8/13/2019 36793286 Ncp Constipation

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ASSESSMEN

T

DIAGNOSIS INFERENC

E

PLANNING INTERVENTIO

N

RATIONAL

E

EVALUATIO

N

Subjective:

hindi pa

naman akodumudumi

mga ilangaraw na rin.

Objective:

patient hasnt

defecated

since Friday

(April 20)

impaired

mobility

limited

movement

abdominal

distention

decreased

bowel sounds.

Constipation

related to

musculoskeletal impairment

and lack ofexercise as

manifested by

impairedmobility,

abdominal

distention,

and decreased

bowel sounds.

After 12

hours of

nursingintervention

s, thepatients

constipation

will berelieved as

evidenced

by:

-Absence of

abdominaldistention

-patient will

be able to

defecate.

-

demonstrate

ROMexercises to

relieve

constipation

-Verbalize

understanding about the

interventions with

regards torelieving

constipation.

-Determine

stool color,

consistency,frequency, and

amount.

- Auscultate

bowel sounds.

- Monitor intake

and output(I&O) with

specific

attention to foodor fluid intake.

-encourage

increase fluidintake

-advice to take

luke warmwater every

morning.

-Add fiber rich

foods to diet..

-Assists in

identifying

causative orcontributing

factors andappropriate

intervention

- Bowel

sounds aregenerally

increased inconstipation.

- May

identifydehydration,

excessive

loss of fluidsor aid in

identifying

dietarydeficiencies.

-Facilitates

defecation

-Facilitates

as a stoolsoftener.

-facilitates

normal

bowel

After 12 hours

of nursing

interventions,the patients

constipationwas relieved

as evidenced

by:

-Absence of

abdominal

distention

-patient willbe able to

defecate.

-demonstrate

ROMexercises to

relieve

constipation

-Verbalize

understanding

about theinterventions

with regards

to relievingconstipation.

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- Advice toavoid gas

forming foods

- Discuss use of

stool softeners,

mild stimulants,enemas as

Indicated.

Monitoreffectiveness

Collaborative:

-Consult withdietitian to

provide well

balanced diet

high in fiber andbulk.

movement

pattern, acts

as a stool

softener.

- Decreasesgastric

distress and

abdominal

distension..

-Facilitates

defecation

whenconstipated

is present.

- Fiber resist

enzymatic

digestionand absorbs

liquids in its

passage

along theintestinal

tract and

therebyproduces

bulk, which

acts as astimulant for

defecation.