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NURSING CARE P

LAN
ASSESSMMENT
S – “mag-aapat na araw na po akong di makadumi, ang
hirap lumabas eh...”
O – dry skin & mucous membrane

NURSING Dx
Alteration in Bowel Elimination: constipation R/T
Inadequate fluid intake, low-fiber diet, physical Inactivity
& immobility AMB decreased bowel sounds, feeling of
rectal fullness or, pressure around rectum, Straining and
pain on defecation.

PLANNING
After the interventions have been implemented the
patient will maintain passage of soft, formed stool every
1 to 3 days without straining and state relief from
discomfort of constipation AEB of effective bowel
elimination.

IMPLEMENTATION
Encourage client to continue the identified health
practices such as:
a) Encourage fiber intake of 25 to 30 g/day for
adults. Instruct the client in the need to eat five
to nine fruits and vegetables per day, and at least
three servings of whole-grain foods.
b) Encourage a fluid intake of 8 to 12 glasses of
liquids per day.
c) Encourage the client to be out of bed as soon as
possible and to perform the activities of daily
living himself or herself as able.
d) Provide privacy for defecation. 5 to 15 minutes
after meals, especially after breakfast.
RATIONALE:
- A daily intake of 25 to 30 g of fiber can increase the
frequency of stools in clients with constipation.
- If the client eats a healthy diet with sufficient fruits
and vegetables and sufficient servings of whole-
grains foods, the soluble and insoluble fiber that is
present in the foods will naturally prevent
constipation
- Increasing fluid intake to 8-12 glasses while
maintaining a fiber intake can significantly increase
the frequency of stools in clients with constipation
and to maintain hydration.
- Activity, even minimal, increases peristalsis, which
is necessary to prevent constipation
- elimination is a very private act, and a lack of
privacy can contribute to constipation

EVALUATION
Goal partially met, patient demonstrated effective bowel
elimination.

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