND HOW THEY ARE USED
DESCRIBE THE NA’S RESPONSIBILITIES FOR CATHETER CARE
EMPTYING THE URINE DRAINAGE BAG
Key Terms
Bed pan
Condom catheter
Constipation
Defecation
Diarrhea
Feces
Foley catheter
Incontinence briefs
Key Terms
Perineal care
Perineum
Portable bedside commode
Urinal
Urinary catheter
Urinary meatus
Foley Catheter/indwelling Urinary
Catheter
Foley Catheter
Condom Catheter
Bed Pan
Fracture Pan
Male Urinal
Female Urinal
Bedside Commode
Adequate fluid intake and high-fiber foods help to maintain normal elimination.
Adequate Fluid Intake
Balanced Diet: Encourage Fiber
Encourage Activity
Toilet Every 2 Hours with Privacy
Maintaining Normal Elimination Patterns
Constipation
Diarrhea
Incontinence
Problems Affecting Normal Elimination
Respond to Request Right Away
Provide Privacy and Warmth
Leave Call Button with Patient
Assist: Clean and Dry Perineal Area
Key Guidelines for Toileting
At least Daily Included in Bathing
Front to Back
Encourage Patients to do Own Care
Wear Disposable Gloves
Follow Facility’s Policy
Warm H20 Temp 100-105 F
Perineal Care
Keep the drainage bag below the level of the patient’s bladder.
Reduces Urinary Infections
Times: AM/PM Care, Along with Perineal
Care
Keep Drainage Bag Below Bladder
Do not Disconnect Drainage Bag
Catheter Care