urinary elimination

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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.

urinary elimination

a nursing outcome from the Nursing Outcomes Classification defined as collection and discharge of urine. See also Nursing Outcomes Classification.
References in periodicals archive ?
Adequate folate facilitates iAs methylation to DMA and MMA and appears to enhance urinary elimination, but the potential influence of cobalamin, which also facilitates methylation, is unclear.
This technology has the potential to improve nursing assessment, decrease risk of UTIs, and revolutionize nursing management of urinary elimination across the continuum of care.
The comparison between feces and urine showed that whereas daily urinary elimination of metabolites may account for 3% of total HCB in blood, intestinal excretion of unchanged HCB may account for about 6%, thus showing the importance of metabolism in the overall elimination of HCB.
Altered urinary elimination is a state in which an individual experiences a disturbance in voluntary control over micturition (Meiner, 1991).
Urinary elimination, altered patterns of: incontinence--Stress incontinence; urge incontinence; reflex incontinence; full incontinence; total incontinence urinary retention.

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