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Bowel Elimination
Bowel Elimination
Bowel Elimination
Absorbs
Elimination of waste products of digestion from the body
Feces or stool - *excreted waste product Water
- too little water; diarrhea
Physiology of Bowel Elimination
- Too much water ; constipated
Physiology of defecation is depends on the functioning of the - Cholera ; death by dehydration
following Inorganic Ions
Large intestine - Sodium and Potassium
- colon and ileocecal valve
Rectum If we loss large intestine the kidney can fulfil this functions
- anal canal and nervous system Bacteria on colon - assist digestion of nutrients
5% of stool composed of bacteria that important digesting of
carbs; the biproducts get from that is methane(CH4) and
hydrogen sulfate (H2S)
CH4 - causes flatulent
H2S - smell terrible
Rectum
Storage
Important part of GI tract
Right colon (ascending colon) Stool present in rectum it pushes on IAS, the IAS will
Transverse colon - runs transversely relax and open and allow the stool to move forward
Descending Colon
Sigmoid colon - s shape External Anal Sphincter (EAS)
skeletal muscle (we control)
Release food we ate
1
Key points
3 main function
Absobtion of water and nutrients
Mucoid protection of the intestinal wall
Fecal elimination
2 products of digestion
Flatus
- largely air (gas)
- By prodcut of digestion of carb
- Adult 400-700 ml daily
2
Factors Affecting Bowel Elimination Physical Activity
Age With activity it stimulates peristaltic movement of colon
Newborns and Infants
Meconium - first fecal material pass by the newborn normally Psychological factors
after 24 hrs after birth Emotional and stability increases of peristaltic movement
Black, tarry, odorless and sticky and subsequent diarrhea
It is then followed by transitional stool (witch follows after People that are depressed may experienced slowed
about a week) generally greenish-yellow color because it intestinal motility, resulting in constipation
contain mucosa Infants - passes stool often after
feeding because their intestine just like kidney is immature so Defecation Habits
water is not well reabsorb Early bowel training may establish the habit of defecating
Stool is soft liquid and very frequent for breastfed infants at a regular time.
Yellow to golden feces - breastfeed
Dark yellow or tan stool - formula Medication
Side effects of drug can interfere with normal elimination.
Toddler medication can cause constipation like painkiller,
1 year and half to 2 yrs - control defecation diarrhea caused by anti biotics, and medication lead to
Start parents to potty train their kids defecation like laxative
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Medication
Laxatives
Colon Disease
Surgery
Incontinence
Inability to control passage of feces and gas from the
anus
Flatulence
Gas accumulation in the lumen of intestines
The bowel wall stretches and dispense
Impaction Cause abdominal pain and cramping
Results from unrelieved constipation
Associated S/S: Loss of appetite, abdominal distention,
Hemorrhoids
cramping, rectal pain
dilated, engorged veins in the lining of the rectum
Commonly cause by frequent constipation, pregnancy,
heart failure and chronic kidney disease
2 Types
External - clearly visible on anus
Internal - cause of bright red stool
Diarrhea
Increase in number of stools and the passage of liquid,
unformed stool
Bowel Diversion
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Patient who undergo Colostomy Nursing Process Assessment
Nursing History
Physical Assessment
Lab Test
Fecal characteristics
Diagnostic evaluation - Endoscopy, Colonoscopy
Positioning of patient-squatting
Positioning on bedpan
Irritated stoma
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Digital removal of stool (use of finger, most in infant)
Ostomy care
Fecal Incontinence Devices
Fiber and Fluid
Nursing Diagnosis
Bowel Incontinence
Constipation
Diarrhea
Impaired skin integrity
Body Image Disturbance
Altered bowel elimination