Basic Care and Comfort Study Guide
List some non-pharmacological comfort measures? Urinary Elimination How do we perform a 24 hour creatinine clearance? What does specific gravity tell us? What are some interventions we can do and some ways to educate our clients to increase elimination hygiene? Urinary Tract Infection Most common of the nosocomial infection’s d/t catheters, wiping back to front What are some signs and symptoms? What are some treatment options? How do we educate about prevention? Urinary Incontinence What are several types of urinary incontinence? Downloaded by James Muchangi () lOMoARcPSD| o Functional Urinary Incontinence o Reflex Urinary Incontinence o Stress Urinary Incontinence o Overflow Urinary Incontinence o Urge Urinary Incontinence Restorative care o Kegel method/PFE Contract pelvic floor muscles Used for stress incontinence, overactive bladder o Bladder retraining Regular toileting schedule, relax to aid complete emptying, methods to initiate voiding, diuretic administration, minimize caffeine o Habit training o Self-catheterization Spinal cord injuries, neurogenic bladder, degenerative muscle disease o Skin integrity o Comfort Urinary Elimination 2 types of catheterizations 1. Indwelling 2. Intermittent Relief of discomfort/bladder distention Obtaining sterile urine specimen Assessment of residual urine after urination Long term management w/ spinal cord, neuro muscular degeneration or incompetent bladders Bowel Elimination Functions of the Intestines Completion of absorption (nutrients) Manufacture vitamins Formation of feces Reabsorption of H2O Expulsion of feces (AKA defecation) Bowel Elimination Usual pattern, frequency, description of stool o Color
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