Assessment Diagnosis Planning Intervention Rationale Evaluation

Objectives Bowel After series of Independent After series of

-Absent bowel Incontinence nursing 1. Assess the 1. Helps to identify the nursing
sound related to absent interventions the patient’s normal pattern of elimination interventions, the
sphincter control patient will be able bowel patient was able to
secondary to C7 to evacuate a soft, elimination evacuate a soft,
injury. formed stool pattern formed stool
everyday everyday

2. Create a bowel 2. Promoting regular

program time for bowel
elimination prevents
the bowel from
emptying sporadically

3. Encourage bowel 3. Soon after breakfast is

elimination at the best time because
the same time the gastrocolic reflex
each day is stimulated by food
or fluid intake.

4. Encourage the 4. These foods help

 intake of natural provide bulk to the
bulking agents to stool by absorbing
thicken stools, fluids from the stool
for example,
foods such as
banana, rice, and
yogurt.

5. Use pads,
diapers, or 5. These products can be
collection used on a short-term
devices for short- basis to prevent
term soiling and skin
management of irritation.
bowel
incontinence.

6. Wash the
perineal area
after each 6. Any fecal material left
elimination with on the skin may cause
soap and water. irritation, skin
Apply a moisture excoriation, and pain.
barrier ointment. This pain may result in
fear of defecating and
cause the patient to
deny the urge to
defecate. This may
result in impaction
 and eventually bowel
incontinence.

7. Educate the 7. These prevent skin

patient about irritation and pain that
proper hygiene may lead to fecal
and the use of impaction and
soap and water eventually bowel
and moisture incontinence.
barrier
containing zinc
oxide or
dimethicone.

Dependent
1. Depending on the
1. Administer cause of fecal
medications incontinence,
that can be options include:
used to treat Anti-diarrheal
bowel drugs such as
incontinence loperamide
as prescribed hydrochloride
by the (ImodiumA-D) and
physician diphenoxylate and
atropine sulfate
(Lomotil). Bulk
laxatives such as
methylcellulose
(Citrucel) and
 psyllium
(Metamucil) can
be used if chronic
constipation is
causing the
incontinence

Collaborative 1. Insoluble type of fiber

promotes the
1. Provide a high-fiber movement of material
diet under the through the digestive
direction of a system and increases
registered dietician, stool bulk, so it can be
unless of benefit to those
contraindicated. who struggle with
irregular stools. Bulky
stool stimulates
peristalsis and
expulsion of stool
from the bowel