Discuss how elimination complexities can affect the lives of patients and their families NRS 410
Discuss how elimination complexities can affect the lives of patients and their families NRS 410
Topic 3 DQ 1
Discuss how elimination complexities can affect the lives of patients and their families. Discuss the nurse’s role in supporting the patient’s psychological and emotional needs. Provide an example.
Replies
Class, how does the psychological effects of elimination issues change over the lifecycle?
- Replies to Barb McGraw
Hello Barb McGraw,
Positive and negative psychological attitudes affect the waste elimination processes. Stress, embarrassment, isolation, anxiety, and body image issues, hasten gastrointestinal problems. For example, studies indicate that stress increases constipation and abdominal pain syndrome (Lopresti, 2020). This restricts bowel movement, limiting waste elimination processes. However, communication, education, and support from family and nurses ease bowel movements, increasing the waste elimination process. A positive attitude towards gastrointestinal issues can improve the waste elimination procedures such as bladder and bowel movements. Empathy towards the patients can decrease any irregularities in the waste elimination lifecycles.
Discuss how elimination complexities can affect the lives of patients and their families NRS 410 Reference
Lopresti, A. L. (2020). The effects of psychological and environmental stress on micronutrient concentrations in the body: a review of the evidence. Advances in Nutrition, 11(1), 103-112. https://doi.org/10.1093/advances/nmz082
Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: Discuss how elimination complexities can affect the lives of patients and their families NRS 410
Patients with chronic conditions often have to adjust their lifestyle to accommodate the illness. As the illness progresses, there can be a negative effect psychologically. Over time the illness may deteriorate the affected organ and loss of function becomes greater. Independence and quality of life of the patient may decrease. They may begin to show signs of stress and helplessness. Other symptoms of emotional stress include:
-
-
- Becoming easily agitated, frustrated, and moody
- Feeling overwhelmed, as if you are losing control or need to take control
- Having a hard time relaxing and quieting your mind
- Feeling bad about yourself (low self-esteem), and feeling lonely, worthless, and depressed
- Avoiding others (Marks, 2021).
-
They may also forgo further treatment and may become severely ill without help and support.
Discuss how elimination complexities can affect the lives of patients and their families NRS 410 Reference
Marks, H. (2021). Stress symptoms. Finding your calm: Managing stress & anxiety. Retrieved from https://www.webmd.com/balance/stress-management/stress-symptoms-effects_of-stress- on-the-body
Elizabeth Mateo Gonzalez
Aug 3, 2022, 9:38 PM
Replies to Barb McGraw
Elimination complexities are conditions that interfere with the normal excretion process of the body. There are several elimination structures in the human body including the pancreas, gastrointestinal systems renal and biliary structures. When these structures fail to function effectively they result to problems in the excretion system thereby resulting to elimination complexities. Uremia is an example of elimination disorder which occurs when kidney fails to filter toxins in urine. Elimination complexities affect the lives of the patient and their families greatly. Apart from the physical health impacts the condition has on patients, elimination complexities also lead to psychological and emotional stress (Castellan et al., 2016). Studies show that families and patients with end-stage renal disease experience psychological financial and emotional stress.
The severity and extent of the complexity differs from person to person depending also on the structure being affected. Some complexities are associated with symptoms that may limit patients’ interaction in social place due to fear of stigma. Families are faced with psychological stress seeing their loved ones in the condition. All these lead to anxiety and depression (Sharma &Bhutta, 2022). In addition to that, families may stress out due to high financial costs needed for treatment and symptoms management. Nurses play a great role in supporting patients with elimination problem. Emotionally, nurses can hold conversations with the patients allowing the patient to express how they feel about their condition. In the conversations, nurses can instill hope by educating the patient on their condition and providing them with relevant information and data.
Discuss how elimination complexities can affect the lives of patients and their families NRS 410 References
Castellan, C., Sluga, S., Spina, E., & Sanson, G. (2016). Nursing diagnoses, outcomes and interventions as measures of patient complexity and nursing care requirement in Intensive Care Unit. Journal of Advanced Nursing, 72(6), 1273-1286. https://doi.org/10.1111/jan.12913
Sharma, P., & Bhutta, B. S. (2022). Assisting Patients With Elimination. In StatPearls [Internet]. StatPearls Publishing.
Dorothy Jayne Ray
replied toElizabeth Mateo Gonzalez
Aug 5, 2022, 6:23 PM
- Replies to Elizabeth Mateo Gonzalez
Having a recent diagnosis of an elimination problem can cause much stress for most people. It can also be embarrassing. “Nurses should be sensitive to the fact that many patients find the loss of independence during illness demoralizing” (Whitney, 2018). Nurses should offer emotional support. This can be done by listening to the patient and validating feelings. Coping skills should be taught. Nurses can also provide education for the prevention or maintenance of the illness. Most of the time these illnesses will be chronic so the patient will need to learn to manage it so they can still live a good quality of life.
Discuss how elimination complexities can affect the lives of patients and their families NRS 410 Reference
Whitney, Stacey. (2018). Elimination Complexities. Pathophysiology Clinical Applications for Client Health. Retrieved from https://lc.gcumedia.com/nrs410v/pathophysiology -clinical-applications -for-client-health/v1.1/#/chapter/3
- Beth Johnsrud
replied toElizabeth Mateo Gonzalez
Aug 6, 2022, 4:47 PM
- Replies to Elizabeth Mateo Gonzalez
Hi Elizabeth,
Psychiatric disorders commonly co-exist with the diagnosis of ESRD. kidney disease (CKD). Research on depression and CKD is increasing a great deal. Many studies have shown that depression is more common in CKD and that end-stage renal disease is a robust risk factor for adverse effects such as hospitalization and death, but these are often underdiagnosed or untreated (Goh & Griva, 2018. When compared with the general population, patients with ESRD are five times more likely to suffer from depression. The reported rate of depression in patients with CKD ranges from 20% to 30% (Goh & Griva, 2018). As nurses, it’s important for us to take this into consideration when assessing our renal patients and assess for things like depression and anxiety, so we can further get them the help they need.
Beth Johnsrud
Goh, Z. S., & Griva, K. (2018). Anxiety and depression in patients with end-stage renal disease: impact and management challenges – a narrative review. International journal of nephrology and renovascular disease, 11, 93–102. https://doi.org/10.2147/IJNRD.S126615
Chizoba Njoku
Aug 3, 2022, 9:26 PM
Replies to Barb McGraw
Elimination complexity is the medical term that defines this health condition which can be disastrous if not addressed on time (Cohen, 2018). First, this condition is financially costly for patients, which implies that they will get affected economically. Treatment of some of the elimination complexities, such as urine elimination concerns, is costly (Schonberger, 2018). Some have financial assistance from family members, which also affects them financially. Also, the condition affects work attendance among working patients, thus making them suffer more economically. Besides, psychological problems such as stress, anxiety, and fear are prevalent among sick persons and their families (Schonberger, 2018).
Elimination complexes can have a variety of effects on patients and their families. Patients, for example, may feel embarrassed or ashamed of their condition, as well as isolated and alone. Families may struggle to cope with the day-to-day care of a loved one with an elimination complex. The nurse’s role in addressing the patient’s psychological and emotional needs is to offer encouragement, support, and understanding.
The daily care of a loved one with an elimination complex can be daunting and challenging for families. The nurse can help provide information about resources available to help the patient and family cope with the condition.
The challenges associated with an elimination complex can lead to feelings of isolation for families too. The nurse can also provide encouragement by sharing stories of other patients who have successfully managed their condition.
Discuss how elimination complexities can affect the lives of patients and their families NRS 410 References:
Allshouse, C., Comeau, M., Rodgers, R., & Wells, N. (2018). Families of children with medical complexity: a view from the front lines. Pediatrics, 141(Supplement_3), S195-S201.
Cohen, R. I. (2018). Lean methodology in health care. Chest, 154(6), 1448-1454.
Schonberger, R. J. (2018). Reconstituting lean in healthcare: From waste elimination toward ‘queue-less’ patient-focused care. Business Horizons, 61(1), 13-22.
Elizabeth Mateo Gonzalez
replied toChizoba Njoku
Aug 5, 2022, 9:39 PM
- Replies to Chizoba Njoku
Hi Chizoba,
Elimination complexity is a medical term used to represent a serious waste elimination process that could result in heavy health disasters if not attended to in a timely manner (JA, 2017). For starters, elimination complexities causes heavy financial burdens for patients together with their families. In other cases, the health condition causes patients to stop being as productive as usual in terms of professional life which can make life challenging. In some cases, elimination complexity drives a patient to a state of fear, anxiety, and stress.
Discuss how elimination complexities can affect the lives of patients and their families NRS 410 Reference
JA, J. (2017). New ABC Chronic Kidney Disease Classification. International Journal Of Nephrology And Kidney Failure, 3(2). https://doi.org/10.16966/2380-5498.144
Rouguiatou Hendricks
Aug 3, 2022, 8:31 PM
Replies to Barb McGraw
One example of elimination complexity is chronic kidney disease. Chronic kidney disease is a progressive irreversible disease that affects the kidneys (Whitney, 2018). It has stages from 1 to 5 and progressives slowly in the beginning. Some common causes of kidney disease are hypertension, diabetes, nephrosclerosis, renal calculi, and nephrotoxins (Whitney, 2018). Kidney failure is based on glomerular filtration rate.
Nursing management and teaching for chronic kidney disease start at first treatment, during, and at discharge (Whitney, 2018). At first, the nurse needs to identify the potential toxins, nephrotoxic agents that pose a threat to patients’ renal function, and risk factors (Whitney, 2018). Some procedures that can cause the toxins due to the contrast are computed tomography, cardiac catheterization, and pacemaker implantations (Whitney, 2018). A nurse needs to get lab work to get a patient’s baseline for serum creatinine level and BUN prior to administering contrast dye (Whitney, 2018). A nurse should monitor these levels after the procedure and also to educate the patient to monitor urine output and report decrease urine output immediately.
Patients and family’s needs support with a patient with renal disease. These patients and families need emotional, psychological support to help them thru the disease process. These patients’ life will revolve around dialysis treatments, transplants, and eventually death (Whitney, 2018). These patients need encouragement and support and assistance to maintain quality of life. They need coping skills, spiritual care, education to maintain treatment plans, self-care, and physical activity (Whitney, 2018). Nurses need to help set goals for recovery and independence, support groups, and education of the disease process. These will help eliminate stress and anxiety. Nurses need to educate the patient throughout the process and promote independence.
Discuss how elimination complexities can affect the lives of patients and their families NRS 410 Reference
Whitney, Stacey (2018). Pathophysiology: Clinical applications for client health. Grand Canyon University (Ed). https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/#/Chapter/3
Mary Bonillos
replied toRouguiatou Hendricks
Aug 5, 2022, 8:05 AM
Replies to Rouguiatou Hendricks
Elimination complexities such as kidney disease can result from treating other conditions. Chemotherapy treatments for cancer, for example, pose a risk for complications such as nephrotoxicity. Chemotherapy drugs can cause various renal and electrolyte disorders (Małyszko et al., 2017). Chemotherapy can affect the glomerulus, tubules, interstitium, or renal microvasculature—clinical manifestations range from an elevation of serum creatinine to acute renal failure requiring dialysis (Małyszko et al., 2017). Other factors can potentiate renal dysfunction contributing to nephrotoxicity of antineoplastic drugs, including the use of other nephrotoxic drugs (e.g., antibiotics, NSAIDs, radiographic contrast), urinary tract obstruction due to tumor, and other comorbidities such as diabetes, HTN, CHF, or the malignancy itself (Małyszko et al., 2017). Tumor lysis syndrome is another complication that can affect the kidneys, as the massive tumor cell lysis causes a high level of potassium, phosphate, and uric acids in the circulatory system (Małyszko et al., 2017). The early diagnosis and prompt treatment of kidney and electrolyte disorders are essential; monitoring kidney function before and during treatment is vital to identifying nephrotoxicity.
Imagine being a patient already stressed and devastated with a cancer diagnosis, then adding complications such as ARF requiring dialysis. Patients and their families will need education and emotional and spiritual support. Offering outpatient support counseling or support groups, as well as online resources for additional education, can help.
Discuss how elimination complexities can affect the lives of patients and their families NRS 410 Reference
Małyszko, J., Kozłowska, K., Kozłowski, L., & Małyszko, J. (2017). Nephrotoxicity of anticancer treatment. Nephrology Dialysis Transplantation, 32(6), 924–936. https://doi.org/10.1093/ndt/gfw338
Discuss how elimination complexities can affect the lives of patients and their families NRS 410 Grading Rubric
| Performance Category | 100% or highest level of performance
100% 16 points |
Very good or high level of performance
88% 14 points |
Acceptable level of performance
81% 13 points |
Inadequate demonstration of expectations
68% 11 points |
Deficient level of performance
56% 9 points
|
Failing level
of performance 55% or less 0 points |
| Total Points Possible= 50 | 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points |
| Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic topics. |
Presentation of information was exceptional and included all of the following elements:
|
Presentation of information was good, but was superficial in places and included all of the following elements:
|
Presentation of information was minimally demonstrated in all of the following elements:
|
Presentation of information is unsatisfactory in one of the following elements:
|
Presentation of information is unsatisfactory in two of the following elements:
|
Presentation of information is unsatisfactory in three or more of the following elements
|
| 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points | |
| Application of Course Knowledge
Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations |
Presentation of information was exceptional and included all of the following elements:
|
Presentation of information was good, but was superficial in places and included all of the following elements:
|
Presentation of information was minimally demonstrated in the all of the following elements:
|
Presentation of information is unsatisfactory in one of the following elements:
|
Presentation of information is unsatisfactory in two of the following elements:
|
Presentation of information is unsatisfactory in three of the following elements
|
| 10 Points | 9 Points | 6 Points | 0 Points | |||
| Interactive Dialogue
Initial post should be a minimum of 300 words (references do not count toward word count) The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count) Responses are substantive and relate to the topic. |
Demonstrated all of the following:
|
Demonstrated 3 of the following:
|
Demonstrated 2 of the following:
|
Demonstrated 1 or less of the following:
|
||
| 8 Points | 7 Points | 6 Points | 5 Points | 4 Points | 0 Points | |
| Grammar, Syntax, APA
Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition Error is defined to be a unique APA error. Same type of error is only counted as one error. |
The following was present:
AND
AND
|
The following was present:
AND/OR
AND/OR
|
The following was present:
AND/OR
AND/OR
|
The following was present:
AND/OR
AND/OR
|
The following was present:
AND/OR
AND/OR
AND/OR
|
The following was present:
AND/OR
AND/OR
|
| 0 Points Deducted | 5 Points Lost | |||||
| Participation
Requirements |
Demonstrated the following:
|
Failed to demonstrate the following:
|
||||
| 0 Points Lost | 5 Points Lost | |||||
| Due Date Requirements | Demonstrated all of the following:
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |
Demonstrates one or less of the following.
A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |