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Basic Care and Comfort Study Guide

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 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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