Week 5: Health Challenges Older Adult and Biophysical Needs (Elimination) Flashcards
Elimination
our basic biological need related to health and survival, a necessary part of human existence.
Why is it hard to ask for assistance for elimination?
embarrassment, invasion of privacy, exposing of body parts, violation of one’s integrity.
What happens to HR AND BP when dehydration occurs
Hr increases while BP decrease
What are ways to hydrate
Oral hydration
Replenish fluid loss
IV
What are some nursing interventions that can be done
Calculate daily fluids
Compare intake and output
Fluids offered consistently throughout day
What interventions can be done for night time uriniating
Remove environmental barriers
Limit fluids before bed
Prompted voiding schedule - ask them to go - forget to go - good schedule
Bladder training
FANCAPES
Fluids,
Aeration,
Nutrition,
Communication,
Activity,
Pain,
Elimination,
Socialization and social skills.
Stress incontinence
involuntary, sudden loss of urine secondary to increased intraabdominal pressure that is bothersome or affecting the patient’s quality of life.
Urgency incontinence
sudden compelling urges to void and results in involuntary leakage of urine
Functional incontinence
you can’t get to or use a toilet in time to urinate
preventable
“disability incontinence”
Passive fecal incontinence
leakage occurs without you knowing it
our body may not be able to sense when your rectum is full
Urge fecal incontinence
you feel a strong urge to have a bowel movement but cannot stop it before reaching a toilet
your pelvic floor muscles may be too weak to hold back a bowel movement due to muscle injury or nerve damage
functional fecal incontinence
a related condition where a person may be otherwise healthy but is unable to get to the toilet in a timely manner
Sepsis
the body’s extreme response to an infection
- more common in men
Urosepsis
sepsis caused by infections of the urinary tract
more common in women - shorter urethra
