Question

1. Case Studies for Bowel Elimination:

Pt is a 72-year-old female who complains of abdominal fullness and pain in her LLQ. She has not had a bowel movement for 6 days, and she states that this is not her normal bowel regimen. She lives in an extended care facility and has a history of hypertension, Parkinson's disease, and arthritis. She is currently taking carbamazepine to control her Parkinson's disease. She is non-ambulatory, however, she is able to sit in a Cadillac chair with assistance. She admits to a loss of interest in food and doesn't like the taste of the water provided.

Questions:

A. Identify the risk factors that lead to the development of the problem.

B. Give at least five nursing interventions to promote bowel elimination.

2. Discussion 2:

A. Describe urinary retention, factors causing retention, complications of urinary retention, signs, and symptoms of urinary retention.

B. Give a nursing assessment and interventions of urinary retention with goals and outcomes of urinary retention.

Answer 1

A. Risk factor for constipation is

Older woman

Low fibre diet and diet is not properly balanced

Taking less water and fluid that is dehydrated

Finally Carbamapezipine side effect is constipation

B. Assessment of client for change of position......Positioning and to promote bowel function.......................................Exercising

Elimination of medicine that can cause it.................

Attain Privacy and give sufficient time to release

Medication to promote bowel elimination

Enema

Q2 Discussion2

A.Urinary obstruction is a blockage of the flow of urine out of the body. It is a common cause of acute and chronic renal failure

factors causing retention

Urinary stone or calculi

Prostate enlarged in male

Cystocoele in female

Nerve disorder

Diabetes, stroke and multiple sclerosis

urethral stricture etc

complications of urinary retention,

bladder damage and chronic kidney failure. Urinary retention is a disorder treated in a hospital, and the quicker one seeks treatment, the fewer the complications. In the longer term, obstruction of the

Sign and symptom

Pain (most common symptom in acute obstruction but typically absent with slowly obstructing conditions)

Altered patterns of micturition

Acute and chronic renal failure

Gross or microscopic hematuria

Recurrent urinary tract infection (UTI)

Preadmission care

Pulmonary edema as a consequence of renal failure from complete urinary obstruction should be treated conventionally. Partial obstruction can cause significant defects in salt and water retention, resulting in hypovolemia, which responds to standard fluid administration protocols.

Surgical intervention