Cagayan de Oro College PHINMA Education Network

College of Allied Health Sciences

Nursing Department
BSN-3 Medical Surgical Nursing Activity Sheet
2nd Semester, Periodical 1, S.Y. 2020-2021

NAMES:__________MAMBUAY, IRIS JUNE F.__________________________________________ DATE:_02/09/2021______

SECTION:__C1-01___________
NURSING INTERVENTIONS
 Promote diet and lifestyle
changes
 Instruct to avoid food triggers
 Encourage eating of high-fiber
diet and increase fluid intake
 Management of stressors
through assistance of SO
 Laxatives are suggested but
with careful use
 Frequent hand washing with
antibacterial soaps
NURSING DIAGNOSES
C.I:_MS. PHOEBE JAENN TAN, RN_________
IBS (IRRITABLE BOWEL SYNDROME) CONCEPT MAP
IBS (IRRITABLE BOWEL SYNDROME) CLINICAL MANIFESTATIONS
RISK FACTORS
TYPES
Results from a functional disorder of intestinal motility, it is  Occasional urgency
 Women one of the most common GI problems in the large  IBS-C - constipation  Poor control of flatus
 Heredity intestines. Also defines as a chronic dysfunctional disorder
 IBS-D – diarrhea  Diarrhea or constipation
 Psychological stress characterized by recurrent abdominal pain associated with
 IBS-M – both  Rectal bleeding
 Depression and anxiety disordered bowel movements which may include diarrhea,
 IBS-U – unknown  Weight loss
 Diet high in fat and stimulating or irritating food constipation or both.
 Migraine headaches
 Alcohol consumption
 Smoking ASSESSMENT/DX
 Sleep deprivation
 Surgery  Diagnostic criteria: COMPLICATIONS S/SX
a) Recurrent abdominal pain or discomfort for at least 3 days
 Infections
a month in the past 3 mos., including two or more of the ff:  Mood disorders  Cramping
 Diverticulitis
a) Improvement with defecation  Depression  Abdominal pain
 Chronic fatigue syndrome
b) Onset associated with change in frequency of stool  Anxiety  Bloating
 Chronic pelvic pain
c) Onset associated with change in appearance  Impacted bowel  Gas
 Fibromyalgia
 To rule out other colon diseases:  Food intolerance  Mood changes
 Interstitial cystitis
a) Stool studies  Malnourishment  Vomiting
 GERD
b) Contrast x-ray studies  Hemorrhoids  Persistent pain that isn’t relieved by
c) Proctoscopy  Pregnancy complications passing gas or bowel movement
 Barium enema and colonoscopy
 Manometry and electromyography

 Imbalanced nutrition: less than body requirements related to MEDICAL/NURSING MANAGEMENT

altered absorption  Restriction and then gradual reintroduction of foods that
 Acute pain related to abdominal muscle spasms are possibly irritating i.e beans, caffeinated beverages,
 Diarrhea secondary to IBS corn, wheat, dairy, fried foods, alcohol, spicy foods and
 Ineffective coping related to stress and anxiety secondary to IBS aspartame
 Risk for deficient fluid volume related to diarrhea  Opt for high-fiber diet
 Powerlessness related to current health condition  Exercise
 Deficient knowledge regarding lack of information  Adequate rest and sleep
 Fiber supplements
 Participate in a stress or behaviour modification program
 Consumption of probiotics
 Antidiarrheal agents, antidepressants and
anticholinergic/antispasmodics
 Artichoke leaf extract. Peppermint oil and caraway oil
 Discourage smoking/alcohol
 Fluids should not be taken with meals