Gonzales, Abby B.

BSN 2 – 2

Nursing Care Plan for Patient with Constipation

PLANNING,
CLIENT
NURSING
ASSESSMENT NURSING INFERENCE GOAL, RATIONALE EVALUATION
INTERVENTION
DIAGNOSIS DESIRED
OUTCOMES
Subjective cues: Constipation After 8hours Independent - Sufficient The goal was fully
- “Hindi ako related to Precipitating of nursing - Advise the fluid intake is met.
makadumi limited fluid factors intervention, patient to necessary for After 8hours of
mga limang intake and the patient have an oral the bowel to nursing intervention,
araw na. poor will be able fluid intake absorb the patient was able
Sinusubukan eating habits CS to report of 2000 to sufficient to report relief from
ko namang as evidenced relief from 3000 mL/day amounts of discomforts of
dumumi by absence of discomforts - Advise liquid to constipation. And
pero masakit stool. Reduced appetite of patient to promote was able return to
eh mga 7” constipation increase proper stool normal patterns of
- “Isang litro from 7 to 2. intake of consistency bowel functioning
po naiinom Insufficient fluid dietary fiber - Fiber absorbs
kong tubig intake to The patient’s - Advice the water, which
sa isang lubricate intestine bowel pattern patient to adds bulk and
araw… will return to undergo such softness to
noodles pa its normal activities or the stool and
lang po Defecation pain functioning. exercises per speeds up
nakakain day. passage
ko”, through the
as verbalized Dry and hard Dependent intestines.
by the patient. stool - Administer - It promotes
the better blood
Objective cues: medications circulation
- CS patient Constipation ordered such going to the
- Primigravida as stool different parts
- 3 days P.O. softeners, of the body
- Taking mild including the
FeSO4 and stimulants digestive
 Tramadol bulk forming system
- Fluid intake laxatives - Facilitates
was 1L defecation
- Absent when
bowel constipation
sounds Reference: is present.
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- Vital signs
 BP:
120/90,
 PR: 90,
 RR: 18,
T: 37.2