COLLEGE OF NURSING

NAME: Diana Anne Maris DATE: 19/04/22

CLINICAL INSTRUCTOR: Mrs. Monina Ines SCORE:

ASSESSMENT DIAGNOSIS ANALYSIS PLANNING IMPLEMENTATION RATIONALE EVALUATION

“1 Liter lang ang maximum Constipation related to Constipation is more likely Short Term: -Assess the client daily dietary -Inadequate dietary fiber and Short Term:
na tubig ang pwede kong insufficient fluid intake to occur in individual older After 30 minutes of nursing regimen noting if diet is deficient in highlight processed foods After 30 minutes of
inumin sa isang araw kaya as evidenced by limited than 65 but can occur in intervention the client fiber (Dependent) contribute to poor intestinal nursing intervention
kapag hindi ako matae to 1 liter of water a day infant to elderly. Many identifies acceptable function. the client was able to
pinapainom ako ng older adults experience interventions to promote point out the
Dulcolax” as verbalized by constipation as a result of adequate bowel function acceptable
the patient blunted nerve sensation, -Assess the energy and activity levels -Lack of physical activity or interventions to
immobility, dehydration Long Term: and exercise pattern of the client regular exercise is often a factor promote adequate
and electrolyte imbalances, After 1-3 Days of Nursing (Dependent) in constipation bowel function. (Goal
Objective: incomplete emptying of intervention the client Met)
✓ Black, hard formed the bowel, or failing to decrease reliance on
stool attend to signals to laxatives -Encourage the client to maintain -To facilitate monitoring of
✓ Straining with defecate. elimination diary if appropriate long-term problem Long Term:
defecation (Dependent) After 1-3 Days of
Source: Nursing intervention
Nursing Pocket Guide, -Assess client readiness to discuss -Learning is enhanced when the the client was able to
pg.257 Nutritional habits and client is ready and decrease dependency
recommendations. (Dependent) willing to participate. on laxatives. (Goal Met)

-Encourage the client to do activity -To stimulate the contractions

and regular exercise within limits of of the intestine
individual ability (Dependent)

-Assess for laxative abuse or enema -Repeated use of excessive

use. amounts of laxatives causes the
muscles and nerves of the colon
to function poorly when
producing an urge to defecate.
COLLEGE OF NURSING

-Administer /monitor medication -To avoid overuse of stimulant

regimen (Dependent) laxatives.

-In collaboration with the dietician, -To provide adequate fibers to

determine the number of fibers prevent constipation.
required a day. (Collaborative)