ASSESSMENT NURSING GOAL INTERVENTION RATIONALE IMPLEMENTATION(CONTROL EVALUATION
DIAGNOSIS (PRESCRIPTIVE OPERATION) (REGULATORY
(DIAGNOSTIC OPERATION) OPERATIONS)
OPERATION)
Assess the bowel Assessment Assessment done upon admission
SUBJECTIVE Client Will pattern of the will help to and in between hospital days.She
DATA Constipation Establish an patient . understand is having abdominal distention
related to elimination Auscultate his and bowel sounds are weak and
Client decreased pattern suitable bowel sounds elimination feable Client got relief
verbalized that mobility and to physical needs pattern and from
“’I did not pass decreased food and lifestyle with Review dietary auscultation constipation as
stool for four intake as effluent of pattern and will give evidenced by
days”’ evidenced by appropriate amount and type information She is non vegetarian and taking bowel opening 2
abdominal amount and of fluid intake. about adequate oral fluids times today.
OBJECTIVE discomfort and consistency peristaltic In the form of juices and
DATA distention Emphasize movement. smoothies.
importance of
On assessment chewing food It will help to
his bowel well, adequate understand
sounds are intake the cause of Health education given about
decreased and of fluids with and constipation importance of chewing the food
abdomen is following meals during eating.
distended Chewing will
Provide high fiber increase High fiber diet advised.List of the
containg food. digestion food items with high fiber given
and advised to follow that.
Administer High fiber
Laxatives if diet will
needed reduce the Administerd laxative
consistency of syrup(Duphalac 30 ml)
1
stool
Laxatives will
reduce fecal
consistency
and will help
to pass stool
easily.