ASSESSMENT Objective: With (+) irregular defecation within 2 to 3 days With hard stool With insufficient physical activity

ity With decreased physical mobility as bed rest With signs of dehydration such as: Poor skin turgor Dry skin

NURSING DIAGNOSIS Risk for constipation related to irregular defecation habits and decreased mobility as evidenced by defecating for after 2 to 3 days and characterized by few hard and small stool.

BACKGROUND KNOWLEDGE Constipation is a condition in which bowel evacuations occur infrequently, or in which the feces are hard and small, or where passage of feces causes difficulty or pain. The frequency of bowel evacuation varies considerably from person to person and the normal cannot be precisely defined.

PLANNING Short-term goal: After 1 to 3 days of nursing intervention, the patient will at least have a soft stool and have an urge to defecate at least every other day.

NURSING INTERVENTION 1. Assessed clients condition especially bowel movements and stool characteristics. 2. Obtained vital signs and I & O.

RATIONALE To identify problem of the clients condition.

EVALUATION Goal unmet, patient wasnt able to increase frequency of defecation in result, stool wasnt observed after the first defecation.

Long-term goal: After days of hospitalization, the patient will facilitate the maintenance of elimination.

3. Reviewed medical history and conditions associated with immobility. 4. Auscultated abdomen for presence, location and characteristic of bowel sound. 5. Evaluated current dietary, fluid intake and implications for effect on bowel functions.

To have the baseline data for comparison and recognition of changes within VS results. To identify conditions commonly associated with constipation. To assessed bowel sounds reflecting bowel activity. To identify factors affecting on bowel function, content of feces which affects bowel movement.

6. Encouraged movements within limits of the client as such turning position on bed. 7. Ascertained frequency, color, consistency and amount of stool. 8. Regulated IVF as prescribed drops per minute.

To stimulate contractions of the intestines.

9. Discussed to the patients relatives the importance of elimination.

10. Provided safety and comfort.

Provides a baseline data for comparison and recognition of changes. To keep patient hydrated as fluid intake is monitored. To help increase patients relatives concern about elimination. To keep patient comfortable and avoid health hazards.