VNSG 1400 Nursing in Health and Illness I
VNSG 1402 – Applied Skills I
Module XII – Bowel Elimination
|Behavioral Objectives |Content |Skills Performance |Learning Opportunities |
|Define terms related to bowel elimination. |Terms |Perform: |Burton, M. & Ludwig, L. 2011. Fundamentals of |
| |Continent ostomy |Administration of a cleansing enema |Nursing Care Concepts, Connections & Skills. Davis. |
| |Defecation | |Philadelphia. |
| |Excoriation |Administration of a Fleets enema…..page 685 | |
| |Fecal incontinence |Application of a fecal incontinence bag……page 689 |Burton………..Chapter 30 |
| |Gastrocolic reflex |Colostomy care |Video |
| |Ostomates |Skill 30-5 | |
| |Peristalsis |Colostomy irrigation |#M121 “Ostomy Care” |
| |Stoma |Skill 30-6 |#M122 “Preparing the Ostomy Client |
| |Valsalva’s maneuver |Insertion of rectal tube |for Discharge” |
| | | |#93 ASC Film “Care of |
| | |Impaction removal |Colostomies” |
| | |Skill 30-4 | |
| | | | |
| | | |Study Guide Burton…….Chapter 30 |
| | | | |
| | | |TVCC VIDEO |
| | | | |
| | | |Cleansing Enema |
|Discuss elimination from the large intestines and |Elimination | | |
|describe normal stools. |Water removal from the large intestines | | |
| |Elimination of fecal mass | | |
| |Normal stools | | |
| |Color | | |
| |Odor | | |
| |Consistency | | |
| |Shape | | |
| |Components | | |
|Identify the most common alterations in bowel |Alterations in bowel elimination | | |
|elimination. |Constipation | | |
| |Fecal impaction | | |
| |Flatulence | | |
| |Diarrhea | | |
| |Incontinence | | |
|Identify various types of enemas, how they are |Enemas | | |
|administered and the rationale for their use. |Cleansing | | |
| |Tap water | | |
| |Soap suds | | |
| |Normal saline | | |
| |Hypertonic saline | | |
| |Retention | | |
| |Oil | | |
| |Fleets | | |
| | | | |
| |Other | | |
| |Medicated | | |
|Describe care for a colostomy and ileostomy. |Colostomy and ileostomy | | |
| |Routine stoma care | | |
| |Changing an osotomy appliance | | |
| |Skin care | | |
| |Colostomy irrigation | | |
| |Referral to support groups | | |
|Describe the procedure for a fecal impaction removal |Impaction removal | | |
|and the safety factors associated with the procedure.|Patient positioning | | |
| |Removal of stool | | |
| |Occurrence of pain | | |
| |Occurrence of vagal stimulation | | |
| |Occurrence of bleeding | | |
|Discuss patient teaching needs regarding bowel |Patient Teaching | | |
|elimination. |Use of laxatives | | |
| |Use of enemas | | |
| |Use of suppositories | | |
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