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Bowel Elimination

Structures and Functions of the Gastrointestinal Tract. Structures:Mouth and EsophagusStomachSmall and Large IntestinesFunctions:DigestAbsorptionDefecation. Characteristics of Normal Feces. Color: brownOdor: affected by digested food.Consistency: soft, semisolidAmount: varies with diet

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Bowel Elimination

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    1. Bowel Elimination

    2. Structures and Functions of the Gastrointestinal Tract Structures: Mouth and Esophagus Stomach Small and Large Intestines Functions: Digest Absorption Defecation

    3. Characteristics of Normal Feces Color: brown Odor: affected by digested food. Consistency: soft, semisolid Amount: varies with diet (100 -400g /day) Constituents: 75% water, 25% solid material

    4. Factors Affecting Bowel Elimination Nutrition and Fluid Intake Activity and Exercise Body Position Lifestyle Pregnancy Medications Diagnostic Procedures Surgery

    5. Manifestations of Altered Bowel Function Constipation: fewer than three bowel movement per week. Fecal Impaction: is the collection of hardened, puttylike feces in the folds of the rectum. Diarrhea: passage of liquid feces and increased frequency of defecation. Fecal Incontinence: loss of voluntary ability to control fecal discharges. Flatulence: air or gas in GI tract.

    6. Assessment Subjective Data: Normal Pattern Identification Risk Identification Dysfunction Identification Objective Data: Inspection Auscultation Palpation Percussion

    7. Diagnostic Tests and Procedures Stool Specimens Radiologic Procedures Barium enema Endoscopic Examinations Sigmoidoscopy Colonoscopy Esophagogastroduodenoscopy

    8. Nursing Interventions for Health Promotion Client Teaching Diet Fluids Activity and Exercise Bowel Habits Colorectal Screening

    9. Nursing Interventions for Altered Bowel Function Medication Use Enemas Rectal Tubes Nasogastric Intubation Fecal Impaction Removal Bowel Training Fecal Diversions (ostomies)

    10. The location of bowel ostomies

    11. Ostomies

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