COMMUNICATION IN NURSING

CONVERSATION ABOUT NEED FOR

ELIMINATION

GROUP 7
 ELIMINATION
1. Siti noviyanti nanik (role becomes) : Nurse

2. Luluk arif khodijah (role becomes) : Patient (mrs luluk)

3. Denanda aprilia (role becomes) : Mrs Luluk’s daughter

4. Fera purvia .W (role becomes) : Mrs luluk’s husband

5. Tri indriawati (role becomes) : Nutritionists

 Case Conversation
• Nurse : Good morning mrs luluk
• Mrs Luluk : Good morning nurse.
• Nurse : How are you mrs.luluk? you look
uncomfortable today.
• Mrs Luluk : You are right nurse, I feel bad , really
bad (unhealthy).
• Nurse : What’s the problem?
• Mrs Luluk : I haven’t bowels open properly for day.
• Nurse : When did you last have your
bowels open (defaecate)?
• Mrs Luluk : Emmmm,,,maybe last Wednesday.
• Nurse :So that’s 3 days ago. Is it true?
• Mrs Luluk :Yes, nurse. I want to say earlier, but I
was afraid to go to the toilet because
my broken leg still hurts and can’t be
moved.(fractured)
• Nurse : How often do you usually bowels
open? (defaecate)
• Mrs Luluk : Every day without being missed.
• Nurse : That might happen because you
are not as active as before, but to
have bowels open and pass
water you can use a chamber pot.
• Mrs Luluk : Yes right, I can’t do much with
traction in the legs.
• Mrs Luluk’s daughter : Sorry nurse, I am mrs.luluk’s
daughter.
• Nurse : Yes, can I help you?
• Mrs Luluk’s daughter : Not with me. but, I want to ask
about my mother’s condition.
• Nurse : Yes, please.
• Mrs Luluk’s daughter : What my mother can’t bowels
open has to do with the food
eaten?
• Nurse : Yes it’s also another contributing
factor, in addition to decreased
activity due to broken legs.
• Mrs Luluk’s daughter : My mother for few days is hard
to eat vegetables. Is that also the
reason?
• Nurse : Yes, it can too. To make sure I will
check your mother.
• Mrs Luluk’s daughter : Yes, please.
• Nurse : How do you feel now mrs luluk?
• Mrs Luluk : I feel my stomach is full of wind
(flatulence). Look at my stomach,
this is very big. I can’t eat anything
even though my daughter brings
my favorite food.
• Nurse : Yes, your stomach is a little
distanded. Is this sick? (pressing on
the stomach)
• Mrs Luluk : Yes, there feels a little pain when
pressed.
• Nurse : How do you have bowels open before
these three days?
• Mrs Luluk : Just a little harder and I have to try hard
to get it out.
• Nurse : How about before being sick?
• Mrs Luluk : Normal, soft and doesn’t need to push.
I usually diarrhea after eating spicy food.
so that I can bowels open even though I
have tried eating spicy food here, but I
can’t.
• Nurse : What are you feel on your anus is pain
or uncomfortable when you cleanse
yourself?
• Mrs Luluk : Without pain, but feel my anus full but
can’t get out.
• Nurse : What are you doing to remove it?
• Mr Luluk : Yes, but still can’t get out.
• Nurse : I will report to dr.mark. so that you can
prescribe medication for immediate
bowel movemets (laxative) and I will
propose that dr.mark collaborate with
physiotherapy to train you. So that your
activity increases.
• Mrs Luluk : Ok nurse, How is the form of bowels
open medicine?
• Nurse : The medicine is in the form of a soft
capsule and will be inseted into the anus.
• Mrs luluk’s husband :Sorry nurse, I am mrs luluk’s husband.
• Nurse : Yes sir, any question?
• Mrs luluk’s husband : Can’t you just take the medicine?
• Nurse : You can’t, because your wife’s stool
collected at the bottom. so it can’t be done
with just a medication that functions at the
top.
• Mrs luluk’s husband :Doesn’t it hurt?
• Nurse : No, doesn’t. instead the drug
given through the anus will react faster.
• Mrs luluk’s husband : Ok nurse, give it to my wife.
• Nurse : Yes sir I will report to the dr.mark first.
• Mrs luluk’s husband : Thank you nurse. So that my wife feels
better.
• Nurse : You are welcome sir, I will report it so
mrs luluk can immediately bowels open.
• Mrs Luluk : I am very grateful, because this is very
uncomfortable.
• Nurse : please to help you to have bowels open
other than with medicine you can drink
lots of water and eat high fiber foods.
• Mrs Luluk : What are the foods high fiber other than
vegetables?
• Nurse : There are many hight fiber foods for
more details I call our nutritionist. You
can ask a lot about foods that are safe for
you. Wait a minute I will call.(out of the
patient’s room)
• Mrs Luluk : Yes, nurse.
• Nurse : Excuse me nutritionists, there is patient
who want to consult about foods that are
safe for her and can help bowels open.
• Nutritionists : Yes nurse, which patient?
• Nurse : please, I will deliver to her room.
• Nutritionists : Ok thanks.
• Nurse : Excuse me mrs luluk, she is our
nutritionist. You can consult about foods.
• Nutritionists : Nice to meet you mrs luluk. I am
nutritionist in here. My nama miss tri.
• Mrs Luluk : Nice to meet you too miss tri. My name
mrs luluk
• Nurse : Ok mrs luluk. I leave you with her,
because I have to report your
condition to dr.mark. .(out of the
patient’s room)

• Mrs Luluk : Thank you nurse.

• Nurse : You are welcome.