Privacy & Cookies: This site uses cookies. By continuing to use this website, you agree to their use.
To find out more, including how to control cookies, see here: Cookie Policy.

CONSTIPATION Nursing Care Plan

Constipation is a condition in which a person cannot regularly eliminate his/her bowel or cannot even complete it's elimination due to the stool that is hard and dry cause by a diet that lacks of fiber and fluids. This condition is common and it affects all ages so it is better that you knew how to manage this condition. Here's an example of nursing care plan for constipation.

ASSESSMENT
Subjective:
"I'am having difficulty in defecation because of my dry stool," as verbalized by the patient.

Objectives:
I observed from the patient that he/she has a distended abdomen and upon palpation, the patient has a tender abdomen without palpable muscle resistance. Through percussion, I detected dullness in the abdomen. (We consider a patient that he/she had a distended abdomen when his/her belly is swelling, distended abdomen is usually called swelling of the abdomen. While tender abdomen is when you palpate the abdominal area and you feel that it is hard and had a mass.) His/her sample stool is hard-dry.

The patient's vital signs are taken and noted as follows: Body temperature is 37.2 degrees Celcius, blood pressure is 120/80 mmHg, respiratory rate is 17 cycles per minute, pulse rate is 82 beats per minute. Respiratory rate and pulse rate is normal while the patient's body temperature is above normal. His/her blood pressure is categorized as pre-hypertention.

DIAGNOSIS
Constipation related to observed hard, formed stool as evidenced by distended abdomen and palpable abdominal mass. (Constipation is the condition of being unable to easily release solid waste from your body. Stool is a solid waste product of the body while the liquid waste is the urine. The process of removing waste products inside the body, either solid or liquid, is called excretion.)

PLANNING
After 8 hours of nursing intervention, the patient will regain normal pattern of bowel functioning. (Once a day is considered a regular bowel. One a week is considered the patient is constipated while five or more are a day is a condition which is called diarrhea.)

INTERVENTION
Review your client's dietary regimen and note if the diet is deficient in fiber. Fiber helps food to move through your digestive tract more quickly for healthy elimination. So encourage the client to have a balanced diet that rich in fiber. Fiber-rich foods are whole foods, fruits and vegetables.

Ask the client about his/her fluid intake and evaluate his/her hydration status. Encourage the client to have adequate fluid intake because this will promote passage to stool. Tell the patient to drink at least 8 glasses of water everyday.

There are other factors you should consider such as activity level and exercise, pain in defecation, and bowel obstructions. (Did you know that sedentary lifestyle may affect elimination patterns and activities beyond the body's limit reduces stimulation for contractions of intestines?) Pain in defecation is sometimes caused by hemorrhoids, it is the swelling of veins in the rectum and anus. Fecal impaction is one of the most causes of bowel obstruction.

Encourage the client for treatment of underlying medical causes of constipation where appropriate to improve organ function, including bowel. Administer enemas and/or digitally remove impacted stool and establish bowel program to include glycerin suppositories and digital simulation, as appropriate, when long-term or permanent bowel dysfunction is present.

EVALUATION
After 8 hours of nursing intervention, the patient regained the normal pattern of bowel functioning.

If you like nursing care plan right in your hand, I highly recommend this handbook Nursing Care Plans: Diagnoses, Interventions, and Outcomes, 8e to you. This book provides the latest nursing diagnosis and it is much cheaper than the other books (others are $66 above). Professors and professional nurses also recommend this book (you can check their reviews on comments' section). Get this book here to have a free shipping!

No comments:

Post a Comment