Week 11 - Risk Factors

Question 1

What are the risk factors for urinary elimination in relation to poor fluid intake? (3)

Answer 1

1. Concentrated urine irritates the bladder and difficulty maintaining continence
2. Increased risk of UTI
3. Increased risk for drug toxicity

Question 2

What are the risk factors for bowel elimination associated with poor fluid intake?

Answer 2

• Altered bowel elimination (constipation)

Question 3

What are 3 risk factors of medications on impaired elimination?

Answer 3

1. Increased risk of urinary incontinence
2. Can increase risk of urinary continence because of their affect on functional abilities
3. Many medications affect bowel function

Question 4

Why do anticholinergics and decongestants increase the risk of urinary continence?

Answer 4

cause urinary retention

Question 5

Why do diuretics increase the risk of urinary incontinence?

Answer 5

• can cause urinary urgency, frequency and polyuria

Question 6

Why can calcium channel blockers like nifedipine increase the risk of urinary incontinence?

Answer 6

• can cause urinary retention, frequency and nocturia

Question 7

What are anticholinergics’ affect of functional ability that increases the risk of incontinence?

Answer 7

can cause cognitive impairment

Question 8

Medications that cause _____ also increase the risk for urinary incontinence

Answer 8

constipation

Question 9

What are some medical conditions that can affect urinary elimination? (9)

Answer 9

• stroke
• arthritis
• dementia
• delirium
• depression
• diabetes
• Parkinson’s
• fecal impaction
• COPD

Question 10

What are some medical conditions that can affect bowel elimination? (6)

Answer 10

Mechanical issues in the structure of the bowel
- Abscess
- fissures
- hemorrhoids
- Pelvic floor dysfunction
- Prostate enlargement

Question 11

What 3 lifestyle habits/conditions can cause increased risk for altered elimination?

Answer 11

• obesity
• smoking
• sensory impairment

Question 12

What functional impairments can increase the risk of impaired elimination? (3, 7)

Answer 12

1. Cognition
2. Mobility
   - balance
   - coordination
   - manual dexterity
   - dependency
3. Visual function

Question 13

Why can environments play a role in elimination?

Answer 13

access to toileting facilities

Question 14

What is it that we do (the habits) that can cause impaired elimination? (2)

Answer 14

• empty bladder completely
• do not hold bladder