Sorrentino: Mosby’s Canadian Textbook for the Support Worker, 4th Edition
Chapter 33: Bowel Elimination
STUDENT ASSIGNMENT
Date: ________________________________ Name: ________________________________
SHORT ANSWER QUESTIONS
Match each term with the correct definition.
Colostomy 1. ______ The introduction of fluid into the rectum and lower colon
Constipation 2. ______ Excreted feces
Diarrhea 3. ______ Gas or air passed through the anus
Enema 4. ______ An artificial opening between the colon and the
Feces abdominal wall
Flatus 5. ______ The frequent passage of liquid stools
Melena 6. ______ The surgical creation of an artificial opening
Ostomy 7. ______ The semi-solid mass of waste products in the colon
Peristalsis 8. ______ A black, tarry stool
Stool 9. ______ The passage of a hard, dry stool
10. ______ The alternating contraction and relaxation of intestinal
muscles
INDEPENDENT LEARNING ACTIVITIES
1. Do you ever have difficulty regulating your own bowel elimination? Answer these
questions about how you treat problems with bowel elimination.
a. What causes you to have problems with bowel elimination? Foods? Illness?
Stress? Inactivity?
b. What methods have you used to treat problems with bowel elimination?
Sorrentino: Mosby’s Canadian Textbook for the Support Worker, 4th Edition
Diet? Medication?
c. How do you feel when problems with bowel elimination occur? What type of
physical discomfort occurs? Emotional distress?
d. How do problems with bowel elimination affect your appetite? Sleep and
rest? Energy level? Mood?
e. What effect does a problem with bowel elimination have on your life? How
does it affect your participation in work and leisure activities?
f. How can you relate your personal experience to the feelings and concerns
of a client you are caring for who has problems with bowel elimination?
2. Do you know someone who has a colostomy or ileostomy? If you
feel comfortable with the person, ask these questions to better understand the
problems he or she has daily.
a. How long has the person had the ostomy? Is it permanent or temporary?
b. What problems has the client experienced in learning to live with the ostomy?
How have friends, family, and others reacted to knowing the client has an ostomy?
c. What has been the hardest adjustment? What has been the easiest?
d. What type of pouch is being used? What other types were tried? What are the
advantages of the type being used?
e. How much time is required each day to care for the ostomy? What is the
client’s schedule to care for the ostomy?
f. How expensive is the equipment used?
g. What leisure activities does the client have? Did the client have to change or
give up any activities due to the ostomy? What changes occurred in the client’s body
Sorrentino: Mosby’s Canadian Textbook for the Support Worker, 4th Edition
image?
CRITICAL THINKING EXERCISES
1. You are assisting with the care of a newborn infant. Your 12-hour shift is almost
over and the infant has not had a bowel movement. What is the correct course of
action?