Physiological factors of bowel elimination
Stress
Patient embarrassment
Culture
Depression
Physiological influence of bowel elimination
Impaired elimination-eg. colostomy Activity Position Weakened muscle Surgery/ anesthesia Medications
Normal bowel movement
Soft Solid and formed semi solid formed 3-4 times/day Strongest after meals
Causes of constipation
Ignoring the need to go
Insufficient fluid
Inactivity
Signs and symptoms of Constipation
Fewer than 3 BM a week
Hard stool
Painful BM
Nursing interventions incase of constipation
Increased activity Increased fluids Diet Timing Enema
Signs and symptoms of diarrhea
Waterly stool
Trouble in controlling the BM
Dehydration
Causes of Diarrhea
Medication
Pathogens
Food intolerance
Enteral feeding
How do you promote normal BM
P...Position upright/sitting O...Output- Adequate hydration O...Offer fluids P...Privacy E...Exercise R...Report results
S...Scoop C...Consistency O...Occult blood O...Odor P...Peristalsis