The Nursing diagnosis of “elimination”

March 10th, 2010 | Posted in Nursing Diagnosis

The Nursing diagnosis of “elimination”
Here are some nursing diagnosis related to the elimination of:
1. Bowel incontinence (p. 22) or incontinence alvi / faeces. Changes in defecation patterns. Could be caused by chronic diarrhea, diet, immobilisasi, stress, medication, lack of hygiene during toileting, etc.. Differentiate with a diagnosis of “Diarrhea”. In this diagnosis, normal faeces, only the pattern are changed. For example once-daily routine, because the factors associated, into two or three days.
2. Diarrhea (p. 71) or diarrhea. The main data is not shaped up faeces with liquid. Primarily Indokator bowel (molten) at least three times in one day. The results of auscultation of the abdomen, abdominal cramps and abdominal pain is a sign of the other symptoms. Factors associated divided into three groups; physiological, psychological and situational. For example because of anxiety, high stress levels, the process of inflammation, irritation, malabsorption, toxicity, travel, alcohol consumption and the influence of radiation.
3. Impaired urinary elimination (p. 234) or urine elimination disorders. Characteristics: dysuria, frequency increased urination, hesitancy, incontinence, nocturia. In NANDA was a little confused. One of the characteristics mentioned for this diagnosis is “retention”. Whereas existing diagnosis of “urinary retention”. Thus it is suggested that patients experienced urinary retention, it becomes immediately appointed diagnosis “urinary retention”. To promote nursing diagnosis “Disturbance elimination of urine”, should be explained where disturbance. If the patient complains often wake to urinate at night, it could be taken “Disturbance elimination of urine: nocturia”. If the patient beser (urinate uncontrollably and constantly), could be appointed as “Disturbance of elimination of urine: incontinence”. And so on, according to data obtained from the study.
4. Readiness for enhanced urinary elimination (p. 235) or the potential increase in the elimination of urine (diagnosis and prosperous).
5. Urinary retention (p. 236) or urinary retention. Unable to empty the urine of lampias. Characteristics: tense blader palpation, pain during urination, until no urine at all. Factors related: spincter strength, high pressure and the urethral resistance (should be evidenced by the results of the examination).
6. Constipation (p. 44) or constipation
7. Perceived constipation (p. 46) or the approximate constipation (self diagnosed clients suffering from constipation, usually associated factor is the culture of trust, family trust, understanding is wrong or thought process disorder)
8. Risk for constipation (p. 47) or the risk of constipation.