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

NRS 410 Topic 3 DQ 1 Discuss how elimination complexities can affect the lives of patients and their families

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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 Nutrition11(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:

      • 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.

 

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 Nursing72(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

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

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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Grading Rubric Guidelines

Performance Category 10 9 8 4 0
Scholarliness

Demonstrates achievement of scholarly inquiry for professional and academic decisions.

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Performance Category  10 9 8 4 0
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  • Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources;
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  • Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post.
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  • Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored
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Performance Category  5 4 3 2 0
Interactive Dialogue

Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days.

(5 points possible per graded thread)

  • Exceeds minimum post requirements
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  • Replies to a post posed by faculty and to a peer
  • Summarizes what was learned from the lesson, readings, and other student posts for the week.
  • Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days
  • Replies to a question posed by a peer

Summarizes what was learned from the lesson, readings, and other student posts for the week.

  • Meets expectations of 2 posts on 2 different days.
  • The main post is not made by the Wednesday deadline
  • Does not reply to a question posed by a peer or faculty
  • Has only one post for the week
  • Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments
  • Does not post to the thread
  • No connections are made to the topic
  Minus 1 Point Minus 2 Point Minus 3 Point Minus 4 Point Minus 5 Point
Grammar, Syntax, APA

Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted.

Points deducted for improper grammar, syntax and APA style of writing.

The source of information is the APA Manual 6th Edition

  • 2-3 errors in APA format.
  • Written responses have 2-3 grammatical, spelling, and punctuation errors.
  • Writing style is generally clear, focused, and facilitates communication.
  • 4-5 errors in APA format.
  • Writing responses have 4-5 grammatical, spelling and punctuation errors.
  • Writing style is somewhat focused.
  • 6-7 errors in APA format.
  • Writing responses have 6-7 grammatical, spelling and punctuation errors.
  • Writing style is slightly focused making discussion difficult to understand.
  • 8-10 errors in APA format.
  • Writing responses have 8-10 grammatical, spelling and punctuation errors.
  • Writing style is not focused, making discussion difficult to understand.
  • Post contains greater than 10 errors in APA format.
  • Written responses have more than 10 grammatical, spelling and punctuation errors.
  • Writing style does not facilitate communication.
  • The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
0 points lost       -5 points lost
Total Participation Requirements

per discussion thread

The student answers the threaded discussion question or topic on one day and posts a second response on another day. The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement

per discussion thread

The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week. The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

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