Page 20 - Altered Obstructive Nursing Care
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Nursing Interventions Rationales
patterns of the patient are taken into
consideration.
Patient may have neurogenic bladder, is
Assess patient’s ability to verbalize necessitate lacking concentration, or be able to verbalize
to void and/or capacity to use urinal, bedpan. needs in acute recovery phase, but often is
Bring patient to the bathroom at regular or able to recover independent control of this
intermittent intervals for voiding if suitable.
function as recovery develops.
Lack of privacy may reduce the patient’s
Provide privacy while patient is toileting.
ability to empty bowel and bladder.
Give bedpan or put patient on toilet every 1 to This eradicates incontinence. Time intervals
1½ hours throughout day and three times can be prolonged as the patient starts to
throughout night. verbalize the need to toilet on demand.
May be essential at first to help in instituting
Give suppositories and stool softeners.
normal bowel function.
Patients may hurry readiness to ambulate to
Observe closely patient for loss of balance or the toilet or commode throughout the night
fall. Maintain commode and toilet tissue close due to fear of soiling themselves and may fall
to the bedside for nighttime utilization.
in the procedure.
This facilitates staff members to have ample
Keep call light within reach and teach patient to
call as prompt as possible. time to help with transfer to commode or
toilet.
Clothing that is not easy to get in and out of
Aid patient in eliminating or changing may compromise a patient’s capability to be
unnecessary clothing.
continent.
Patients are more successful in emptying
Consider utilization of commode or toilet as bowel and bladder when sitting on a
early as possible. commode. A number of patients find it
unfeasible to toilet on a bedpan.
Recognize prior bowel habits and restore Supports in progression of retraining program
normal regimen. Increase bulk in diet, fluid and helps in avoiding constipation and
intake, and activity. impaction.
More Interventions
Educate family and significant others to This display caring and concern but does not
promote autonomy and to intervene if the hinder with patient’s efforts to attain
patient becomes tired, not capable of carrying autonomy.
out task, or become extremely aggravated.
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