*ANOLIN, Marc Edriann T.

ASSESSM ENT Subjective: Dumi po ako ng dumi mga 3 beses na simula kaninang umaga as verbalized by patient. Diarrhea related to presence of t o xi ns. DIAGNOSIS PLANNING After 4 hours of nursing interventions, the patient will report reduction in frequency of stools. I NTE R VE N TI O N Independent: Observe and record stool frequency, characteristics, amount and precipitating f actors. Promote bed rest.

BSN4A7-RLEGROUP CA25 RATIONALE EVALUATION After 4 hours of nursing intervention s, the patient was able to report reduction in frequency of stools.

INFERENCE: Objective: Increased peristalsis. Frequent watery stools. Abdominal pain. V/S taken as f ollow s: T: 36.6 P: 80 R: 18 Bp: 110/90 Diarrhea is the passage of loose and watery stools (more than 3 bow el movements per day) of ten associated with gassiness, bloating, and abdominal pain. It may also be accompanied by nausea, vomiting, and f ever.

Helps differentiate individual disease and assesses severity of episode. Rest decreases intestinal motility and reduces metabolic rate. Urge to defecate may occur without warning and uncontrollable, increasing risk of incontinence or falls if f acilities are not close at hand.

Provide bedside commode.

Identify foods and fluids that

Avoiding intestinal irritants

Diarrhea results to loss of body f luids and salts leading to dehydr ation of varying severity. Severe dehydration may cause death especially in children

precipitate diarrhea. Restart oral fluid intake gradually. Off er clear liquids hourly, and avoid cold fluids.

promotes intestinal rest. Provides colon rest by omitting or decreasing stimulus of f oods or fluids. Gradual consumption of liquids may prevent cramping and recurrence of diarrhea. Cold fluids can increase intestinal motility. Fruits that are stool f ormer.

Encourage to eat f oods like banana and apple. Avoid foods that are oily, spicy and caffeine.

Foods that may precipitate gastric cramping.

Collaborative: Administer Decreases G.I motility or

antidiarrheals as prescribed by the physician.

peristalsis and diminishes digestive secretions to relieve cramping and diarrhea.

Alteration in b ody temperature r elated to inappropriate clothing

Within the shift, the patient will maintain core temperature within normal range