DIARRHEA with MODERATE DEHYDRATION

DATE CUES NEEDS NURSING DIAGNOSIS OBJECTIVE OF CARE NURSING INTERVENTION EVALUATION

Sept. 23, 2011 11-7 shift

Objective - On diet as tolerated diet - Abdomen soft - Bowel sounds: hyper 11 bpm - Loose bowel movement Subjective - Upat ka beses akong anak nakaliban g karun. Basa gyapun iyang

E L I M I N A T I O N P A T T E R N

Diarrhoea related to Within 8 hours of contaminants. care, patients watcher will be Rationale: able to understand and verbalize the - Diarrhea is the causative factors frequent passing and appropriate of loose or watery behaviour to assist stools. Acute with resolutions diarrhea, which is with the causative a common cause factors. of death in developing countries, appears rapidly and may last from five to ten days. Chronic diarrhea lasts much longer and is the second cause of childhood death in the developing world. Diarrhea is

1. Obtain history/observe stools for volume, frequency, characteristics, and precipitating factors related to occurrence of diarrhea. To know the possible cause of acquiring the condition. 2. Note clients age. Diarrhea in infant/young child and older or debilitated client can cause complications of dehydration and electrolyte imbalances. 3. Determine if

Goal met. Patients watcher was able to understand the intervention and agreed with the health teaching.

gnalibang as stated by the patients watcher.

sometimes accompanied by abdominal cramps or fever. It may be caused by infection, allergy, or could be a sign of a serious disorder, such as IBD (inflammatory bowel disease), or Crohn's disease.(source: http://www.medic alnewstoday.com/ articles/158634.p hp)

incontinence is present, note reports of abdominal pain or rectal pain associated with episodes and auscultate abdomen. To know if there is presence, location, and, characteristics of bowel sounds. 4. Evaluate diet history and note nutritional/fluid and electrolyte status. To know the nutritional status and severity of dehydration. 5. Review results of diarrhea testing. To help treat underlying problems. 6. Encourage to restrict solid food

intake, as indicated. To allow for bowel rest/reduced intestinal workload. 7. Limit caffeine and high-fiber foods; avoid milk and fruits, as appropriate. High-fiber, dairy products, and fruits can stimulate bowel movement. 8. Assist in treatment of underlying conditions and complications of diarrhea. To prevent further complications from happening and help alleviate the client from the discomfort. 9. Assess for presence of skin hydration/turgor, and mucous

membranes. To assess for dehydration. 10. Weigh clients diapers. To determine amount of output and fluid replacement needs. 11. Encourage to increase oral fluid intake and to return to normal diet as tolerated, and, encourage intake of non-irritating liquids. To promote return to normal bowel functioning. 12. Discuss possible change in infant formula. Diarrhea may be result of/aggravated by intolerance

to specific formula. 13. Review food preparation, emphasizing adequate cooking time and proper refrigeration/storag e of food. To prevent bacterial growth/contami nation of food. 14. Emphasize importance of handwashing, before and after meals or as needed. To prevent spread of causes of diarrhea.