ASSESSMENT HEALT NURSING DESIRED INTERVENTION(EDIT) EVALUATION REMA

H DIAGNOSIS OUTCOME(EDIT) (EDIT) RKS

PATTE
RN
Subjective Cues: E Constipation r/t General Objective: Independent Intervention: After 8 hours of
L decreased metabolic nursing
 Patient I rate amb dry, hard After 8hours 1. Determine stool color, intervention,
verbalized M stools, decreased of nursing consistency, frequency and patient was able
difficulty of I bowels and difficult intervention, the amount. to establish
passing stool N of passing stool as patient will establish R-Assists in identifying normal bowel
A verbalized by the or return to normal causative or contributing pattern
T patient. patterns of bowel factors and appropriate functioning.
I Constipation is functioning. intervention.
Objective Cues O defined by having Patient
N three or fewer bowel Specific Objective: 2. Check out usual dietary verbalized relief
 Decreased movements a week,  Patient habits, eating habits, eating from discomfort
bowel sounds P or by bowel maintains schedule, and liquid intake. of constipation
 Dry, hard A movements that are passage of R-Irregular mealtime, type and mainstains a
stools T painful and soft, formed of food, and interruption of passage soft,
 39 weeks T unproductive. stool at a usual schedule can lead to formed stool.
pregnant E Digestion and frequency constipation.
R passing stool are perceived as
N among the processes “normal” by 3. Encourage the patient to
that can be affected the patient. take in fluid 2000 to 3000
by low thyroid mL/day, if not
hormone levels or a  Patient contraindicated medically.
condition called verbalizes R-Sufficient fluid is needed
hypothyroidism. relief from to keep the fecal mass soft.
Other factors such as discomfort of But take note of some
age, low fiber diet, constipation. patients or older patients
repeatedly ignoring having cardiovascular
the urge to go, not  Patient limitations requiring less
drinking enough identifies fluid intake.
water, or a lack of measures that
exercise as well as prevent or 4. Assist patient to take at
overusing of enemas treat least 20 g of dietary fiber
or laxative can cause constipation. (e.g., raw fruits, fresh
constipation. vegetable, whole grains) per
day.
R-Fiber adds bulk to the
stool and makes defecation
easier because it passes
through the intestine
essentially unchanged.

5. Encourage patient for

some physical activity and
exercise such as ambulation/
walking.
R-Being active helps stool
move through the intestines.
Getting regular exercise,
with a doctor’s approval,
can help relieve
constipation. If exercising is
not a priority or possibility,
try to fit in a gentle walk
each day.

6. Discuss use of stool

softeners, mild stimulants,
bulk forming laxatives or
enemas as indicated.
Monitor effectiveness.
R-Facilitates defecation
when constipation is
present.

7. Encourage a regular
period for elimination
R- Some people oftenly
defecate following the first
daily meal or coffee, as a
result of the gastrocolic
reflex.

Dependent Intervention:
8. Administer medication as
prescribed by the physician.

R-Constipation related to
hypothyroidism shall be
treated with treatment for
hypothyroidism. This
typically involves taking a
daily thyroid hormone
replacement pill to help
restore thyroid hormone
levels to normal.