How would you approach a client's elimination needs for someone who needs to remain lying in a supine position

Question

and what assistance/aids would you provide?

Answer 1

Is this for homework? If they have to be supine and can use a bedpan and urinal, that would be fine. Otherwise a foley catheter, if they are going to be bedridden for awhile, perhaps an indwelling catheter. If they are unable to use a bedpan, you'd need to consider continence briefs. If patient is seriously ill or bedridden longterm, a rectal tube or temporary ostomy may be considered, especially with loose stools and/or tube feeding. Sterile technique must be adhered to for any invasive procedures and contact precautions follow if/when necessary.

This person may need assistance with repositioning/turning, cleaning themselves, special mattresses (ie: air or eggcrate), chucks (absorbant pads) and bedding to make them more comfortable. And of course anyone who is bedridden for more than a few days needs a careful skin care regimen: prompt cleaning, wiping, use of protective skin creams, passive or active movement of all the limbs, turning (if pt unable to turn self), protecting of bony prominances and pressure points to prevent skin breakdown, careful skin assessment at least once a day.

Is that what you are looking for?

Answer 2

if bedpan doesn't work you may ned to purchase "chux" which are blue waterproof pads for the bed. Adult briefs may also need to be use. BUT make sure the skin is kept clean and dry, use sometype of skin protector (talk to you pharmasit). Also, reposition the client at least every 2 hours, the big thing to do is watch out for any redness or sore starting to develope. Bed sores can be VERY hard to treat.

Answer 3

deffinately a foley... foley's are easy to install and easy to maintain. Less to worry about as compared to using a bed pan or blue chucks pads, which would require LOTS of movement that you want to avoid. Also depends on how long the pt is and needs to be immobilized and what the NOI (nature of injury) is.

Answer 4

Bedpan or fracture pan. Urinal (if client is a male).

Answer 5

fracture pan
urinal.. if a guy
cath only if necessary
depends if necessary
blue pads