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DIARRHEA Nursing Care Plan

Diarrhea is condition when a person is experiencing hyperactive bowel movement and at least three loose liquid stools per day. The stool is usually loose and unformed. If your looking for nursing care plan for constipation, just search to our website and look for constipation nursing care plan. Below is an example of nursing care plan for patients with diarrhea.

ASSESSMENT
Subjective:
"I poop five times this day and my stomach is aching up until now, " as verbalized by the patient.

Objective:
I observed from the patient that his/her mouth is dry and had a poor skin turgor. His/her skin is cold and clammy. (Dry mouth and poor skin turgor is caused by dehydration or low body fluids secondary to diarrhea.) I scaled his/her pain 6/10 and the client's vital signs are taken and noted as follows: Body temperature is 36.2 degrees Celcius, blood pressure is 120/80 mmHg, respiratory rate is 16 cycles per minute and pulse rate of 110 beats per minute. Body temperature, respiratory rate and pulse rate are all normal, while his/her blood pressure is above normal and categorize as pre-hypertension.

DIAGNOSIS
Diarrhea related to five loose liquid stools in a day secondary to stomachache and cold clammy skin. (A cold clammy skin is a cool, moist and usually pale skin caused by cold sweat.)

PLANNING
After 4 hours of nursing intervention, the patient's normal pattern of bowel functioning will be reestablished and maintained.

INTERVENTION 
Factors associated with diarrhea maybe psychological (anxiety), situational such as using laxatives, alcohol abuse, or toxins and physiological such as inflammation, irritation, infectious process, and malabsorption. To assess these factors, ascertain onset and pattern of diarrhea, noting whether acute or chronic. Note the volume and the frequency of the stool. Also observe for presence, location and characterised of bowel sounds. And to eliminate causative factors, you can consider the following nursing interventions below:

Assist in treatment of underlying conditions such as infections, malabsorption syndrome and complication of diarrhea. Therapies can include treatment of fever, pain, and infectious agents.

In diarrhea, hydration and electrolyte imbalance must be addressed. Administer anti-diarrheal medications, as indicated to decreased gastrointestinal motility and minimizes fluid losses. Encourage oral intake of fluids containing electroless, such as juices, bouillon, or commercial preparations, as appropriate.

To maintain skin integrity, provide prompt diaper change and gentle cleansing because skin breakdown can occur quickly when diarrhea is present. Apply lotion or ointment as skin barrier and provide dry linen but expose perineum or buttocks to air.

To promote return to normal bowel functioning, increased fluids intake and return to normal diet as tolerated but avoid intake of irritating fluids. Recommend to the patient foods such as natural fiber, plain natural yogurt to restore normal bowel flora. Administer medications as ordered to treat infectious process, decrease motility, and absorb water. Also provide privacy during defecation and physiological support as necessary.

Remember to emphasize importance of handwashing to prevent spread of infectious causes of diarrhea such. Review causative factors and appropriate interventions to prevent recurrence of diarrhea. Review food preparation, emphasizing adequate coming time and proper refrigeration to prevent bacterial growth and contamination. Discuss possibility of dehydration and importance of proper fluid replacement.

EVALUATION
After 4 hours of nursing intervention the patient's normal pattern of bowel functioning was reestablished and maintained.

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