Nurses as front line staff have the ability to influence lifestyle modifications in the constipated older adult. There are also many evidence-based nursing strategies that can be utilized in the elderly to prevent to occurrence or progression of constipation (McCrea et al., 2008). However in often cases, the older adult may be unaware of methods that can be used to help alleviate signs and symptoms related (RNAO, 2005). As a result, nurses can play an important role in educating clients. In this section, I will explore and discuss toileting regimens and education as forms of evidence-based nursing strategies to decrease the risk of constipation in the older adult population.
RNAO’s Best Practice Guidelines have many strategies suggested and amongst them includes toileting regimens where the older adult establishes a routine toileting pattern (RNAO, 2005). According to the literature, defecation is best promoted when the individual is able to sit upright on a toilet bowl (McKay, Fravel & Scanlon, 2012). In addition, sitting on the toilet bowl every day at the same time can help to s...
In nursing, the patient is often viewed as the main priority of the nursing staff. The nurse works to provide care for the patient based on the patient 's admitting diagnosis. However, the patient must be looked at as a part of the greater system they exist in such as their family or home environment. While the patient may be ill due to a bacterial infection or virus, their family environment also plays a role in their overall health and wellness.
Long-term care facilities that have implemented a high degree of culture change (as scored from a survey derived from a 2009/10 national nursing home survey) have had a significant decrease in the use of restraints, tube feeding, and pressure sores. Culture change is also associated with an increased number of residents on bladder training programs and a small reduction in the number of hospitalizations/resident/year (Miller, Lepore, Lima, Shield, & Tyler, 2014).
only allowed to go to the toilet once a day for about five minutes and
Amidst the school kids and the naked bum, there is a toilet. The free-standing, self-cleaning, public restroom installed by JCDecaux Company only costs a quarter. If you can stomach the sight of the remnants of human excrement and the pungent odor of fecal matter mixed with urine, stale cigarettes, and vomit, this toilet can prove to be extremely convenient. For those who drank too much Starbucks on their way to work or those with a crying four year-old, a public restroom amongst all the “customer only” signs seems like a reasonable solution. With a twenty minute limit, there is adequate time to relieve your bowels, seek shelter from the rain, shoot up ...
The purpose of this paper is to distinguish, outline, and evaluate the affects that workarounds have on patient safety and quality. According to Alexander, Frith, and Hoy (2015), a workaround is defined as when a problems arise within the workflow and a worker uses an unauthorized way around the health information technology system. This being said, workarounds are present in the hustle and bustle of the stressful hospital workflow, and in return can potentially lead to negative consequences. Therefore, it is essential for health care professionals to recognize the workaround, analyze their workflow, and then develop possible solutions.
Because of insufficient and poorly trained staff commonly found in nursing homes. Care givers are often overworked and grossly underpaid, which often results in rude and abusive behavior towards vulnerable residents who beg them for simple needs such as water or to be taken to the bathroom. Federal and State laws require that nursing homes develop a plan of care and employ sufficient staffing to provide all the care listed in the care plan. Most corporate-owned nursing homes today are not sufficiently staffed, and they can not provide all the care listed on the care plan. Consequently, residents are not taken to the toilet when necessary; they’re often left lying in urine and feces.
Fibromyalgia is a human disorder that often causes pain in the musculoskeletal section, fatigue and muscle stiffness. Pains can be felt in joints particularly in the knees, ankle and elbows. It is a serious disorder that can cause an individual to be ineffective in performing daily chores and activities. Depression on the other hand is characterized by intense dejection. It involves the feelings of sadness and worthlessness. In particular, this paper examines a case study of Beverly, a 42 year old woman, who happens to have been diagnosed with the two disorders. The aim is to explore some of the causes that might have led to the development of the disorders and how the problems can be reversed in order to restore the well-being of the patient.
Child providers need to know the correct way to change a diaper and appropriate ways to teach children to use the toilet in order to prevent the spread of illness.
The very young and very old people are at a greater risk for developing dehydration quickly for some very different reasons and some similar reasons. The very young have higher metabolic rates, loss of fluids through diarrhea, and possibly immature kidneys (McCance & Huether, 2010). Children are also dependent upon caregivers, as well as some elderly. The elderly may be at a higher risk due to decreased thirst sensation, their kidneys may not be as efficient, disability limiting their access making them dependent upon others, as well as less intake due to incontinence (McCance & Huether, 2010). Whether young or older, nursing must be diligent to educate parents, the elderly and caregivers in the fluid needs, as well as possible medical needs, in relation to avoidance of dehydration.
with skills in the DVD. St. Louis: The Saunders. Lemon, P. & Burke, K. (2011). Medical Surgical Nursing (5th ed.). New Jersey: Prentice Hall, Inc.
Miller, C. A. & Co., Inc. (2009). The 'Standard' of the 'Standard'. Nursing for wellness in older adults: Theory and practice (5th ed.). Cleveland, Ohio: Lippincott Williams & Wilkins. National Institute of Neurological Disorders and Stroke (2011).
Kaitani et al. (2010) show clearly details that the majority of patients admitted to a nursing home should be assessed, regardless of their aged, gender or weight, and the results need to be documented. Each patient will then be given a date for regular assessment (Kaitani et al. 2010). Kaitani et al. (2010) also pointed out that nursing assessment is a dynamic and continuous process involving synthesis of information from a variety of sources including underpinning knowledge, previous experience, and specialty based knowledge, recognition of important indicators and knowledge of the patient. Meanwhile, many aspects should be assessed in preventing pressure ulcer, such as nursing assessment of nutrition, wound assessment, risk assessment and assessment of quality of life. Immobility, altered consciousness, greater age and weight (BMI) are important risk factors for pressure ulcers. Factors identified included altered level of consciousness, impaired nutritional intake, faecal incontinence and factures (Kaitani et al. 2010).
Next you will want to teach your toddler about proper hygiene. After your toddler as finished pottying you should teach then to wipe from front to back. This helps prevent any bacteria from entering the private areas, which could lead to health issues such as bacterial infections. Your toddler should also learn how to use proper hand washing skills after they are done using the potty to prevent spreading harmful germs to other individuals. Proper hygiene is an important step of potty training because it can prevent several illness and disease from
This concept is taken from Block 4, Module 11 which is entitled as ‘Assessment of musculoskeletal system’.
TREMAYNE, P and PARBOTEEAH, S (2006) Fundamental aspects of adult nursing procedure. London: MA Health care Limited.