🚽 E · Elimination
9
statements8
actual1
risk1
urgentRecommended assessment — CarePath tool: CP-ELIM Elimination Check (interactive scoring) · Validated scales: Bristol Stool Chart, bladder scan
| Code | Problem statement | Type | Description | First 3 actions |
|---|---|---|---|---|
| E1 | Hard or infrequent bowel movements | Actual | Stools are hard, dry, or rare, with straining or discomfort. | Encourage fluids, fiber, and movement · Offer toilet privacy · Give laxatives as ordered |
| E2 | Frequent loose stools | Actual | Watery or frequent stools that risk fluid loss, weakness, and skin damage. | Replace fluids · Protect skin with barrier cream · Use infection precautions |
| E3 | Unable to empty the bladder | Actual | Urine stays in the bladder, causing fullness, discomfort, or overflow leaking. | Check with a bladder scan or palpation as ordered · Offer privacy and a normal position · Try running water or warm water |
| E4 | Leaking urine | Actual | Urine escapes without control, for example with coughing, urgency, or at other times. | Teach pelvic floor exercises · Set a toileting schedule · Use pads |
| E5 | Unable to reach the toilet in time | Actual | Bladder control is present but mobility, distance, or timing leads to accidents. | Place the bed near the toilet · Use a commode · Set regular toilet times |
| E6 | Bowel leakage | Actual | Stool passes without control, risking skin damage and embarrassment. | Set a bowel routine · Clean skin gently and use barrier cream · Use pads |
| E7 | Burning or pain passing urine | Actual | Urinating hurts or burns, which may signal infection or irritation. | Encourage fluids · Give antibiotics as ordered · Send a urine sample |
| E8 | Likely to get urine infection from a catheter | Risk | A urinary catheter gives germs a path into the bladder. | Use clean technique · Keep the bag below the bladder · Give catheter care |
| E9 | Very little urine being made | Actual ⚠ URGENT | Urine output is lower than expected, which may signal dehydration or kidney trouble. | Measure output accurately · Check the catheter for kinks · Encourage fluids if allowed |