B OWEL AND B LADDER
T RAINING P ROGRAM
O BJECTIVES

List the goals of a bowel and/or bladder training
program

Discuss the preparation factors for establish...
G OALS OF A BOWEL AND / OR
BLADDER TRAINING PROGRAM

Establish a regular pattern of elimination

Decrease number of ...
P REPARATION FACTORS
E STABLISHING B OWEL
AND / OR B LADDER T RAINING

Past elimination patterns are reviewed, as well a...
S TEPS : B OWEL T RAINING

High-Fiber diet

Daily laxative may be ordered by the physician

Scheduled elimination:...
S TEPS : B LADDER T RAINING

Supply adequate hydration

Schedule voiding according to plan of care

Toilet or com...
B OWEL E LIMINATION
O BJECTIVES

Describe characteristics of normal and abnormal elimination

Discuss the effects of aging on the lower i...
S TRUCTURE
F UNCTION

Remove solid waste from the body

Terms used for bowel elimination:

Stool

Feces

Bowel Movement ...
N ORMAL S TOOL

Brown

Formed

Not necessarily each day
A BNORMAL S TOOL

Containing blood, mucous or undigested food

Tarry (black and sticky)

Gray

Liquid

Very ...
E FFECTS
OF

GI tract slows down

Loss of control

Incomplete emptying of rectum

Increased concern regarding...
S IGNS

No record of recent BM

Abdominal distension, flatus

Abdominal discomfort

Agitation and/or irritabili...
M ETHODS TO P REVENT OR
R ELIEVE C ONSTIPATION

Increased fluids

Diet with bulk and fiber

Exercise

Prompt re...
F ECAL I MPACTION

Hard stool in the lower bowel usually found on exam with
the finger (digital exam)

FYI: Person ca...
S YMPTOMS

No normal stool

Liquid stool seeping from the anus as small amounts of fluid
are able to go around the im...
C AUSES

Decreased muscle tone or nerve block to the lower bowel

Inadequate activity

Inadequate fluid intake

...
R OLE

OF THE
Observe


Consistency: firm. formed, liquid, hard?


Note amount
Frequency
Report

Changes in...
C ARE OF THE I NCONTINENT

Skin care

Assist with toileting as needed

Answer call light promptly
of 20

NATCEP Day 22

Published on: Mar 3, 2016
Published in: Education      Health & Medicine      Entertainment & Humor      
Source: www.slideshare.net


Transcripts - NATCEP Day 22

  • 1. B OWEL AND B LADDER T RAINING P ROGRAM
  • 2. O BJECTIVES  List the goals of a bowel and/or bladder training program  Discuss the preparation factors for establishing a bowel/bladder training program  Identify the steps involved in implementing a bowel and/or bladder training program for a person
  • 3. G OALS OF A BOWEL AND / OR BLADDER TRAINING PROGRAM  Establish a regular pattern of elimination  Decrease number of times a resident is incontinent  Increase resident’s self-esteem by gaining control of elimination  Decrease range of other problems (such as skin breakdown from incontinence  Preserve the integrity and function of the elimination systems
  • 4. P REPARATION FACTORS E STABLISHING B OWEL AND / OR B LADDER T RAINING  Past elimination patterns are reviewed, as well as the entire medical history  Routine for elimination is established by the nurse and placed into plan of care. All staff must then carry out the plan
  • 5. S TEPS : B OWEL T RAINING  High-Fiber diet  Daily laxative may be ordered by the physician  Scheduled elimination: place resident on a toilet or commode at regular, scheduled times  Exercise!  Positive reinforcement  Hydration: 2000 cc daily unless stated otherwise on plan of care  Recorded output
  • 6. S TEPS : B LADDER T RAINING  Supply adequate hydration  Schedule voiding according to plan of care  Toilet or commode instead of bedpan  Promote relaxation and provide privacy during voiding  Use voiding triggering techniques if needed  Record intake and output  Give positive reinforcement
  • 7. B OWEL E LIMINATION
  • 8. O BJECTIVES  Describe characteristics of normal and abnormal elimination  Discuss the effects of aging on the lower intestinal tract  Identify the signs that may indicate constipation  List the measures to help alleviate constipation  Discuss the STNA role in helping to prevent impaction  Describe and demonstrate the care of the person incontinent of feces
  • 9. S TRUCTURE
  • 10. F UNCTION  Remove solid waste from the body  Terms used for bowel elimination:  Stool  Feces  Bowel Movement (BM)
  • 11. N ORMAL S TOOL  Brown  Formed  Not necessarily each day
  • 12. A BNORMAL S TOOL  Containing blood, mucous or undigested food  Tarry (black and sticky)  Gray  Liquid  Very dry and hard  No movement for 4 or 5 days
  • 13. E FFECTS OF  GI tract slows down  Loss of control  Incomplete emptying of rectum  Increased concern regarding bowel movements  Increased risk for intestinal disorders A GING
  • 14. S IGNS  No record of recent BM  Abdominal distension, flatus  Abdominal discomfort  Agitation and/or irritability OF C ONSTIPATION
  • 15. M ETHODS TO P REVENT OR R ELIEVE C ONSTIPATION  Increased fluids  Diet with bulk and fiber  Exercise  Prompt response to natural urge
  • 16. F ECAL I MPACTION  Hard stool in the lower bowel usually found on exam with the finger (digital exam)  FYI: Person can have a fecal impaction and have daily bowel movements
  • 17. S YMPTOMS  No normal stool  Liquid stool seeping from the anus as small amounts of fluid are able to go around the impacted mass  Constant feeling of need to have a BM  Rectal pain, abdominal discomfort and nausea
  • 18. C AUSES  Decreased muscle tone or nerve block to the lower bowel  Inadequate activity  Inadequate fluid intake  Insufficient bulk in the diet  Uncorrected constipation
  • 19. R OLE  OF THE Observe   Consistency: firm. formed, liquid, hard?   Note amount Frequency Report  Changes in pattern  Person constipated suddenly develops diarrhea STNA
  • 20. C ARE OF THE I NCONTINENT  Skin care  Assist with toileting as needed  Answer call light promptly

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