Nursing 2230A/B Lecture Notes - Lecture 12: Bowel Resection, Flatulence, Hemorrhoid
21 Jul 2018
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Collection of hardened feces a person cannot expel. If not removed, an intestinal obstruction can result. Prior medical history and use of medications. Look for microscopic blood in the stool (looking for colon cancer, once you hit 50, every. Risks: genetics, low fiber diet/high fat diet, decreased transit time, excess alcohol and smoking (beer), older than 50, family history, inflammatory bowel disease, obesity, and inactivity. Promote regular consistent toileting/day based on triggering meal. Unable to use toilet, simulate squat position by placing client left-side lying position bending knees and moving legs to abdomen. Mobile/limited mobility (15-20 minutes once or twice a day; or 20-60 min daily or 3 to 5 times per week) ambulating at least 50 feet twice a day for individuals with limited mobility. Immobile pelvic tilt, low trunk rotation and single leg lifts are recommended. Bowel record frequency, character and amount of bowel movement patter, episodes of constipation/fecal soiling and use of laxative interventions (oral and rectal)
