NURS 5333 GI Part 2 Study Guide + Questions
with Accurate Solutions
Colic
syndrome of excessive crying for which there is no organic cause and it is described as,
Unexplained into the day crying that begins at two to three weeks. It peaks at eight
weeks and tapers at 12 weeks. There's no standard definition, but the consensus is, is
that it has to be greater than three hours a day greater than three days a week, and
lasting at least three weeks
Crying is intense and high pitched. Infants may have a flush face, a furrowed brow,
and postural changes such as bending or drawing up of the knees, clenched fist and
tensed abdominal muscles. Episodes might end with a bowel movement or passing of
gas
S/S of colic
maternal smoking, increased maternal age and being the first born child
Risk factors of colic
Reassurance to parents
infants improved by about three to four months during the crying spells
Non pharm treatment for colic
swaddling, making shhh sounds, swinging the baby no more than one inch back and
forth, pacifier use, repetitive sounds, and decreasing environmental stimulation, can
switch to soy formula, probiotics, simethecone(for gas)
Strategies for soothing their infant
Encopresis
, is defecation or the incontinence of stool in inappropriate places, whether it be
voluntary or involuntary after the age of four years old
. At least one event occurs per month for three months
is in children that have never been toilet trained,
Primary Encopresis
is previously toilet trained children, but then they start having the stool incontinence.
Encopresis is classified as an elimination disorder in the DSM-5.
Secondary Encopresis
you may feel up fecal mass, this is palpable in about 40% of the patients, and there'll
be fecal soiling in the perianal region. There'll also be a dilated rectum with a normally
positioned anus. A digital rectal exam is not recommended to routinely diagnose fecal
impaction and functional encopresis or non-retentive fecal incontinence. Anal
sphincter tone may be normal or slightly decreased. The anal canal is usually shorter
than normal. Hard stool or a large amount of mushy stool may be present in the rectal
vault. Non-retentive fecal incontinence: you will not feel a palpable fecal mass; there'll
be a normal size rectum and a normal sphincter length. You want to examine deep
tendon reflexes, anal wink, rectal exam, lumbar sacral spine exam to look for any
sacral dimpling, and documentation of normal growth.
Physical exam findings for Encopresis
the resolution of encopresis takes six to 24 months, stress the importance of
consistent non-punitive approach to overall success of treatment, and you need to
counsel and treat for underlying psychological disorders
assist with development of appropriate bowel routine, and instruct them to go to the
restroom at certain times. You want to give the child responsibilities, put a footstool
near the toilet, reinforce appropriate bowel habits with rewards, and be sure that
with Accurate Solutions
Colic
syndrome of excessive crying for which there is no organic cause and it is described as,
Unexplained into the day crying that begins at two to three weeks. It peaks at eight
weeks and tapers at 12 weeks. There's no standard definition, but the consensus is, is
that it has to be greater than three hours a day greater than three days a week, and
lasting at least three weeks
Crying is intense and high pitched. Infants may have a flush face, a furrowed brow,
and postural changes such as bending or drawing up of the knees, clenched fist and
tensed abdominal muscles. Episodes might end with a bowel movement or passing of
gas
S/S of colic
maternal smoking, increased maternal age and being the first born child
Risk factors of colic
Reassurance to parents
infants improved by about three to four months during the crying spells
Non pharm treatment for colic
swaddling, making shhh sounds, swinging the baby no more than one inch back and
forth, pacifier use, repetitive sounds, and decreasing environmental stimulation, can
switch to soy formula, probiotics, simethecone(for gas)
Strategies for soothing their infant
Encopresis
, is defecation or the incontinence of stool in inappropriate places, whether it be
voluntary or involuntary after the age of four years old
. At least one event occurs per month for three months
is in children that have never been toilet trained,
Primary Encopresis
is previously toilet trained children, but then they start having the stool incontinence.
Encopresis is classified as an elimination disorder in the DSM-5.
Secondary Encopresis
you may feel up fecal mass, this is palpable in about 40% of the patients, and there'll
be fecal soiling in the perianal region. There'll also be a dilated rectum with a normally
positioned anus. A digital rectal exam is not recommended to routinely diagnose fecal
impaction and functional encopresis or non-retentive fecal incontinence. Anal
sphincter tone may be normal or slightly decreased. The anal canal is usually shorter
than normal. Hard stool or a large amount of mushy stool may be present in the rectal
vault. Non-retentive fecal incontinence: you will not feel a palpable fecal mass; there'll
be a normal size rectum and a normal sphincter length. You want to examine deep
tendon reflexes, anal wink, rectal exam, lumbar sacral spine exam to look for any
sacral dimpling, and documentation of normal growth.
Physical exam findings for Encopresis
the resolution of encopresis takes six to 24 months, stress the importance of
consistent non-punitive approach to overall success of treatment, and you need to
counsel and treat for underlying psychological disorders
assist with development of appropriate bowel routine, and instruct them to go to the
restroom at certain times. You want to give the child responsibilities, put a footstool
near the toilet, reinforce appropriate bowel habits with rewards, and be sure that
