Assessment: Pathophysiology:

Subjective data: Patient Name: Shehzad Constipation is broadly defined as an

According to the patient all complain as
absolute constipation for the last one
week has undergone lapratomy.and
after Right saide thoracotomy two time
for the repaired of right saide
diaphragmatic hernia.
Objective data:
Dat constipation for one week after
surgure.
BP=90/60
unsatisfactory defecation characterized by
Age: 45 infrequent stools, difficult stool passage or
both. The common approach to the
Ward: emergency pathophysiology of constipation groups the
disorder into primary and secondary causes.
B
Primary causes are intrinsic problems of
colonic or anorectal function, whereas
secondary causes are related to organic
disease, systemic disease or medications.
The normal process of colonic transit and
defecation is discussed, and the etiology of
constipation is reviewed.

P/R=109/min

R/R= 16/min Constipation

Temp=99F
Causes:
Poor diet and an inactive lifestyle
are the most common causes of
constipation. A lack of exercise
Treatment and drugs: and eating too much junk food
can wreak havoc on your
Exercise digestive health. Here are some
diet-related factors that can leave
Hydration
you feeling constipated: Dairy
Alcohol and Caffeine products.

Bowel Hygiene

Laxatives Signs and symptoms:

Passing fewer than three stools a
Nursing Intervention: Nursing diagnosis: week.

The nurse administer per MD Constipation related to pain Having lumpy or hard stools.
orders Miralax and Colace as on defecation secondary to Straining to have bowel movements.
prescribed to help assist patient hemorrhoids.
with bowel movement.-The Feeling as though there's a blockage
nurse assess and document Constipation related to in your rectum that prevents bowel
when patient has had a bowel lowfiber diet and inactivity. movements.
movement daily.
Risk for constipation Feeling as though you can't
-The nurse will provide the completely empty the stool from your
Related to decreased
patient with a sitz bath and rectum.
gastrointestinal motility
hemorrhoid cream as
prescribed to help with
hemorrhoid pain.

-
 Nursing care plane;
Assessment N.Diagnosis Planning Intervention Rational Evaluation
Subjective Constipation Give fluids if Give fluids if As the Subjective
data: related to not not data data:
According to irregular contraindicated contraindicated supporting According to
the patient all bowel habit 2-3 liters per 2-3 liters per the the patient all
complain as day. day. existence complain as
absolute of changes absolute
constipation in constipation
for the last To restore the To restore the nutrition for the last
one week has regularity of regularity of that is less one week has
undergone bowel habit bowel habit than undergone
lapratomy.and clients. clients. demand. lapratomy.and
after Right after Right
saide saide
thoracotomy High fiber High fiber To restore thoracotomy
two time for nutrition to nutrition to the two time for
the repaired launch fecal launch fecal regularity the repaired
of bowel
of right saide elimination. elimination. of right saide
habit
diaphragmatic clients. diaphragmatic
hernia. hernia.
Objective Objective
Dat Dat
constipation constipation
for one week for one week
after surgure. after surgure.
BP=90/60 BP=90/60
P/R=109/min P/R=109/min
R/R= 16/min R/R= 16/min
Temp=99F Temp=99rnia.