NURSING CARE PLAN FOR CONSTIPATION ASSESSMENT NURSING DIAGNOSIS PLANNING NURSING INTERVENTIONS - determine stool, color, consistency

, frequency and amount RATIONALE EVALUATION

Subjective: hindi ako nakadumi tatlong araw na as verbalized by the patient. Objective: -altered bowel sounds -abdominal pain -irritability -v/s taken as follows: T- 37.1 PR- 88 bpm RR- 18 bpm BP- 110/70

Constipation related to decreased dietary intake.

After 4 hours of nursing interventions, the patient will establish normal pattern of bowel functioning.

- assists in identifying causative/ contributing factors and appropriate interventions. - bowel sounds are generally decreased in constipation. - assists in improving stool consistency. - decrease gastric distress and abdominal distention. - to enhance easy defecation.

After 4 hours of nursing interventions, patient established normal pattern of bowel functioning.

- auscultate bowel sounds

- encourage increase fluid intake - recommend avoiding gas-forming foods - Encourage to eat high fiber rich foods

CRISTALYN ROSS L. CABAHUG GROUP B5 MS. ROSEMARIE MENDOZA

.observe for presence of petechial and bleeding from one or more sites. potentiating risk of hemorrhage After 1 hour of nursing interventions. active bleeding . reducing risk for bleeding and hematoma .18 bpm BP.37 P.apply pressure to the gums . the patient will be able to demonstrate behaviors that reduce the risk for further bleeding.an increase in pulse and decrease BP can indicate loss of circulating blood volume.prolongs coagulation. PLANNING NURSING INTERVENTIONS Independent: . -in the presence of clotting factor disturbances.monitor Hb and Hct and clotting factors .90/60 After 1 hour of nursing interventions.recommend avoidance of aspirin containing products.indicators of anemia.cold water promotes vasoconstriction. Collaborative: . . RATIONALE EVALUATION Subjective: may pagdurugo pa din sa gilagid ng anak ko as verbalized by the mother Objective: -weakness -irritability -pale -v/s taken as follows: T.sub-acute disseminated intravascular coagulation may develop secondary to altered clotting factor. .monitor pulse and blood pressure. .minimizes damage to tissues. the patient demonstrates behaviors that reduce the risk for further bleeding. . .encourage to gurgle cold water -instruct use of soft toothbrush .NURSING CARE PLAN FOR BLEEDING GUMS ASSESSMENT NURSING DIAGNOSIS Bleeding gums related to altered clotting factor.80 bpm R. minimal trauma can cause mucosal bleeding.

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