CUES/EVIDENC NURSING OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

ES DIAGNOSIS

Objective Data: ● Risk for Within my care, the ● Evaluate fear ● Women who At the end of my care,
● Hasn’t postpartum patient’s risk for of pain. have had the patient’s risk for
defecated constipation postpartum episiotomy, or postpartum constipation
yet since constipation will be laceration may is being addressed as
the mitigated as tend to delay evidenced by:
delivery evidenced by: elimination for
fear of possible
● The client pain. Delaying ● Client was able
will use bowel to use
Subjective techniques movements techniques to
Data: to minimize may increase minimize rectal
rectal constipation discomfort, and
discomfort and states that
subsequently discomfort is
cause more minimized.
● Client will pain. ● Client verbalizes
verbalize at “drinking plenty
least 2 ● Encourage ● These steps of water, eating
means of regular lead to foods high in
promoting intake of establishing fiber”
peristalsis food regular bowel
emphasizing habits.
foods high in
● Client will be fiber such as ● Client defecates
able to apples, with no
defecate bananas, discomfort being
leafy greens. felt

● Sufficient ● Increased
 hydration
fluid intake promotes a
(eight softer fecal
glasses per mass.
day or 2000
to 3000
mL/day).

● The warmth
● Teach relaxes
patient muscles before
techniques defecation
to minimize attempts.
rectal
discomfort
(Hot sitz
bath, Heat
lamp
treatment)