Nursing 2230A/B Lecture Notes - Lecture 12: Colorectal Cancer, Rectocele, Cystocele

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Do away with humility we have to be comfortable as nurses to ask questions you wouldn"t normally asked: there will come a time when you celly someone else"s bm. Poop tricks: elevate your knees above your hips, spread you feet wide and softly press your abdomen to your thighs, stay calm be brave, hot coffee. Noticing: redness, hair distribution, distended, palpation for hardness (soft belly or firm belly), auscultate for bowel sounds (hyperactive vs. hypoactive. Assessment includes what: auscultate before palpate, what they are eating. What can cause it: physiological, contextual, cultural, pathology, etc. Age: gender too woman have muscle weakness after childbirth, cystocele bladder into vagina, rectocele dropping on rectum into vagina. Pain: opioids, iron makes your stool black and hard to pass, impaction develops after surgery or neurodegenerative injury (spinal. Disimpaction grab on to something in the rectum and pull it out with one finger (wish i was lying) cord)

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