Need/Nursing Scientific Nursing

Objective Rationale Evaluation

Diagnosis/Cues Analysis Intervention

Independent:
Constipation related Constipation is a very After 8 hours of  Determine stool color,  Assists in identifying After 8 hours of
to decreased dietary common condition that nursing consistency, frequency, and causative or contributing nursing
intake. affects people of all interventions, the amount. factors and appropriate interventions,
ages. When you are patient will interventions. the patient was
OBJECTIVE: constipated, you feel establish or return able to establish
that you are not to normal patterns  Bowel sounds are generally or return to
 Abdominal pain, passing stools of bowel decreased in constipation. normal patterns
urgency, and (faeces) as often as functioning  Auscultate bowel sounds. of bowel
cramping. your normally do, or  Assists in improving stool functioning
 Altered bowel that you have to strain consistency.
sounds. more than usual, or
that you are unable to  Encourage fluid intake of
completely empty your 2500-3000 ml/day within  Decrease gastric distress
bowels. Constipation cardiac tolerance. and abdominal distension.
can also cause your
stools to be unusually  Recommend avoiding gas-  Prevents skin excoriation
hard, lumpy, large or forming foods. and breakdown.
small. The severity of
constipation can vary
greatly. Many people  Assist in perianal skin
only experience condition frequently, noting
constipation for a short changes or beginning  Facilitates defecation when
period of time with no breakdown. constipation is present.
lasting effects on their
health. For others,  Discuss use of stool
constipation can be a softeners, mild stimulants,
chronic (long-term) bulk-forming laxatives, or
condition which enemas as indicated. Monitor
causes significant pain effectiveness.  To enhance easy defecation.
and discomfort.
Chronic constipation
 Encourage to eat high-fiber
can also lead to
rich foods.
complications, such as
 Fiber resists enzymatic
faecal impaction
Collaborative: digestion and absorbs liquids
(where dry, hard stools
 Consult with dietitian to in its passage along the
collect in your rectum)
provide well-balanced diet intestinal tract and thereby
or faecal incontinence
high in fiber and bulk. produces bulk, which acts as
(where you
a stimulant to defecation.
involuntarily leak liquid
stools around solid
impacted stools). The
treatment for
constipation is usually
very effective,