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Wednesday, December 21, 2011

Constipation Nursing Care Plan: Diagnosis and Interventions

Nursing Diagnosis: Constipation related to irregular bowel habit

Purpose: patients can defecate regularly (every day)

Expected outcomes:
  • Defecation can be done once a day
  • The consistency of soft stool
  • Elimination of feces without the need for excessive straining

Nursing Interventions for Constipation

Independent
  • Determine the pattern of defecation for clients and train clients to do so.
  • Set the time is right for clients such as defecation after meals.
  • Provide coverage of nutritional fiber according to the indication.
  • Give fluids if not contraindicated 2-3 liters per day.
Collaboration
  • Provision of laxatives or enemas as indicated
Rational:
  • To restore the regularity of bowel habit clients.
  • To facilitate the defecation reflex.
  • High fiber nutrition to launch fecal elimination.
  • To soften the stool elimination.

Nursing Diagnosis : Alteration in Nutrition: Less Than Body Requirements related to loss of appetite

Purpose: demonstrate good nutritional status

Expected Outcomes:
  • Tolerance to dietary needs.
  • Maintain body mass and body weight within normal limits.
  • Laboratory values ​​within normal limits.
  • Reported adequacy of energy levels.

Nursing Interventions Alteration in Nutrition: Less Than Body Requirements for Constipation

1. Create a meal plan with the patient to put in a feeding schedule.
Rationale: Maintain a diet of patients so that patients eat regularly.

2. Encourage family members to bring the patient's favorite foods from home.
Rationale: The patient feels comfortable with food brought from home and can improve the patient's appetite.

3. Offer large meals during the day when a high appetite.
Rationale: By providing a large portion can keep the adequacy of nutrient intake.

4. Make sure the diet meets the needs of the body as indicated.
Rationale: High carbohydrate, protein and calories needed or required during treatment.

5. Make sure the patient's diet is preferred or not preferred.
Rationale: To support the increasing appetite of the patient.

6. Monitor input and output and body weight periodically.
Rationale: Knowing the balance of intake and expenditure of food intake.

7. Assess the patient's skin turgor
Rationale: As the data supporting the existence of changes in nutrition that is less than demand.

8. Monitor laboratory values, such as hemoglobin, albumin, and blood glucose levels.
Rational: To be able to ascertain the level of content deficiency of hemoglobin, albumin, and glucose in the blood.

9. Teach patients and families about nutritious food.
Rationale: Maintaining adequacy of intake of nutrients needed.

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