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NURSING CARE PLAN Constipation ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION

SUBJECTIVE: Hindi na ako madalas dumumi nitong mga nakaraang araw

( I started having infrequent bowel movements lately

Constipation related to decreased dietary intake.

) as verbalized by the patient. OBJECTIVE: Abdominal pain, urgency, and cramping. Altered bowel sounds. V/S taken as follows: T: 37.1 P: 88 R: 18 BP: 120/80

Constipation is a very common condition that affects people of all ages. When you are constipated, you feel that you are not passing stools (faeces) as often as your normally do, or that you have to strain more than usual, or that you are unable to completely empty your bowels. Constipation can also cause your stools to be unusually hard, lumpy, large or small. The severity of constipation can vary greatly. Many people only experience constipation for a short period of time with no lasting effects on their health. For others,

Independent: After 8 hours of Determine stool nursing color, consistency, interventions, the frequency, and patient will amount. establish or return to normal patterns of bowel functioning Auscultate bowel sounds.

Assists in identifying causative or contributing factors and appropriate interventions. Bowel sounds are generally decreased in constipation. Assists in improving stool consistency. Decrease gastric distress and abdominal distension. Prevents skin excoriation and breakdown.

After 8 hours of nursing interventions, the patient was able to establish or return to normal patterns of bowel functioning

Encourage fluid intake of 25003000 ml/day within cardiac tolerance. Recommend avoiding gasforming foods. Assist in perianal skin condition frequently, noting changes or beginning breakdown. Discuss use of stool softeners, mild stimulants, bulk-forming

Facilitates defecation when constipation is present.

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laxatives, or enemas as indicated. Monitor effectiveness. Encourage to eat high-fiber rich foods. To enhance easy defecation.

constipation can be a chronic (long-term) condition which causes significant pain and discomfort. Chronic constipation can also lead to complications, such as faecal impaction (where dry, hard stools collect in your rectum) or faecal incontinence (where you involuntarily leak liquid stools 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 reestablished.

Collaborative: Consult with dietitian to provide wellbalanced diet high in fiber and bulk.

Fiber resists enzymatic digestion and absorbs liquids in its passage along the intestinal tract and thereby produces bulk, which acts as a stimulant to defecation.