Elimination Complexities and Nurses’ Role in Providing Psychological Support

Elimination Complexities and Nurses’ Role in Providing Psychological Support

Some illnesses can cause devastating impacts on a patient’s body. Elimination complexities are one among such conditions or outcomes that can have a significant impact on patients as well as their families. By definition, elimination complexities refer to conditions that hamper the functioning of the body’s excretory system, making it difficult for the affected person to excrete waste properly (Sharma & Bhutta, 2020). They may be caused by certain medications or medical conditions such as cancer and congenital conditions, besides occurring after a surgical procedure. Whatever the cause, elimination complexities can negatively affect patients’ lives. According to Sharma and Bhutta (2020), some patients find it embarrassing discussing any bowel problems that they may have. This may be interpreted to suggest that elimination complexities could trigger psychological health issues such as anxiety together with depression.

Secondly, such complexities may cause serious medical problems, ultimately reducing the patient’s quality of life (Sharma & Bhutta, 2020). Individuals suffering from elimination complexities fear or are reluctant about attending social events due to hygiene concerns. At the same time, the condition may cause patients to quit employment, which in turn creates economic challenges for the patient together with his/her family. On the same note, seeking treatment for elimination complexities affects patients and families financially.

In reference to the psychological impact that elimination complexities have on patients, it is imperative that nurses offer necessary psychological and emotional support to patients dealing with elimination complexities. For example, nurses should provide information and guidance about the foods that patients should take to ease the bowel problems. More specifically, nurses should guide and advise patients about the importance of taking high fiber diets and stool softeners (Sharma & Bhutta, 2020). Likewise, nurses ought to provide information about any side effects of prescriptions and how the patient can manage these; it is also the responsibility of the nurses to address all practical issues that may arise and to assist the patient when he/she experiences fatigue.

Secondly, nurses ought to provide basic psychological as well as emotional support by frequently talking to patients and giving them words of hope and encouragement. They are also required to address all the informational needs that patients may have, including reminding them to adhere to drug prescriptions while also answering any question that patients may raise (Fan et al., 2017).  Given that the management of elimination complexities calls for the joint efforts of different professionals (Sharma & Bhutta, 2020), it is also the role of the nurses to regularly assess patients’ psychological and emotional conditions and making referrals or recommendations for psychiatric help when it is deemed necessary.

An example of the effect of elimination complexities on patients’ lives and their families would be a patient suffering from chronic kidney problems and who is on dialysis treatment. For such a person, going to work may become challenging because he or she has to attend dialysis clinics regularly. Additionally, the treatment causes some financial strain on himself/herself and family members because besides costs of dialysis, there are transportation costs and lost productivity. Such disruptions and other effects may cause depression to the patient. To ease this anxiety, the nurse should provide ongoing support by constantly offering encouragement to the patient, organizing and facilitating support groups and reminding as well as helping the patient to take drugs as prescribed.

References

Fan, S. Y., Lin, I. M., Hsieh, J. G., & Chang, C. J. (2017). Psychosocial care provided by physicians and nurses in palliative care: A mixed methods study. Journal of Pain and Symptom Management53(2), 216-223.

Sharma, P. & Bhutta, B. S. (2020). Assisting Patients with Elimination. StatPearls Publishing; www.ncbi.nlm.nih.gov/books/NBK559258/

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