English for Nursing 2

Topic 10
Nama : Ubaidillah
Nim. : 1019031146

ASSISTING WITH ELIMINATION

Instructional objective
The students are expected to be able:
to act out a conversation and practice of helping patient do elimination,and
to write a nursing documentation after helping patient do elimination.

Reading
Direction. Read the nursing note below and get some useful information about assisting patient in
elimination. Then, answer the following questions.

NURSING NOTE
Eliminationreferstotheexcretionofurineandfaeces.Ifyourassistanceisrequired,
betactfulbecausethepersonmaybeveryembarrassedtoacceptyourhelp.Never show
embarrassment, impatience or reluctance because your help means a lot to
someonewhoneedstolayhandson.Whatyouneedtokeepinmindistorespect
theperson's privacyandto be sensitivein your handling,evenif thepersonis
unconscious.

Tips on Helping a Person in Elimination

1. Assess how able is the person to cope with his own excretions.
2. Findoutthepersonusualeliminatinghabitsasmostpeoplehavesomekindof
routine.
3. Whenusingcommode/bedpanorurinal,coverablanketovertheperson'slapto
reduceembarrassment.
4. Toiletpapershouldbeplacewithinreachifthepersoncanmanagehimselfinthe
room.
5. Stay with the person if he is weak and confused to prevent fall hazards.
6. For person who can help himself, leave the room but remain within call.
7. Discourage the person to latch the door for safety reasons.
8. Ifthepersonisincontinent,itisimportantthatheiscleaneduppromptlyfor
comfortandhygienetoavoidembarrassmenttotheperson.
9. Allow the person to wash hands after elimination.

(Source: healthnetcafe.com)

1
Questions:
1. What does elimination referto?
Elimination refers to the excretion of urine and faeces.

2. What are the fundamentals of assisting patients inelimination?

Thefundamentalsofassistingpatientsineliminationisbehavebetactfultothe
patients.

3. How to reduce patient’s embarrassment when using bedpan or urinal in

elimination?
Toreducepatient’sembarrassmentwhenusingbedpanorurinalinelimination is
never show embarrassment, impatience or reluctance because your help
meansalottosomeonewhoneedstolayhandson.Whatyouneedtokeepin
mindistorespecttheperson'sprivacyandtobesensitiveinyourhandling,even
ifthepersonisunconscious.

RelatedVocabularies
Direction. The followings are the vocabularies related to the topic. Practice the pronunciation.
Complete the blanks with the properpronunciation.
A. NeededEquipment

Urinal DisposableGloves Bedpan

/ˈyo͝orənl/ /dəˈspōzəb(ə)lɡləvs/ /ˈbedˌpan/

Towels Toilet Paper Wash Cloths

/ˈtou(ə)ls/ /ˈtoilitˈpāpər/ /wäSHklō(TH
͟ )z/

Underpad Blanket Trash Bag

/ ˈəndərpad/ /ˈblaNGkət/ /traSH baɡ/
B. Nouns
1. Stool/sto͞ol/ :Bangku
2. Urine/ˈyo͝orən/ : Airseni
3. ͞
Bowel movement /ˈbou(ə)l ˈmo ovmənt/ : Gerakanusus
4. Defecation/defəˈkāSHən/ :BAB
5. Waterworks/ˈwôdərˌwərks/ : Bangunan air
6. ͝
Urination/ˌyoorəˈnāSH(ə)n/ :BAK
7. Privacy/ˈprīvəsē/ :Rahasia

C. Verbs
1. Defecate/ˈdefəˌkāt/ : buang air besar(BAB)
2. Urinate/ˈyo͝orəˌnāt/ : buang air kecil(BAK)
3. Lift up/lift əp/ :mengangkat
4. Bend/bend/ :menekuk
5. Set/set/ :memasang
6. Lower/ˈlō(ə)r/ :menurunkan

UsefulExpressions
Direction. Study the following useful expressions when helping patient do oral care. Then, practice
them.
A. Greeting
 Hi.Howareyou?
 Good morning,Maam.

B. Self-Introduction
 MynameisJennifer.Iamyournursetoday.

C. Explaining what you are going todo

 Iamhereto....  I am here to help you do
waterworks.
 Iamgoingto....  Iamgoingtowashmyhands.
 Iwouldliketo....  Iwouldliketoraiseheadofthis
bed.
 Ineedto....  Ineedtoputthisbedpanunder
yourbutttocks.
 Ijustwantto....  I just want to put this urinal
between yourthighs.
 Let me...  Letmehelpyouwashyourhands.

D. Givingquestions
 Doyou..........?  Do you need my assistancefor
yourbowel movement?
 Doyouhaveanyproblemswith
yourwaterworks?
 Canyou..........?  Canyoumoveyourselfeasily?
  Areyou..........?  Areyoufitenoughtogototoilet?

E. Givinginstructions
 Please (V1)............
 Will/Would/Could/Canyou
...............?
 NowIwantyouto....................
 Please role yourself into side-
lyingposition.
 Pleaserollbackontothepan.
 Canyouliftupyourbuttocks?
 Couldyoubendyourlegs?
 NowIwantyoutogivemeyour
hands.

IntegratedListeningandSpeakingExercise
Direction. Accomplish the following conversation then act out the dialogue.
Case:Apatientwhoisconfinedtobedneedstodobowelmovement.
Nurse :Goodmorning,Mrs.Johnson.MayIhelpyou?
Patient :Goodmorning,Nurse.Ineedtohavea(1)bowelmovement.
Nurse :Letmepreparetheequipment.
Now,(2)Wouldyourollyourselftowardstheedgeofthisbed.
Ineedtoplacethisunderpad.
Fine.
Now, (3) lift up your buttock please.
Iwanttoputthisbedpanunderyourbuttock.
Okay. That’sfine.
Patient : Thankyou, Nurse.
CommunicationExercise
Direction. Choose a pair and write a complete conversation on the acts of assisting patient in a
defecation or a urination. You can use the useful expressions above. Then, practice and present your
communication practice.
Nurse → bahtiar nuralam
Patient → eva fauziah

Nurse : Good morning, Miss.

Patient : Good morning, Nurse.
Nurse :Can you tellme your
name? Patient :Myname is eva
fauziah
Nurse :Can you state your
birthdate? Patient
:Okay,08March2001
Nurse :Wheredoyoulive?
Patient :IliveinMalingping
Nurse :Youridentitysamewithhospitalbracelet..Let'smeintroducemyself.My
nameis bahtiar .Iamyournursetoday.Howareyoutoday?
Patient :Ifeelbad,becausemystomachiscramping,Iwanttobowelmovement
Nurse.
Nurse :Okay.Don’tworryIhelpyoutobowelmovement.I'mheretohelpyou
getonthebedpan.Isthatokay?
Patient : Okaynurse
Nurse :Okay,Ipreparethetoolsfirst.
I will help you take off your pants.
Now,Wouldyourollyourselftowardstheedgeofthisbed.
Ineedtoplacethisunderpad.
Fine.
Now, lift up your buttock please.
Iwanttoputthisbedpanunderyourbuttock.
Okay. That’sfine.
Patient :Thankyou,Nurse.
Nurse :Okay.Then,I'mgoingtopullthecoversandraisetheheadofthebedto
90degrees
Patient : Okaynurse
Nurse :IcanbendofthebedtomakeitmorecomfortableforMiss.Nur.
How does that feel?
Patient :IfeelcomfortableNurse.
Nurse :Allright,here’stoiletpaper.
I’llcomebackandcheckonyouafewminuteoryoucanyoupushcall
lightwhenyoudone.
Patient : Okaynurse
Nurse :Iamback.Haveyoufinisheddefecating?
Okay.Iwillusedisposableglovesfirst.
Iwilltakeabedpan.ThenI'llputitintrashbag.Liftupyourbuttock
please.
Okay, that good.
Now,IwillcleanyourassusingawashclothandIwilltakeunderpad.
Now,Iwillhelpyouputonyourpants.
Okay, it’s done
Patient :Thankyounurse
Nurse :You’rewelcome.Isaygoodbye.
Patient :Okay.
NursingDocumentation
Direction. Write a nursing documentation after assisting patient with elimination.

What to document?
1. Patient’sIdentity(atleastnameandage)
2. Nurse’sname
3. Date andtime
4. Significantobservationsandassessmentfindings
Example
Patient Identity
Name : Miss. Eva fauziah Age : 20 y.o.

Results and Findings

 Abdominalcramping.
 Defecate inbedpan
 Lightbrownstoolonbedpan.
 Patientcooperative

Time : 06.00 a.m.

Day, date: Tuesday, November 09, 2021

Nurse : bahtiar nuralam