Reply 1

Re: Topic 3 DQ 1

Elimination complexities refer to the inability of the body to get rid of waste through normal processes of defecation and urination. These problems result in an abnormality in the life of the patient since the body can no longer function normally. Previously, these processes were automatic and one does not necessarily have to undergo procedures to remove the waste. After the development of illnesses such as kidney disease, patients have to go for dialysis to eliminate waste from the body since their kidneys can no longer perform this function (Yates, 2021). Elimination complexities affect the lives of the patient and family in numerous ways. To begin with, due to the lack of proper elimination of toxins from the body the patient will most likely develop an infection in the bladder or digestive system, thus making his health even worse. These abnormalities in the waste elimination process may lead the patient to develop poor mental health outcomes (Yates, 2021). On the other hand, the family has to ensure they provide living assistance to the patient at all times to carry out elimination processes. The situation is more difficult when the patient is an elder adult. As the family has to arrange for a primary home-based caregiver to help the patient. This can be costly, thus leading to financial and mental pressure on family members.

The nurse plays an important role in the provision of holistic care to the patient as they continue in their wellness journey. The first role is social support to help the patient to cope with changes in his lifestyle both physically and mentally (GCU, 2018). Another role played by the nurse is the psychological aspect to ensure the patient’s self-esteem is not affected negatively. For instance, for a patient with kidney disease, the nurse can encourage them to use the healing process and organize therapy sessions to help them cope with the changes effectively.


Grand Canyon University (Ed). (2018). Pathophysiology: Clinical applications for client health. Retrieved from

Yates, A. (2021). Part 1: Continence issues: an overview. Journal of Community Nursing, 35(1), 22–28.
Reply 2

Re: Topic 3 DQ 1

How elimination complexities can affect the lives of patients and their families.

Elimination complexities arise when normal physiology of body organs starts to fail due to several factors which include diseases, trauma, and aging. Again, some conditions such as anuresis start at a tender age. Most of this elimination problems occur when the kidney, urinary bladder and gastrointestinal tracts are involved. This comes with a lot of emotional drain to the individual and family affected as it calls for change in roles which sometimes extends to loss of economic independence. Again, for example when a person loses the ability to control their bowels and bladder it comes with challenges in keeping themselves clean and this affects their social life due to fear of stigmatization, (Alpaslan, 2016). This leads to social isolation. On the side of the family having to assume new roles such as helping in cleaning the affected and having to put up with social isolation leads to psychological strain too.

Nurse’s role in supporting the patient’s psychological and emotional needs.

As nurses we must step in and support the affected families to cope up with elimination challenges. We should put ourselves in their shoes and provide encouragement and link them to community resources which provide emotional support. Once affected, individuals and families feel like they are in an empty room by themselves, by stepping in and proving a shoulder to lean on brings back hope. Additionally, we need to teach them on how to care for the affected. Lack of knowledge on how to take care of the situations at hand has shown to be one of the reasons why people end up in agony and thus we need to step up.


Alpaslan AH, Koçak U, Avci K and Güzel HI , 2016. Association between elimination disorders and abusive maternal attitudes. Retrieved on March 23, 2021 from,