Constipation

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NURSING CARE PLAN

NURSING
CUES OBJECTIVE INTERVENTION RATIONALE EVALUATION
DIAGNOSIS

Subjective: Constipation After 8 hours of applying


interventions, the patient  To identify
‘wala pa siya will establish or regain  Review medical, surgical conditions
normal pattern of bowel and social history. commmonly
kalibang upat na
functioning.  Note the client’s age
ka-adlaw’ as  Note general oral/dental
associated with
verbalized by the health issues. constipation..
patients  Determine fluid intake and  Constipation is more
significant others output. likely to occur in
 Evaluate the client’s individuals older
medications or drug than 65.
usage  Dental problems
Objective:  Note energy and activity can impact dietary
levels and exercise intake.
 Hypoactive bowel pattern.  To note deficits.
sounds  Determine stool color,
 Abdominal  Medications could
consistency, frequency,
dullness upon and amount cause/ exacerbate
percussion  Auscultate bowel sounds constipation.
 Moderate flatus  Lack of physical
noted
 Palpate abdomen
 Encourage increased fluid activity or regular
intake 2500-3000 m/day exercise is often a
within cardiac tolerance factor in
 Instruct client on a high- constipation.
fiber diet as appropriate  Assists in identifying
 Discuss use of stool causative or
softeners, mild stimulants,
contributing factors
bulk forming laxatives or
enemas as indicated. and appropriate
Monitor for effectiveness. interventions
 Bowel sounds are
generally decreased
in constipation.
 To palpate
for presence of distension
or masses.
 Sufficient fluid intake
is necessary for the
bowel to absorb
sufficient amounts of
liquid to promote
upper stool
consistency.
 Fiber absorbs water,
which add bulks and
softness to the stool
and speeds up
passage through the
intestines.
 Facilitates defecation
when constipation is
pressent.

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