Defining Nursing Planning Nursing Rationale Evaluation

Diagnosis
Characteristics Intervention

Constipation After 8 hours  Determine  Assists in After 8 hours

related to of nursing stool color, identifying of nursing
Objective: consistency, causative or
changes in interventions, interventions,
 Altered bowel digestive the patient frequency, contributing the patient
sounds process. will and amoun factors and was able to
demonstrate appropriate demonstrate
 Report of intervention.
changes in changes in
abdominal pain or behavior as behavior as
cramping  Auscultate  Bowel
necessitated necessitated
bowel sounds are
by causative sounds generally by causative
 V/S are taken as and
follow increased in and
contributing constipation. contributing
factors. factors
Temp – 37.2c
Heart Rate –  Monitor  May identify
150bpm intake and dehydration,
RR: 46 output (I&O) excessive
respirations/minute, with specific loss of fluids
Weight: attention to or aid in
3.2kilograms. food or fluid identifying
intake. dietary
deficiencies

 Recommend  Decreases
avoiding gas gastric
forming distress and
foods. abdominal
distension.

 Assess  Prevents
perianal skin skin
condition excoriation
frequently, and
noting breakdown.
changes or
beginning
breakdown.
Encourage or
assist with
perineal care
after each
bowel
movement.
  Discuss use  Facilitates
of stool defecation
softeners, when
mild constipated
stimulants, is present
enemas as
indicated.
Monitor
effectiveness.

Collaborative

• Consult  Fiber resist

with dietitian enzymatic
to provide digestion
well balanced and absorbs
diet high in liquids in its
fiber and passage
bulk along the
intestinal
tract and
thereby
produces
bulk, which
acts as a
stimulant for
defecation