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NRS 410 Topic 3 DQ 1 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
Topic 3 DQ 1
Aug 1-3, 2022
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.
Barb McGraw
Aug 1, 2022, 9:23 AM
Replies to Barb McGraw
Class, how does the psychological effects of elimination issues change over the lifecycle?
Sandra Jeudy
replied toBarb McGraw
Aug 4, 2022, 5:22 AM
- 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.
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
- Dorothy Jayne Ray
replied toBarb McGraw
Aug 6, 2022, 2:23 PM
- Replies to Barb McGraw
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:
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- 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).
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They may also forgo further treatment and may become severely ill without help and support.
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.
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.
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
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