Roco, Hanz B.

BSN 201 / GROUP 4A

Nursing Care Plan

Cues Diagnosis Analysis Planning Interventions Rationale Evaluation

Subjective Data: Constipation Defining Goal: Independent: After 9 hours,

related to limited characteristics: the client
-"Hindi na ako fluid intake and After 9 hours of - Determine the - This identifies maintained
madalas low-fiber diet as Passage of dry, hard nursing color, consistency, causative, normal
dumumi nitong evidenced by, stool intervention, the frequency and the contributing excretion of
mga nakaarang passage of dry, client will maintain amount of stool. factors and stool and
araw at hard stool, Infrequent passage or establish normal appropriate normal patterns
nahihirapan din Infrequent of stool patterns of bowel interventions. of bowel
ako dumumi, passage of stool, functioning. functioning.
hindi na rin ako and pain with Pain with - Encourage the - To improve stool
madalas defecation. defecation. client for fluid consistency. Goal:
uminom ng intake of 2500- ___ Met?
tubig”. Self-report of 3000mL per day ___Partially
experience within cardiac Met?
tolerance.
(Subjective cue #1) ___ Unmet?
Objective data: - Encourage client -To increase the
Shows pain due to to intake in high- weight and size of
- Abdominal abdominal cramps fiber diet. the stool, which
Cramps adds bulk to
(objective cue #1) school, decreasing
-Altered bowel chance of
sounds Altered bowel continued
sounds constipation.
- VS signs were
taken: (objective cue #2) -Bowel sounds are
- Auscultate bowel generally
T: 36.2C Related factor/s: sounds of the increased in
client. constipation,
P: 90 BPM limited fluid intake determining the
bowel sounds will
R: 20/minute low-fiber diet show if bowel
movements are
BP: 120/70mm normal or not.
Hg