NURSING NEED DESIRED NURSING RATIONALE EVALUATIION INTERVIEW RATIONALE

DIAGNOSIS OUTCOME INTERVENTION MODIFICATION MODIFICATION

2. Constipation r/t

insufficient physical Independent :

P After 8 hours Goal not met Continue To regain his
activity and abdominal
of my because normal nursing normal
muscle weakness. H • It will serve
• Monitor
nursing pattern of bowel intervention until bowel
as a
Y vital signs
intervention, functioning is the patient’s functioning
baseline
Subjective: “Dili man S the patient not met in the bowel of the
data
kayo ko makalibang will said time functioning patient.
I regarding
diri.” established because it return to a
with the
O or return to needs a lot of normal
Objective: patient
L his normal time to movement.
condition.
*skin is warm.
pattern of achieved.
O Usually
*body malaise bowel
altered in
G functioning.
*abdominal pain acute pain.

I
*decreased bowel

sounds C

Vital sign:

Temp: 36.4oC N
• To ensure