Sie sind auf Seite 1von 2

NURSING CARE PLAN

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION


Independent:
Subjective: • Diarrhea • Diarrhea is the • After 4 hours • Observe and • Helps • After 4
related to passage of loose of nursing record stool differentiate hours of
“Madalas akong presence of and watery interventions, frequency, individual nursing
dumumi ngayon toxins. stools (more the patient characteristics, disease and intervention
kaysa kahapon” than 3 bowel will report amount and assesses s, the
as verbalized by movements per reduction in precipitating severity of patient was
patient. day) often frequency of factors. episode. able to
associated with stools. • Promote bed rest. • Rest decreases report
Objective: gassiness, intestinal reduction in
bloating, and motility and frequency of
• Increased abdominal pain. reduces stools.
peristalsis. It may also be metabolic rate.
accompanied by • Provide bedside • Urge to
• Frequent nausea, commode. defecate may
watery vomiting, and occur without
stools. fever. Diarrhea warning and
results to loss of uncontrollable,
• Abdominal body fluids and increasing risk
pain. salts leading to of incontinence
dehydration of or falls if
• V/S taken as varying severity. facilities are not
follows: Severe close at hand.
dehydration may • Identify foods and • Avoiding
T: 36.6 cause death fluids that intestinal
P: 80 especially in precipitate irritants
R: 18 children diarrhea. promotes
Bp: 110/90 intestinal rest.
• Restart oral fluid • Provides colon
intake gradually. rest by omitting
Offer clear liquids or decreasing
hourly, and avoid stimulus of
cold fluids. foods or fluids.
Gradual
consumption of
liquids may
prevent
cramping and
recurrence of
• Encourage to eat diarrhea. Cold
foods like banana fluids can
and apple. increase
• Avoid foods that intestinal
are oily, spicy and motility.
caffeine. • Fruits that are
stool former.

Collaborative: • Foods that may


• Administer anti- precipitate
diarrheals as gastric
prescribed by the cramping.
physician.

• Decreases G.I
motility or
peristalsis and
diminishes
digestive
secretions to
relieve
cramping and
diarrhea.