Student Nurses’ Community

NURSING CARE PLAN – Constipation

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

Independent:
SUBJECTIVE: Constipation Constipation is a After 8 hours of  Determine stool  Assists in After 8 hours of
related to very common nursing color, consistency, identifying nursing
“Hindi na ako decreased condition that interventions, the frequency, and causative or interventions, the
madalas dumumi dietary intake. affects people of patient will amount. contributing patient was able to
nitong mga all ages. When establish or return factors and establish or return
nakaraang araw” you are to normal appropriate to normal patterns
( I started having constipated, you patterns of bowel interventions. of bowel
infrequent bowel functioning functioning
feel that you are
)
movements lately
not passing stools  Auscultate bowel  Bowel sounds are
as verbalized by
(faeces) as often sounds. generally
the patient.
as your normally decreased in
do, or that you constipation.
OBJECTIVE:
have to strain
more than usual,  Encourage fluid  Assists in
 Abdominal or that you are intake of 2500- improving stool
pain, unable to 3000 ml/day within consistency.
urgency, and completely empty cardiac tolerance.
cramping. your bowels.
 Altered Constipation can  Recommend  Decrease gastric
bowel also cause your avoiding gas- distress and
sounds. stools to be forming foods. abdominal
 V/S taken as unusually hard, distension.
follows: lumpy, large or
small. The  Assist in perianal  Prevents skin
T: 37.1 severity of skin condition excoriation and
P: 88 constipation can frequently, noting breakdown.
R: 18 vary greatly. Many changes or
BP: 120/80 people only beginning
experience breakdown.
constipation for a
short period of  Discuss use of  Facilitates
time with no stool softeners, defecation when
lasting effects on mild stimulants, constipation is
their health. For bulk-forming present.
others,
Student Nurses’ Community

laxatives, or
constipation can enemas as
be a chronic indicated. Monitor
(long-term) effectiveness.
condition which
causes significant  Encourage to eat  To enhance easy
pain and high-fiber rich defecation.
discomfort. foods.
Chronic
constipation can Collaborative:
also lead to  Consult with  Fiber resists
complications, dietitian to enzymatic
such as faecal provide well- digestion and
impaction (where balanced diet absorbs liquids in
dry, hard stools high in fiber its passage along
collect in your and bulk. the intestinal tract
rectum) or faecal and thereby
incontinence produces bulk,
(where you which acts as a
involuntarily leak stimulant to
liquid stools defecation.
around solid
impacted stools).
The treatment for
constipation is
usually very
effective, although
in some cases it
can take several
months before a
regular bowel
pattern is re-
established.