Assessment Subjective: The clients grandmother stated hindi pa nga siya dumudumi simula nung nahospital siya ngayon.

. Mga apat na araw na ata. Objective: o weak in appearance o The client has a pale conjunctiva , lips and palms o U: 2 O:0 o T: 36.9 P: 125 R: 24 BP: 100/70

Diagnosis Constipati on related to dehydratio n and poor eating habits as evidence by absence of stool.

Inference Constipation is a very common condition that affects people of all ages. When you are constipated, you feel that you are not passing stools (feces) 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 constipation for a short period of time with no lasting effects on their health. For others, constipation can be a chronic (longterm) condition which causes significant pain and discomfort. Chronic constipation can also lead to complications, such as fecal impaction (where dry, hard stools collect in your rectum) or fecal incontinence (where

Planning After 8 hours of nursing intervention , the client will establish or return to normal patterns of bowel functioning.

Intervention Independent: Determine stool color, consistency, frequency and amount. Auscultate bowel sounds Encourage increased fluid intake of 2500 3000 ml/day within cardiac tolerance.

Rationale

Evaluation After 8 hours of nursing interventions, the client was able to establish or return to normal patterns of bowel functioning.

Assists in identifying causative or contributing factors and appropriate interventions Bowels sounds are generally decreased in constipation. Sufficient fluid intake is necessary for the bowel to absorb sufficient amounts of liquid to promote proper stool consistency. Decrease gastric distress and abdominal distension. Fiber absorbs water, which adds bulk and softness to the stool and speeds up passage through the intestines. Facilitates defecation when constipation is present.

Recommend Avoiding gasforming foods such as nuts, peas and spicy foods. Instruct client on a high-fiber diet, as appropriate.

Discuss use of stool softeners, mild stimulants, bulk forming laxatives or enemas as indicated. Monitor effectiveness.