NURSING CARE

PLAN

Submitted by: Charles Michael Azagra

BSN -1

Submitted to: Ms. Rendel P. Jison

Clinical Instructor
Scenario:

Mang kanor a 30 year old man with a 36.8 temperature experiencing Diarrhea. He verbalized “Madalas akong dumumi ngayon kaysa kahapon”. He complain about
having increased peristalsis and watery stool. His vital signs were taken immediately after arriving at the hospital.

Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation

Subjective: “Madalas Diarrhea related to After 4 hours Independent: • After 4
akong presence of toxins of nursing • Helps hours of
dumumi ngayon manifested by loose, interventions, Observe and differentiate nursing
kaysa kahapon” watery stool the patient record stool individual intervention
as verbalized by will report frequency, disease and s, the
patient. reduction in characteristics, assesses patient was
frequency of amount and severity of able to
Objective: stools precipitating episode. report
• factors. • reduction in
Increased • Rest decreases frequency of
peristalsis. Promote bed rest. intestinal stools
• • motility and
Frequent Provide bedside reduces
watery commode. metabolic rate.
stools. • •
• Identify foods and Urge to
Abdominal fluids that defecate may
pain. precipitate occur without
• diarrhea. warning and
V/S taken as • uncontrollable,
follows: Restart oral fluid increasing risk
T: 36.6 intake gradually. of incontinence
P: 80 Offer clear liquids or falls if
R: 18 hourly, and avoid facilities are not
Bp: 110/90 cold fluids. close at hand.
•
Encourage to eat Avoiding
foods like banana intestinal
and apple. irritants
• promotes
Avoid foods that intestinal rest.
are oily, spicy and
caffeine.
Collaborative: •
Provides colon
rest by omitting
• or decreasing
Administer anti- stimulus of
diarrheals as foods or fluids.
prescribed by the Gradual
physician consumption of
liquids may
prevent
cramping and recurrence
of
diarrhea. Cold
fluids can
increase
intestinal
motility.
•
Fruits that are
stool former.
•
Foods that may
precipitate
gastric
cramping.
•
Decreases G.I
motility or
peristalsis and
diminishes
digestive
secretions to
relieve
cramping and
diarrhea.