NURSING CARE PLAN

ASSESSMENT

SUBJECTIVE CUE:
Kulay yellow ponamabasabasayungdumikotaposmgatatl
ohangganglimangbesessaisan
garaw as verbalized by the
patient.

NURSING

SCIENTIFIC

DIAGNOSIS

EXPLANATION

Diarrhea

Ingestion of food

SHORT TERM

related to

with presence of

GOAL:

ingestion of

microorganisms

contaminated

loose, yellowish

Organisms
adhere to the gut
wall

stool
OBJECTIVE CUES:

Weakness

Body frame is small for age

Wt: 15kg

INTERVENTION

After 8 hours of

Observe and

EVALUATION

SHORT TERM

Helps

GOAL:

record stool

differentiate

OUTCOME

frequency,

individual

MET

intervention, the

characteristics

disease and

client will be able

and amount.

assess

to report reduction

Promote bedside

severity of

in the frequency of

rest and provide

episode.

stools and return

Alteration of
acidity

RATIONALE

INDEPENDENT:

nursing

food as
evidenced by

PLANNING

bedside

to more normal

commode.

stool consistency.
DISCHARGE

Remove stool

nursing
intervention,
the client
reported

Rest
decreases

After 8 hours of

motility and

reduction in
the frequency
of stools and

T: 36.2C

PR: 79bpm

RR: 17cpm

Poor skin turgor

Capillary refill; 4 seconds

Dry mucous membranes

Dry, cracked lips

Pale skin

Sunken eyes

Hypo-pigmented patches
on arms and lower back

Warm, dry skin

Dx: Chronic Diarrhea

OUTCOME:
Gastrointestinal
tract Irritation

Upon discharge,
the client will be
free from any

Increased motility

signs of diarrhea
and its
complication and

Diarrhea

will know different

ways on how to
prevent diarrhea.

Loose, yellowish
stool

promptly.

reduces the

Provide room

metabolic

returnedto

deodorizers.

rate when

more normal

Identify foods

infection/he

consistency.

and fluids that

morrhage is

precipitate

diarrhea.

complication.

Restart oral fluid

Reduces

stool

DISCHARGE
OUTCOME:
OUTCOME
MET

intake gradually.

noxious

Offer clear

odors due to

liquids hourly

stool and

discharge, the

and avoid cold

avoid undue

client was free

fluids.

embarrassm

from any signs

ents.

of diarrhea and

Avoiding

its complication

intestinal

and knows

irritants

different ways

Loose, yellowish stool

Upon

promotes

on how to

Teach the

intestinal

prevent

patient different

rest.

ways on how to
prevent diarrhea

Provides

such as proper

colon rest by

preparation of

omitting or

food, avoid

decreasing

buying street

the stimulus

foods, and

of foods and

boiling drinking

fluids.

water if needed.

Gradual

COLLABORATIVE:

Administer
medications as
prescribed.

resumption
of fluids may
prevent
cramping
and

diarrhea.

recurrence of
diarrhea;
cold fluids
can increase
intestinal
motility.

To help
prevent
recurrence of
diarrhea.

COLLABORATIV
E:

To decrease
GI motility
and diminish
digestive
secretions to
relieve
cramping

and
diarrhea.