CLEVELAND STATE COMMUNITY COLLEGE NURSING CARE PLAN

MEDICAL DIAGNOSIS: Cellutlitis LAB FOCUS: NURSING DIAGNOSIS Constipation, Risk for S: Patient states no BM in 3 days or more. Decreased fluid intake O: Immobility Age Environmental change Pain Medication Hyperactive bowel sounds Potential Constipation related to Insufficient physical activity EXPECTED OUTCOMES (LT) Have soft, formed BM every 3 days. (ST) Patient will increase fluid intake to at least eight to ten cups daily. (ST) Patient will ambulate to bathroom and back to bed three to four times daily. NURSING ACTIONS

STUDENT NAME: Carlee Boyd DATE OF CARE: 10/13/11 SCIENTIFIC/RATIONALE EVALUATION

Independent 1. Assess usual patterns of defecation. 2. Palpate for abdominal distension and ausculate bowel sounds. 3. Ask patient when they normally have BM and assist them to the bathroom at that same time every day to establish regular elimination 4. Explain importance of adequate fiber intake, fluid intake, activity, and established toileting routines to ensure soft, formed stool. Collaborative 1. Review the clients current medications. 2.Check for impaction.

T-002 FALL 2010