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Nursing Management1. Risk for ineffective gastrointestinal
perfusion Monitor for perforation and peritonitis No laxatives or enemas Monitor vital signs Maintain IV fluid replacement2. Pain Ice to RLQ – NO HEAT
Functional Health Patterns – pages 934-936Physical Assessment – pages 936-939
BARIUM ENEMA/LOWER GI
COLONOSCOPY
Virtual colonoscopy• Uses CT scanner and computer software to
look inside the body without having to insert the colonoscope
• Needs same prep as we just discussed• Small tube is placed in rectum, so air can be
induced• CT scan – lay on back and then stomach• Takes about 10-20 minutes• Free to leave afterwards
PROCTOSIGMOIDOSCOPY
FECAL ANALYSIS
CEA Levels- carcinoembryonic antigen
Protein secreted by cells of GI tract Elevated with colon cancers, liver, or
pancreatic cancers Monitors the effectiveness of treatment.
Geriatric considerations
• Constipation due to: lack of bulk in diet, decreased fluid intake, decreased activity, laxative abuse, intestinal muscle tone decreases, and avoidance of need to defecate
• Fecal incontinence• Rectal prolapse
Diarrhea
Fecal Incontinence
• Bowel Incontinence• Risk for impaired skin integrity• Body image distrubance• Risk for caregiver role strain• Self-care deficit – toileting• Social isolation