27.01.2014 Views

NURSING DIAGNOSIS FOR ELIMINATION

nursing diagnoses for elimination,Some nursing diagnoses for elimination , including :sample nursing diagnosis:impaired elimination of bowel movement, constipation until the pain,Changes in elimination of urine associated with urinary drainage

nursing diagnoses for elimination,Some nursing diagnoses for elimination , including :sample nursing diagnosis:impaired elimination of bowel movement, constipation until the pain,Changes in elimination of urine associated with urinary drainage

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

<strong>NURSING</strong> <strong>DIAGNOSIS</strong> <strong>FOR</strong> <strong>ELIMINATION</strong><br />

by garest - http://garest.net/nursing-diagnosis-for-elimination.html<br />

<strong>NURSING</strong> <strong>DIAGNOSIS</strong> <strong>FOR</strong> <strong>ELIMINATION</strong><br />

<strong>NURSING</strong> <strong>DIAGNOSIS</strong> <strong>FOR</strong> <strong>ELIMINATION</strong><br />

Some nursing diagnoses for elimination , including :<br />

a. Nursing Diagnosis : Diarrhea<br />

intervention :<br />

· Assist the need to defecate ( if bed rest to prepare the necessary tools near the bed , install<br />

curtains and immediately dispose of faeces after defecation ) .<br />

· Increase / maintain fluid intake by mouth .<br />

· Teach about the foods and drinks that may aggravate / trigger -kan diarrhea .<br />

· Observe and record the frequency of defecation , stool volume and characteristics .<br />

· Observation of fever , tachycardia , lethargy , leukocytosis , decreased serum protein ,<br />

anxiety and lethargy .<br />

· Collaboration of appropriate medication therapy program ( antibiotics , anticholinergics ,<br />

corticosteroids ) .<br />

b . Nursing diagnosis : impaired elimination of bowel movement, constipation until the pain<br />

rektand or penrema<br />

intervention :<br />

· Encourage lots of drinking with ambulation dinikolab giving laksatip<br />

rationalization :<br />

- Many drinks can dissolve help stool with ambulation reduce kostipasi<br />

- Launching the formation of soft feces<br />

c . Nursing Diagnosis : Impaired elimination Alvi / constipation associated with neurological<br />

disorders of the intestine and rectum .<br />

intervention :<br />

· Auscultation bowel sounds , note the location and characteristics.<br />

Rationale : there may be no bowel sounds during spinal shock .<br />

· Observe for abdominal distention .<br />

· Note the complaints of nausea and want to vomit , plug NGT .<br />

Rationale : gantrointentinal and gastric bleeding may occur due to trauma and stress .<br />

· Provide a balanced diet liquid : improving stool consistency<br />

· Give laxatives to order .<br />

Rationale : stimulate intestinal<br />

d . Nursing diagnosis : Changes in elimination of urine associated with urinary drainage .<br />

intervention :<br />

· Assess urinary drainage system immediately .<br />

· Assess the adequacy of urine output and drainage system patency .<br />

· Use aseptic procedures and hand washing when providing care and action .<br />

· Maintain a closed urine drainage system .<br />

· If irrigation is needed and prescribed , do this action carefully using sterile saline.<br />

· Assist patients in the mobilization<br />

· Observe the color , smell and consistency of urine volume .<br />

page 1 / 2


Powered by TCPDF (www.tcpdf.org)<br />

<strong>NURSING</strong> <strong>DIAGNOSIS</strong> <strong>FOR</strong> <strong>ELIMINATION</strong><br />

by garest - http://garest.net/nursing-diagnosis-for-elimination.html<br />

· Reduce trauma and manipulation of catheters , drainage systems and urethra .<br />

· Clean the catheter carefully .<br />

· Maintain adequate fluid intake<br />

e . Nursing diagnosis : impaired bladder elimination through the trauma of p ‘ channel<br />

intervention :<br />

· Observation of the bladder<br />

· Encourage regular CHAPTER<br />

· Give warm compresses<br />

· Perform kaperisasi<br />

rationalization :<br />

- The content of urinary maintain contractions or uterine involution<br />

- Urine retained causes infection<br />

- Relaxation spring ter urinenan<br />

- Blass which resulted in disruption of the contraction of the uterus where the uterus akolasi<br />

depressed by Blass so pinched and mengakibatakan uterus detention<br />

f . Nursing diagnosis : Changes in the pattern of urinary elimination urinary condition<br />

associated with paralysis .<br />

intervention :<br />

· Assess the pattern of urination , and record the hourly urine output .<br />

Rationale : determine kidney function<br />

· Palpation possibility of bladder distension .<br />

· Instruct patient to drink 2000 cc / day .<br />

Rationale : helps maintain kidney function .<br />

· Put Dower catheter .<br />

Rational assist the process of urine<br />

g . Nursing Diagnosis : Constipation<br />

intervention :<br />

· Observation of periodic bowel<br />

· Encourage increased fluid intake to at least 2 liters a day when no contra indications<br />

· Increase activity on a regular basis<br />

· For the provision of appropriate therapy , investigation necessary<br />

· Collaboration dietis team for giving balanced, high- fiber diet<br />

those Some nursing diagnoses for elimination<br />

http://garest.net | free Online nursing, online classes for nursing<br />

page 2 / 2

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!