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NCP - Constipation

The patient was experiencing constipation related to pain medication intake, as evidenced by abdominal distention and infrequent bowel movements. The nurse's plan of care was to check the patient's usual bowel pattern, examine stool consistency, monitor bowel sounds, encourage fluid intake, avoid gas-forming foods, discuss laxative options, encourage high-fiber foods, and position the patient in high Fowler's position to assist with bowel movements. After 8 hours of nursing intervention, the patient experienced slight relief from abdominal distention and had 2 bowel movements, partially meeting the goal of care.

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Daniel Dave Kapunan
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724 views3 pages

NCP - Constipation

The patient was experiencing constipation related to pain medication intake, as evidenced by abdominal distention and infrequent bowel movements. The nurse's plan of care was to check the patient's usual bowel pattern, examine stool consistency, monitor bowel sounds, encourage fluid intake, avoid gas-forming foods, discuss laxative options, encourage high-fiber foods, and position the patient in high Fowler's position to assist with bowel movements. After 8 hours of nursing intervention, the patient experienced slight relief from abdominal distention and had 2 bowel movements, partially meeting the goal of care.

Uploaded by

Daniel Dave Kapunan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Assessment Nursing Plan of Care Interventions Evaluation

Diagnosis
Objectives: Constipation After 8 hours of 1. Check on the usual pattern of After 8 hours of
related to nursing intervention: elimination, including nursing
(+) Altered bowel intake of pain frequency and consistency of intervention:
sounds. medications as The client will Patient stool.
(+) Abdominal evidenced by states relief from R: It is very crucial to carefully know The patient has
Distention Abdominal discomfort of what is “normal” for each patient. x2 bowel
distention and constipation eg. The normal frequency of stool episodes.
Unable to pass stool infrequent abdominal passage ranges from twice daily to (+) Type 1 stools
for 1 week. passage of distention. once every third or fourth day. Dry
stools. and hard feces are common The patient has
The patient will pass characteristics of constipation. verbalized slight
a stool. 2. Examine and identify recent relief from
Subjective: abdominal
stool, color, consistency,
frequency, and amount. distention.
Significant others
R: Assists in identifying causative or
verbalized, “wala na Goal Partially
contributing factors and appropriate
siyay libang libang sir. met.
interventions.
Unya gabutod na
3. Monitor and bowel sounds by
iyang tiyan.
auscultation.
R: Bowel sounds are generally
decreased in constipation.
4. Encourage fluid intake of 2500-
3000 ml/day within cardiac
tolerance.
R: Assists in improving stool
consistency and will make it easier to
pass.
5. Recommend avoiding gas-
forming foods.
R: Decrease gastric distress and
abdominal distention.
6. Discuss use of stool softeners,
mild stimulants, bulk-forming
laxatives, or enemas as
indicated. Monitor
effectiveness.
R: It softens the obstructed stool and it
assists the passage of stool.
7. Encourage to eat high-fiber rich
foods.
R: To enhance easy defecation.
8. Consult with dietitian to provide
well-balanced diet high in fiber
and bulk.
R: 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.
9. If the patient is about to void,
instruct the patient to avoid
doing Valsalva maneuver.
R: Valsalva maneuver induces
bradycardia which can be fatal to
some cases.
10. Assist the patient in a high
Fowler’s position with knees flexed.
R: A sitting position with knees flexed
straightens the rectum, enhances the
use of abdominal muscles, and
facilitates defecation.

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