COMPLETE SOLUTIONS
Condom Catheters
prep skin and let dry
unroll sheath over penis
leave 1-2" dead space at tip
secure with velcro strip, foam tape or "self adhesive"
wrap tape spirally over the outside of the condom
apply securely but not too tight
assess circulation
tubing attaches to leg bag or bedside drainage bag
remove daily, assess & provide pericare
Do not retract foreskin if client uncircumcised
Never use adhesive tape
Caution latex allergy
Indwelling Catheters
inserted using sterile technique
inflated balloon keeps catheter in place
specialized assessments & care required
Assessment - Urinary and Bowel Elimination
In site
Over the thigh
Tubing coiled, free of kinks, secured
Assess colour & clarity of urine in tubing
,Bag attached to bed frame NOT to side rail
Bag should never touch floor
Assess amount of urine in bag
All catheters drain by gravity so bag must be below bladder at
all times!
Parts of The Digestive System
Mouth
Esophagus
Stomach
Small intestine
Large Intestine
Anus/Rectum
Factors Affecting Bowel Elimination
Electrolyte and fluid balance
Diet
Activity
Medications
Disease
Stress/Anxiety
Surgery
Age
Immobility and Positioning
Diagnostic tests
Cognition
Pregnancy
Constipation - Common Causes
, Ignoring the urge to deficate
Sedentary lifestyle
Low fiber diet
Low fluid intake
Prolonged or overuse of laxatives
Comorbidities
Neurological conditions
Characteristics of a Bowel Movement
Color
- Brown
Consistency
- Soft, Formed
Frequency
- Every 2-3 days - Personal
Odor
- Pungent
Amount
Check for Abnormalities
Promotion and Prevention Interventions
Fluids
Fiber
Activity
Routine
Privacy
Consistency
Positioning