Constipation r/t immobility secondary PD AEB infrequent passage of

stool
The client will have a bowel movement every 3 days during her hospitalization

The client will have a bowel movement by the end of my shift.

I.
1. Assess usual pattern of elimination; compare with present
pattern. Include size, frequency, color, and quality.
2. Evaluate medications for s/e of constipation
3.Evaluate usual dietary habits, eating habits, eating schedule,
and liquid intake.
4.Assess for history of neurogenic diseases, such as multiple
sclerosis, Parkinson's disease.
II.
1. Encourage increased fiber in diet (e.g., raw fruits, fresh
vegetables); a minimum of 20 gm of dietary fiber per day is
recommended.
2.Toliet q2h
3.Encourage daily fluid intake of 2000 to 3000 ml per day, if
not contraindicated medically.
III.
1.Explain or reinforce to patient and caregiver the
importance of a balanced diet
2. Teach use of pharmacological agents as ordered
IV.
1.Consult dietitian

I.
1. "Normal" frequency of passing stool varies from twice
daily to once every third or fourth day. It is important to
ascertain what is "normal" for each individual.
2. Some medications have a s/e of constipation
3.Change in mealtime, type of food, disruption of usual
schedule, and anxiety can lead to constipation.
4.Neurogenic disorders may alter the colon's ability to
perform peristalsis.
II.
1. Fiber passes through the intestine essentially unchanged.
When it reaches the colon, it absorbs water and forms a gel,
which adds bulk to the stool, and makes defecation easier.
2. bowel retraining
3.Patients, especially the elderly, may have cardiovascular
limitations, which require that less fluid is taken.
III.
1. A balanced diet with adequate fiber, fresh fruits,
vegetables, and grains; Adequate fluid intake; 2000-3000 ml
per day;
2. Bulk fiber-increase fluid, gaseous, and solid bulk of
intestinal contents; Stool softeners -soften stool and lubricate
intestinal mucosa.;Chemical irritants -These irritate the
bowel mucosa and cause rapid propulsion of contents of
small intestines; Suppositories-These aid in softening stools
and stimulate rectal mucosa; best results occur when given
30 min before usual defecation time or after breakfast;Oil
retention enema-To soften stool
IV.
1.Persons unaccustomed to high-fiber diet may experience
abdominal discomfort and flatulence; a gradual increase in
fiber intake is recommended.

I.
1.
2. on several medications with the s/e of constipaton
3.
4. CVA, PD
II.
1.
2.
3. CHF- need to watch for signs with increased fluid intake
III.
1.
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3.
4.
IV.
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