ASSESSMEN DIAGNOSIS T

INFERENC E

PLANNING INTERVENTIO RATIONAL EVALUATIO N E N

Subjective: hindi pa naman ako dumudumi mga ilang araw na rin.

Constipation related to musculoskelet al impairment and lack of exercise as manifested by impaired Objective: mobility, patient hasnt abdominal defecated distention, since Friday and decreased (April 20) bowel sounds. impaired mobility limited movement abdominal distention decreased bowel sounds.

After 12 hours of nursing intervention s, the patients constipation will be relieved as evidenced by: -Absence of abdominal distention -patient will be able to defecate. demonstrate ROM exercises to relieve constipation

-Determine stool color, consistency, frequency, and amount.

-Assists in identifying causative or contributing factors and appropriate intervention

After 12 hours of nursing interventions, the patients constipation was relieved as evidenced by: -Absence of abdominal distention

- Auscultate bowel sounds.

-Verbalize understandi ng about the intervention s with -encourage regards to increase fluid relieving intake constipation. -advice to take luke warm water every morning.

- Bowel sounds are -patient will generally be able to increased in defecate. constipation. -demonstrate ROM exercises to relieve - Monitor intake - May constipation and output identify (I&O) with dehydration, -Verbalize specific excessive understanding attention to food loss of fluids about the or fluid intake. or aid in interventions identifying with regards dietary to relieving deficiencies. constipation. -Facilitates defecation

-Facilitates as a stool softener.

-Add fiber rich foods to diet..

-facilitates normal bowel

movement pattern, acts as a stool softener.

- Advice to avoid gas forming foods

- Discuss use of stool softeners, mild stimulants, enemas as Indicated. Monitor effectiveness

- Decreases gastric distress and abdominal distension. . -Facilitates defecation when constipated is present.

Collaborative:

- Fiber resist enzymatic -Consult with digestion dietitian to and absorbs provide well liquids in its balanced diet passage high in fiber and along the bulk. intestinal tract and thereby produces bulk, which acts as a stimulant for defecation.