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Documente Cultură
of Nursing
URINARY
ELIMINATION
C. Catheterization
Purposes
Relieve acute urinary retention
Relieve chronic urinary retention
Drain urine preoperatively &
postoperatively
Types of Catheter
a. Indwelling Catheter
Use a closed drainage system
Inflate balloon w/in guidelines of manufacturer
Care:
Cleanse around area
Dont pull on catheter
Dont use powder
Dont open the drainage system
b. Suprapubic Catheter
Care: (site)
sterile techniques
dressings
c. Intermittent Self-catheterization
Purpose:
to drain the bladder
gain control of the bladder
Bowel
Elimination
A. Ostomy
a. Ileostomy
Liquid to semi-formed stool
May affect fluid & electrolyte balance
Digestive enzymes
lavage to clear food blockage
b.Colostomy
Ascending
Transverse
Loop stoma
oUsually temporary
Double barrel
Similar to loop but bowel is surgically
severed
C. Sigmoidostomy
Formed stool
Bowel can be regulated
May be irrigated
Stoma assessment
a. Color
b. Edema
A. complications of mobility
4. Prosthetic devices
a. Specificity theory
b. Pattern theory
c. Gate Control Theory
Pain Assessment
Influencing factors
Past experience with pain
Age
Culture and religious beliefs
Level of anxiety
Physical state
Characteristics of pain
Location
Quality
Intensity
Timing and duration
Precipitating factors
Aggravating factors
Alleviating factors
Interference with Activities of Daily Living
Patterns of response
Types of Pain
1. Acute
2. Chronic
Medical Treatment
Pharmacologic
Nonpharmacologic Intervention
a. Acupuncture
b. Relaxation Techniques
c. Electronic Stimulation
d. Distraction
e. Ice and Heat Therapies
f. Guided Imagery
Patient-Controlled Analgesia (PCA)
Type of intravenous pump that allows
the client to administer his own
narcotic analgesic.