Nursing Assessment, History and Diagnosis for Elimination Pattern

Elimination Pattern

  • Adequacy of the client’s bowel and bladder.
  • The client’s bowel and urinary habits.
  • Bowel or urinary problems
  • Use of urinary or bowel elimination devices.

Subjective Data

Bowel Habits

  • How frequent are your bowel movements?
  • Do you use laxatives? What kind and how often do you use them?
  • Do you use enemas or suppositories? How often and what kind?
  • Do you have any discomfort with your bowel movements? Describe.

 

Bladder Habits

  • How frequently do you urinate?
  • What is the amount and color of your urine?
  • Do you have any of the following problems with urinating:
  • Pain? Blood in urine? Difficulty starting a stream? Incontinence? Voiding frequently at night? Voiding frequently during day? Bladder infections?
  • Have you ever had a urinary catheter? Describe. When? How long?

 

Objective Data

Refer to Abdominal Assessment, and the rectal assessment.

 

Associated nursing-Diagnoses

Wellness Diagnoses

  • Opportunity to enhance adequate bowel elimination pattern
  • Opportunity to enhance adequate urinary elimination pattern

 

Risk Diagnoses

  • Risk for constipation
  • Risk for altered urinary elimination

 

Actual Diagnoses

  • Altered Bowel Elimination Constipation
  • Diarrhea
  • Bowel Incontinence
  • Altered Urinary Elimination Patterns of Urinary Retention
  • Total Incontinence
  • Stress Incontinence

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