English for Nursing 2

Topic 10

ASSISTING WITH ELIMINATION

Instructional objective
The students are expected to be able:

 to act out a conversation and practice of helping patient do elimination, and

 to write a nursing documentation after helping patient do elimination.

Reading
Direction. Read the nursing note below and get some useful information about assisting patient in
elimination. Then, answer the following questions.

NURSING NOTE
Elimination refers to the excretion of urine and faeces.  If your assistance is required,
be tactful because the person may be very embarrassed to accept your help.  Never
show embarrassment, impatience or reluctance because your help means a lot to
someone who needs to lay hands on.  What you need to keep in mind is to respect
the person's privacy and to be sensitive in your handling, even if the person is
unconscious.
 
Tips on Helping a Person in Elimination
1. Assess how able is the person to cope with his own excretions.
2. Find out the person usual eliminating habits as most people have some kind of
routine.
3. When using commode/bedpan or urinal, cover a blanket over the person's lap to
reduce embarrassment.
4. Toilet paper should be place within reach if the person can manage himself in the
room.
5. Stay with the person if he is weak and confused to prevent fall hazards.
6. For person who can help himself, leave the room but remain within call.
7. Discourage the person to latch the door for safety reasons.
8. If the person is incontinent, it is important that he is cleaned up promptly for
comfort and hygiene to avoid embarrassment to the person.
9. Allow the person to wash hands after elimination.

(Source: healthnetcafe.com)

Questions:
1. What does elimination refer to?
Answer : Elimination refers to the excretion of urine and faeces
2. What are the fundamentals of assisting patients in elimination?

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 Answer : Never show embarrassment, impatience or reluctance because your help
means a lot to someone who needs to lay hands on
3. How to reduce patient’s embarrassment when using bedpan or urinal in
elimination?
Answer : cover a blanket over the person's lap to reduce embarrassment
Related Vocabularies
Direction. The followings are the vocabularies related to the topic. Practice the pronunciation. Complete
the blanks with the proper pronunciation.
A. Needed Equipment

Urinal Disposable Gloves Bedpan

/ ˈyo͝orənl / /Disposibel Geloves/ /Betpen/
Tempat kencing Sarung tangan sekali pakai Pispot

Towels Toilet Paper Wash Cloths

/ˈtou(ə)ls/ /ˈtoilit ˈpā pər/ / wäSH klō(T͟H)z/
Handuk Kertas Tisu Kain Lap

Underpad Blanket Trash Bag

/Anderpad/ /Blangket/ /Tras beg/
Perelak Selimut Plastik sampah

B. Nouns
1. Stool /Stuul/ : Bangku (tempat duduk)
2. Urine /Yurin/ : Air Seni
3. Bowel movement /Bawel muvmen/ : Gerakan usus
4. Defecation /Defikasyen/ : Buang air besar (BAB)
5. Waterworks /wôdərˌwərks / : Bangunan Air
6. Urination /yo͝orəˈnāSH(ə)n/ : Buang air kecil (BAK)
7. Privacy /prīvəsē/ : Pribadi

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C. Verbs
1. Defecate / defəˌkāt / : buang air besar (BAB)
2. Urinate / ˈyo͝orəˌnāt / : buang air kecil (BAK)
3. Lift up /lif ap/ : mengangkat
4. Bend /ben/ : menekuk
5. Set /set/ : memasang
6. Lower /lauwer/ : menurunkan

Useful Expressions
Direction. Study the following useful expressions when helping patient do oral care. Then, practice
them.
A. Greeting
 Hi. How are you?
 Good morning, Maam.

B. Self-Introduction
 My name is Jennifer. I am your nurse today.

C. Explaining what you are going to do

 I am here to ....  I am here to help you do
waterworks.
 I am going to ....  I am going to wash my hands.
 I would like to ....  I would like to raise head of this
bed.
 I need to ....  I need to put this bedpan under
your butttocks.
 I just want to ....  I just want to put this urinal
between your thighs.
 Let me ...  Let me help you wash your hands.

D. Giving questions
 Do you ...............?
 Can you ..............?
 Are you ...............?
 Do you need my assistance for
your bowel movement?
 Do you have any problems with
your waterworks?
 Can you move yourself easily?
 Are you fit enough to go to toilet?

E. Giving instructions
 Please (V1) ............  Please role yourself into side-
lying position.
 Please roll back onto the pan.
 Will/Would/Could/Can  Can you lift up your buttocks?
you ...............?  Could you bend your legs?
 Now I want you to ....................  Now I want you to give me your
hands.

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Integrated Listening and Speaking Exercise
Direction. Accomplish the following conversation then act out the dialogue.
Case: A patient who is confined to bed needs to do bowel movement.
Nurse : Good morning, Mrs. Johnson. May I help you?
Patient : Good morning, Nurse. I need to have a (1)Bowel Movement
Nurse : Let me prepare the equipment.
Now, (2) Would you roll yourself towards the edge of this bed.
I need to place this underpad.
Fine.
Now, (3) Lift up your Buttoks please.
I want to put this bedpan under your buttock.
Okay. That’s fine.
Patient : Thank you, Nurse.

Communication Exercise
Direction. Choose a pair and write a complete conversation on the acts of assisting patient in a
defecation or a urination. You can use the useful expressions above. Then, practice and present your
communication practice.

Nursing Documentation
Direction. Write a nursing documentation after assisting patient with elimination.

What to document?
1. Patient’s Identity (at least name and age)
2. Nurse’s name
3. Date and time
4. Significant observations and assessment findings
Example
Patient Identity
Name : Mrs. Lili Age : 19 yo

Results and Findings

Caused of Injury. Large, Reddish Loose of weight

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Time : 07.00 a.m.

Day, date: Wednesday, March 15, 2023

Nurse : Shafa