FAR EASTERN UNIVERSITY

Nicanor Reyes Street, Sampaloc, Manila

Institute of Health Sciences and Nursing
Second Semester, A.Y. 2022 – 2023

A CASE STUDY OF PATIENT WITH GASTROENTERITIS

Submitted by: Christine V. Dela Cruz, 310-2B

Submitted to: Sir Jomar M. Rodriguez, R.N.
Date Submitted: April 18, 2023

PATIENT’S INFORMATION
NAME: F.G.
AGE: 37 years old
GENDER: Female
RELEVANT MEDICAL HISTORY: n/a
CHIEF COMPLAINT: Fever, nausea, and diarrhea
DIAGNOSIS: Gastroenteritis
 FAR EASTERN UNIVERSITY
Nicanor Reyes Street, Sampaloc, Manila
Institute of Health Sciences and Nursing
Second Semester, A.Y. 2022 – 2023

TREATMENT PLAN
CUES NURSING GOALS & NURSING RATIONALE
DIAGNOSIS OBJECTIVES INTERVENTION
Subjective: Diarrhea Goals:
“Masakit tiyan ko related to After 2 days of
tapos ilang beses na bacterial nursing intervention,
ko pabalik balik sa infections as the patient will be
cr, mga umabot evidenced by able to have a
siguro ng limang abdominal negative stool
beses sa isang pain and culture.
araw.” frequency of and will pass soft,
loose stools formed stool no more
Objective: (more than 3x than 3 x a day.
a day).
Vital Signs as taken:
T: 38.7 oC
PR: 107 bpm Objectives:
RR:24
BP: 110/62 mmHg 1. After 1 hour 1. Teach the client 1. Washing kitchen wares and
of nursing about the ensuring proper handwashing
 nausea and intervention, importance of with soap and water after
diarrhea, the client will hand washing defecation and/or urination were
 blurred be able to after each bowel protective behaviors that
vision, verbalize the movement and decreased illness (Boulware,
 dry lips and importance of before preparing n.d.).
mouth, hand washing food for others.
 sunken eyes after each
 history of bowel
loose watery movement
 FAR EASTERN UNIVERSITY
Nicanor Reyes Street, Sampaloc, Manila
Institute of Health Sciences and Nursing
Second Semester, A.Y. 2022 – 2023

stools, and before

5episode/day preparing
food.

2. After 6 hours 2. Administer 2. These medications work well for

of nursing antidiarrheal a wide range of diarrheal
interventions, medications as diseases and may typically be
the patient prescribed. taken safely if carefully
will be supervised. They function by
relieved from reducing motility and extending
abdominal the time available for absorption.
pain with Their potency and potential for
medications addiction differ (Schiller, 2017).
as ordered.
:

3. After 8 hours 3. Educate the 3. To avoid skin irritation and the

of nursing client about spread of bacteria, the anal
interventions, perianal care region should be adequately
the patient after each bowel cleansed after a bowel movement
will be able movement to (Ansari, 2023).
to know prevent skin
proper irritation and
hygiene. transmission of
microorganisms.
 FAR EASTERN UNIVERSITY
Nicanor Reyes Street, Sampaloc, Manila
Institute of Health Sciences and Nursing
Second Semester, A.Y. 2022 – 2023

4. After 24 4. Encourage 4. Increased fluid intake replaces

hours of increase fluid fluid lost in liquid stools and
nursing intake of 1.5 to eating fiber-rich foods such as
interventions, 2.5 liters/24 green leafy vegetables and fruits
the client will hours plus 200 to have formed stools. The fiber
be able to ml for each in food gives individuals the
have efficient loose stool in roughage or bulk that helps
body fluids adults unless bowels move and push stool
and eat fiber- contraindicated through (Healy, 2022).
rich foods. and instruct to
eat fiber rich :
foods such as
green leafy
vegetables and
fruits.

FOLLOW-UP:
As of April 17, 2023, 2 days after the patient’s admission, the client is now seen comfortable, no fever, relieved from
nausea and diarrhea, have a negative stool culture and formed stool no more than 3 x a day. The patient is ready to be discharged with
a blood pressure of 120/90, RR 20, 36.9 C temperature, O2 Sat of 99%.

Discharge plan:
 Increase fluid intake.
 Eat fiber-rich foods such as green leafy vegetables and fruits.
 Proper hand hygiene
 FAR EASTERN UNIVERSITY
Nicanor Reyes Street, Sampaloc, Manila
Institute of Health Sciences and Nursing
Second Semester, A.Y. 2022 – 2023

DISCUSSION:

Potential Causes The patient’s gastroenteritis was caused by bacterial infections which resulted to diarrhea with frequency
of loose stools (5x a day) and abdominal pain as verbalized by the patient.

Risk Factors Risk factors of gastroenteritis are the following:

 Close contact to person with bacterial gastroenteritis (household, daycare).
 Animal exposure: farm animals, petting zoo, pet reptiles.
 Undercooked meat or poultry, unpasteurized dairy products, raw shellfish.
 Community outbreaks of specific bacterial gastroenteritis.
 International travels (complete O&P indicated).
 Exposure to freshwater.

Treatment Options For the client, treatment options are the following:
 Proper handwashing especially after urinating and defecating.
 Antidiarrheal medications
 Perianal care
 Increase fluid intake and eating of fiber-rich foods for loose stools.
 FAR EASTERN UNIVERSITY
Nicanor Reyes Street, Sampaloc, Manila
Institute of Health Sciences and Nursing
Second Semester, A.Y. 2022 – 2023

References:

 Ansari, P. (2023). Anal Itching - Digestive Disorders. MSD Manual Consumer Version.

https://www.msdmanuals.com/home/digestive-disorders/anal-and-rectal-disorders/anal-itching#:~:text=Proper%20hygiene

%20is%20important.

 Boulware, D. R. (n.d.). Influence of Hygiene on Gastrointestinal Illness among Wilderness Backpackers. Journal of Travel

Medicine, 11(1), 27–33. https://doi.org/10.2310/7060.2004.13621

 Healy, M. (2022). Low Fiber Diet for Diarrhea | OncoLink. Www.oncolink.org. https://www.oncolink.org/support/nutrition-

and-cancer/during-and-after-treatment/low-fiber-diet-for-diarrhea

 Schiller, L. R. (2017). Antidiarrheal Drug Therapy. Current Gastroenterology Reports, 19(5), 18.

https://doi.org/10.1007/s11894-017-0557-x