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 | | |

v:\word\syllabus\vocation\level i\skills\VN 1402 Bowel Elimination 11/2012

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