Karen Elizabeth B.

Valdez II-10 RLE 2

Cues/Clues Abdominal pain related to constipation Objective: Not yet defecated 6 hours after delivery Transferred through wheelchair Always drinks softdrinks when she was pregnant Guarding behaviour, facial grimace Limited movement; patient was sitting and wasnt able to carry her baby Patient was stressed out. wala kasi kaming pera eh as verbalized masakit yung tiyan ko di pa kasi ako makatae as verbalized Rated pain 5 out of 10 Feels dizzy when vigorously moving Diagnosis Risk for constipation in relation to slow GI tract motility and oral iron Rationale Patient is taking Ferrous sulphate, constipation is one side effect of iron products 1. GI tract motility slowed because of progesterone resulting in 2. increased resorption of water and drying of stool Too little activity; 3. patient is only sitting and is unable to ambulate Stress also causes 4. constipation. She was always looking for her husband to borrow money for her medications. She mentioned they have no money. Objectives After 1 day of nursing intervention, patient will be able to Defecate and maintain usual pattern of bowel functioning Demonstrate lifestyle changes such as increased water intake Verbalize understanding of ambulating to alleviate constipation Relax and avoid stress Nursing Intervention Encourage high-fiber and bulk in diet such as papaya, pineapple, and green leafy vegetables Instruct to increase water intake (8 glasses) Encourage activity and exercise within limits of individual ability such as walking and change of position Encourage to connect with significant others like the family and to get enough sleep. Rationale High-fiber diet aids in maintaining regular bowel movements and producing soft stools for elimination Water adds fluid to the colon, making bowel movements softer and easier to pass Exercise helps constipation by decreasing the time it takes food to move through the large intestine Strong support system can reduce stress and enough sleep restores energy and provides comfort. Evaluation After 1 day of nursing intervention goals were not met