bowel elimination


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elimination

 [e-lim″ĭ-na´shun]
discharge from the body of indigestible materials and of waste products of body metabolism; see defecation, urination, and clearance.
altered bowel elimination a former nursing diagnosis referring to change in normal defecation patterns. See constipation, diarrhea, and bowel incontinence.
bowel elimination defecation.
impaired urinary elimination a nursing diagnosis accepted by the North American Nursing Diagnosis Association, defined as a disturbance in an individual's pattern of urine elimination (see urination). These changes are not to be confused with symptoms of pathologic conditions related to renal formation of urine, such as suppression, anuria, and polyuria. Examples of changes that might be amenable to nursing interventions include those associated with dysuria, frequency, nocturia, and urinary incontinence.

Environmental causative and contributing factors of which the nurse should be aware include unavailability of a urinal or bedpan or inability to go to the bathroom without help, an inadequate supply of fresh water at the bedside, and lack of privacy. These factors are especially relevant to elderly and extremely weak or easily fatigued patients. Elderly persons may experience urgency because of diminished bladder capacity, loss of tone in the perineal muscles, and decreased ability to control bladder contractions.

In some cases alteration in patterns of urination may be related to decreased attention to bladder cues because of the effects of certain drugs, such as tranquilizers and sedatives, or to psychologic factors, such as depression, anxiety, and confusion. See also bladder training.
urinary elimination urination.
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.
References in periodicals archive ?
The goal of a good program is to control bowel elimination. It is much simpler to plan and execute a program as early as possible than to deal with the serious consequences of bad bowel care.
Water consumption is essential for good bowel elimination, and it promotes a healthy bladder, skin, lungs, and circulatory system.