TO PROMOTE NORMAL
ELIMINATION
Aujero, Cacar
Bilon, Kristine
Domingo, Essie
Ibrahim, Omaeir
Panopio, Eunice
Salcedo, Demsky
Urination
Micturition, voiding, and urination all refer to the process of emptying the urinary bladder.
Defecation
Elimination of the waste products of digestion from the body.
- Expulsion of feces from the anus and rectum.
- The excreted waste products are referred to as feces or stool.
Maintaining Normal Urinary
Elimination
Promoting fluid intake
Maintaining normal voiding habits
Assisting with toileting
Promoting Fluid Intake
Increasing fluid intake increases urine production, which in turn stimulates the micturition reflex
Normal daily intake averaging 1500 ml of measurable fluids is adequate for most adult clients
Maintaining Normal Voiding
Habits
Prescribe medical therapies often interfere with the client’s normal voiding habits Assisting With Toileting
The nurse should assist clients who are weaken by a disease process or impaired physically to the bathroom and remain with them if they are at risk for falling
For clients unable to use bathroom facilities, the nurse provides urinary equipment close to the bedside and provides the necessary assistance
Intervention for Clients with
Indwelling Catheters
Fluids
Dietary Measures
Perineal care
Changing the catheter and tubing
Removing indwelling catheters
Fluids
Client with a retention catheter should drink up to 3000 ml per day if permitted
Large amounts of fluid ensure a large urine output which keeps the bladder flushed out
Large volumes of urine minimize th risk of sediment or other particles obstructing the drainage tubing
Dietary Measures
Acidifying the urine of clients with a retention catheter may reduce the risk of urinary tract infection
Perineal Care
No special cleaning other than routine hygienic care is necessary for clients with retention catheters nor special meatal care recommended