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ASSESSMEN DIAGNOSI INFERENCE PLANNIN INTERVENTIO RATIONAL EVALUATIO

T S G N E N

Subjective: Constipatio Hirschsprung’ After 8 -Determine -Assists in After 8 hours


“Hindi n related to s disease hours of stool color, identifying of nursing
madumi ang changes in (congenital nursing consistency, causative or interventions,
anak ko” digestive aganglionic intervention frequency, and contributing the patient
(My baby is process. megacolon) is s, the amount. factors and was able to
constipated) the congenital patient will appropriate demonstrate
as verbalized absence of or demonstrate intervention changes in
by the mother. arrested changes in behavior as
Objective: development behavior as necessitated
• of necessitated by causative
Altered parasympathet by causative and
bowel sounds. ic ganglion and contributing
• cells in the contributing - Auscultate - Bowel factors.
Reports of intestinal wall, factors. bowel sounds. sounds are
abdominal usually in the generally
pain or distal colon. increased in
cramping. Symptoms are constipation.
• related to
V/S taken as chronic
follows: T: intestinal
36.5 P: 130 R: obstruction
30 and usually - Monitor intake - May
appear shortly and output identify
after birth but (I&O) with dehydration,
may not be specific excessive
recognized attention to food loss of fluids
until later in or fluid intake. or aid in
childhood or identifying
(rarely) in dietary
adulthood. In deficiencies.
this order the
lack of
colorectal - Recommend - Decreases
innervation avoiding gas gastric
forming foods distress and
abdominal
distension.
- Assess - Prevents
perianal skin skin
condition excoriation
frequently, and
noting changes breakdown.
or beginning
breakdown.
Encourage or
assist with
perineal care
after each bowel
movement

- Discuss use of -Facilitates


stool softeners, defecation
mild stimulants, when
enemas as constipated
Indicated. is present.
Monitor
effectiveness

Collaborative:

-Consult with - Fiber resist


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