2. OBJECTIVES
• DEFINE ELIMINATION PATTERN.
• DISCUSS THE FACTORS THAT AFFECT THE COMMON ELIMINATION PATTERN.
• WHAT ARE THE COMMON FEACAL ELIMINATION PROBLEMS.
• DISCUSS THE NURSING INTERVENTION OF COMMON FEACAL ELIMINATION
PROBLEMS.
• DEFINE URINARY ELIMINATION PATTERN
• DISCUSS THE FACTORS AFFECTING THE URINARY ELIMINATION.
• WHAT ARE THE COMMON URINARY ELIMINATION PROBLEMS.
• DESCRIBE THE NURSING INTERVENTION OF URINARY ELIMINATION.
8. URINARY ELIMINATION
URINARY ELIMINATION is the last step in the removal and elimination of excess water
and by products of body metabolism.
• The elimination depends on the coordinated function of the kidneys, ureters, bladder and
urethra.
9. COMMON PROBLEMS OF ELIMINATION
PATTERN
• URINARY RETENTION (INABILITY TO PARTIALLY OR COMPLETELY EMPTY THE
BLADDER)
• URINARY TRACT INFECTIONS (THE RISK FOR A UTI INCREASES IN THE PRESENCE
OF AN INDWELLING CATHETER, ANY INSTRUMENTATION OF THE URINARY
TRACT, URINARY AND FECAL INCONTINENCE).
• URINARY INCONTINENCE ( COMPLAINT OF ANY INVOLUNTARY LOSS OF URINE)
OR INVOLUNTARY LEAKAGE OF URINE.
• URINARY DIVERSION ( CONSTRUCTED FROM A SECTION OF INTESTINE TO
CREATE A STORAGE RESORVOIR OR CONDUIT FOR URINE.
10. NURSING MANAGEMENT
• BEFORE ADMINISTRATION PRESCRIBE ANTIBIOTICS, OBTAIN A URINAEY
SPECOMEN FOR CULTURE AND SENSITIVITY, IF PRESCRIBED TO IODENTIFY THE
BACTERIAL GROWTH.
• ENCOURAGE THE CLIENT TO INCREASE FLUID UPTO 3000 ML PER DAY.
• ADMINISTER PRESCRIBED MEDICINE WHICH MAY INCLUDE ANALGESIC,
ANTISEPTIC, ANTISPASMODIC, ANTIBIOTIC.
• MAINTAIN AN ACID URINE PH 5.5.
• INSTRUCT THE CLIENT THE FOODS TO CONSUME TO MAINTAIN ACIDIC URINE
PH.
• PROVIDE HEAT TO ABDOMEN OR SITS BATH FOR COMPLAINTS OF DISCOMFORT.
• USE STERILIZE TECHNIQUE WHEN INSERTING A URINARY CATHERTER.