cues SUBJECTIVE: Hindi na ako madalas dumumi nitong mga nakaraang araw at hindi rin ako mahilig uminum

ng tubig at kumain ng prutas at gulay as verbalized by the patient Objective: - Less intake of water noted - No exercise - Small amount of faeces noted

Nursing diagnosis Constipation related to decreased dietary intake.

Scientific basis Constipation is a very common condition that affects people of all ages. When you are constipated, you feel that you are not passing stools (faeces) as often as your normally do, or that you have to strain more than usual, or that you are unable to completely empty your bowels. Constipation can also cause your stools to be unusually hard, lumpy, large or small. The severity of constipation can vary greatly. Many people only experience

Goal and outcome After 8 hours of nursing interventions, the patient will establish or return to normal patterns of bowel functioning

Nursing intervention Independent: Determine stool color, consistency, frequency, and amount.

rationale Assists in identifying causative or contributing factors and appropriate interventions. Bowel sounds are generally decreased in constipation. Assists in improving stool consistency. Decrease gastric distress and abdominal distension. Prevents skin excoriation and breakdown.

evaluation After 8 hours of nursing interventions, the patient was able to establish or return to normal patterns of bowel functioning

Auscultate bowel sounds.

Encourage fluid intake of 25003000 ml/day within cardiac tolerance. Recommend avoiding gasforming foods. Assist in perianal skin condition frequently, noting changes or beginning breakdown. Discuss use of stool softeners, mild stimulants,

Facilitates defecation when constipation is

constipation for a short period of time with no lasting effects on their health. For others,

bulk-forming laxatives, or enemas as indicated. Monitor effectiveness. Encourage to eat high-fiber rich foods. Collaborative: Consult with dietitian to provide wellbalanced diet high in fiber and bulk.

present.

To enhance easy defecation.

Fiber resists enzymatic digestion and absorbs liquids in its passage along the intestinal tract and thereby produces bulk, which acts as a stimulant to defecation