University of Santo Tomas-Legazpi

Rawis, Legazpi City, Albay, Philippines

NCM 103 - Fundamentals of Nursing Practice, Lec.

School Year: 2019-2020, 2nd Semester
Mr. Victor Peralta, RN

DIARRHEA
-is a common condition that involves frequently visit and fluid bowel movements.

Prepared by:

DICHOSO, Joshua

ESCOPETE, John Michael

FRAGINAL, Joen
Diarrhea is the passage of loose and watery stools (more than 3 bowel movements per day)
regularly related with gassiness, bloating, and stomach torment. It may moreover be gone with
sickness or nausea, vomiting, and fever. Diarrhea results to loss of body fluids and salts drying
out of shifting seriousness. Serious lack of hydration may cause death particularly in children.

NURSING CARE PLANS

(CASE 1)

ASSESSMENT Nrsg Dx Goals Nrsg Rationale

CUES Desired/Outcomes Interventions

Subjective:  Diarrhea  Goal: after 4hr  Watch and  It can help to

related to of applying record stool differentiate
“My stomach inflammation, nursing recurrence, individual
slopes and I had irritation, or interventions, characteristics, disease and
to go to the rest intestinal mal- the pt. will amount and evaluates
room a few absorption as report decrease precipitating seriousness of
times” as evidence by in frequency variables. scene.
verbalized by abdominal tools.  Identify foods  By knowing the
patient. pain.  Abdominal pain and fluids that foods and
will be relieved triggers fluids that
within 8hr. diarrhea. precipitate
Objective: diarrhea, it can
be now
 The patient (pt.) avoided to
shows signs of promote
uncomforting. intestinal rest.
 Repeated  Rest decreases
 Promote bed
watery stools. intestinal
rest.
 Pt. complains of motility and
abdominal pain, metabolic rate.
pain of 8 on  Urge to
scale of 1-10.  Provide defecate may
 VS: bedside happen
- T: 36.8 commode. without
 - P: 82 caution or
- R: 19 warning,
- BP: 110/90 increasing risk
of
incontinence
or falls if
facilities are
not close at
hand.

(CASE 2)

ASSESSMENT Nrsg Dx Goals Nrsg Rationale

CUES Desired/Outcomes Interventions

Subjective:  Diarrhea  Goal: after 12hr  Observe and  It could help to

related to of nursing record the determine the
“Today, I went to ingestion of interventions, frequency of causative
the rest room and suspected the pt. will be stool factor and to
poop 5 times contaminated able to re- recurrence, know if there is
already, now I food as establish and amount, need of
feel sick and my evidence by maintain normal characteristics, additional
stomach cramps” increased bowel and any hydration
as verbalized by frequency of functioning. presence of replacement.
patient. bowel  After 1hr of precipitating
movements. discussion, the variables.
pt. will verbalize  Restrict foods  Avoiding these
Objective: and understand and fluids that foods can
the causative contain lessen the
 Pt. shows signs factor and caffeine, milk, irritation on
of proper fruits, fiber, the stomach.
uncomforting, preparation and and too much
irritated and eating of food, oil.
guarding avoidance of
stomach. irritating foods.
 Increased
frequency of
bowel sounds.
 Pt. complains of
abdominal pain,
pain of 7 on
scale of 1-10.
 Pt. mentioned
he ate some
street foods,
and “balut”
(boiled duck egg
with developing
embryo) day
prior to onset of
symptoms.
 VS:
- T: 37.4
- P: 78
- R: 18
- BP: 150/80