Name: Trisha Leanne M.

Horca Date: 04/06/2021

Year and Block: BSN 1-B

Problem: Diarrhea

Nursing Care Plan

Assessment Nursing Outcome Planning Intervention Evaluation

Diagnosis Identification Rationale

Subjective Diarrhea Patient Short Term: Independent: After 2-3 hours of

Data: related to consumes at nursing
ingestion of least 1500- After 2-3 Auscultate the intervention, the
“Madalas suspected 2000 mL of hours of abdomen patient and
siya kung contaminated clear liquids nursing mother were able
dumumi at food as within every 24 interventions, Rationale: to gain knowledge
nananakit evidenced by the patient For presence, about diarrhea as
hours period
ang tiyan frequent and mother evidenced by
location and
mula pa watery stools, will gain recalling the
kagabi" as abdominal Patient and the knowledge characteristics of contributing
verbalized by cramping, mother about diarrhea bowel sounds. factors that causes
the client's increase bowel communicate diarrhea and the
mother. sounds or understanding After 8 hours Identify foods rationale for
peristalsis, of causative and fluids that treatment regimen
of nursing
“Ngayong loss of factors and the precipitate
interventions,
araw appetite and rationale for diarrhea and The patient was
treatment the patient will
nakatatlong body restrict its intake able to consume
regimen. be able to
dumi na siya weakness. reestablish expected amount
at matubig Rationale: of fluids as
Patient reports and maintain
rin ang dumi Restriction of such evidence by
less diarrhea normal bowel
niya” as intestinal irritants drinking at least
stated by the within 36 hours functioning. 1.5 Liters of water.
and states relief promotes intestinal
client’s
from cramping. rest.
mother.
 The patient is Long Term: Avoid consuming After 8 hours of
said to have stimulants like nursing
lost appetite After 1-2 days of caffeine, intervention, the
and nursing carbonated patient was able to
experience interventions, the drinks and the reestablish and
body patient will be ones with high maintain normal
weakness. free of diarrhea. fiber contents
bowel functioning
as evidence by
Objective Rationale:
Data: reduced frequency
Stimulants may
of stools.
increase
Abdominal
gastrointestinal
cramping Within the 36
Increased motility and worsen hours intervention,
bowel the condition. the patient was
sounds/ able to report less
peristalsis diarrhea and also
Encourage fluids stated his relief
1.5 to 2 L per 24 from abdominal
Vital signs taken hour plus 200 mL cramping
as follows: as fluid
replacement for Goal met. After
T= 37.2 each loose stool 1-2 days of
P= 80 nursing
R= 18 Rationale: intervention, the
Bp= 110/90 Increased fluid patient recovered
intake replaces fluid from diarrhea as
evidenced by
lost in the liquid
regular bowel
stool. activity and the
characteristics of
stool returned to
normal.
 Discuss the
different
causative factors
and rationale for
treatment
regimen.

Rationale:
For the education of
the patient and the
mother.

Dependent:

Administer
antidiarrheal
drugs as
indicated.

Rationale:
Most antidiarrheal
drugs suppress
gastrointestinal
motility, thus
allowing for more
fluid absorption and
minimize fluid
losses.
 Administer other
essential
medication as
ordered by the
physician.

Rationale:
To treat infectious
process, decrease
its motility and to
absorb water.