1. Alteration in Bowel Elimination : Diarrhea
Intervention:
- Help need for defecation (if bed rest to prepare the necessary tools near the bed, attach the curtains and immediately dispose of faeces after defecation).
- Increase / maintain fluid intake by mouth.
- Teach about the foods and drinks that can worsen / precipitate diarrhea.
- Observation and record the frequency of defecation, fecal volume and characteristics.
- Observation fever, tachycardia, lethargy, leukocytosis, decreased serum protein, anxiety and lethargy.
- Collaboration of appropriate medication therapy program (antibiotics, anticholinergics, corticosteroids).
2. Alteration in Bowel Elimination : Constipation
Intervention:
- Encourage lots of drinking with ambulation dinikolab laxative administration.
- Rationalization:
- Many drinks can help dissolve the stool with ambulation reduce constipation.
- Formation of stools soft launch.
3. Alteration in Bowel Elimination: Constipation related to neurological disorders of the intestine and rectum.
Intervention:
- Auscultation of bowel sounds, note the location and characteristics. Rational: bowel sounds may be absent during spinal shock.
- Observe for abdominal distention.
- Note the presence of complaints of nausea and want to vomit, pairs of NGT. Rational: gantrointentinal and gastric bleeding may occur due to trauma and stress.
- Provide a balanced diet high in calories and protein; Liquid. Rational: improving stool consistency.
- Give laxatives to order. Rational: stimulate the intestines.
4. Altered Urinary Elimination related to the drainage of urine.
Intervention:
- Assess urine drainage system immediately.
- Assess the adequacy of urine output and drainage system patency.
- Use aseptic procedures and washing hands when providing care and action.
- Maintain a closed urine drainage system.
- If irrigation is needed and prescribed, do this action carefully using sterile saline.
- Assist patients in the mobilization.
- Observation of color, smell and consistency of urine volume.
- Reduce trauma and manipulation of catheters, drainage system and urethra.
- Clean the catheter carefully.
- Maintain adequate fluid intake.
5. Impaired Urinary Elimination
Intervention:
- Observation of the bladder.
- Encourage regular bowel movements.
- Give warm compresses.
- Rationalization:
- The content of urinary maintain contractions or uterine involution.
- Urine retained causes infection.
- Relaxation springter urine.
6. Altered Urinary Elimination related to paralysis of the urinary condition.
Intervention:
- Assess the pattern of urination, and record urine output per hour.
- Rationale: determine kidney function.
- Palpation of the possibility of bladder distension.
- Instruct the patient to drink a 2000 cc / day.
- Rationale: helps maintain kidney function.
- Attach the catheter Dower.
- Rational assist the process of urine.
7. Constipation
Intervention:
- Observation bowel sounds periodically.
- Suggest to increase fluid intake at least 2 liters a day when no contra indications.
- Increase activity on a regular basis.
- For the provision of appropriate therapy, investigation is needed.
- Dietis team collaboration for the provision of a balanced diet and high in fiber.