Assessment Diagnosis Planning Intervention Evaluation

Subjective: Decrease bowel Short term: Independent Short term:

motility related to
“Mabigat ang tiyan ko electrolyte imbalance > at the end of the >noted color, odor, >at the end of the shift
hindi ako makadumi” shift the client will be consistency, amount the client was able to
As verbalized by the able to verbalized and frequency of stool verbalized
patient understanding of Rat: to provide understanding of
etiology and baseline data etiology and
appropriate >instruct a diet of appropriate
Objective: intervention balance fiber and bolk intervention
like fruits, vegetables
>hard formed stool Long term: and whole grains Long term:
>hypoactive bowel Rat: to improve
sound >at the end of nursing consistency of stool > at the end of nursing
>distended abdomen intervention the client and facilitate passage intervention the client
>abdominal will be able to true color. was able to establish
tenderness establish normal >increased fluid intake normal pattern of
>severe flatus pattern of bowel suggest drinking warm bowel functioning
>bright red blood with functioning stimulating fluid like slowly
stool coffee
>serum potassium Rat: to provide
1,9mEq/L passage soft stool
N- 3.5-5mEq/L >encourage
ambulation, exercise
or activities with/ in
limit of ability
Rat: to stimulate
contraction of intestine
>provide sitz bath
after stool
Rat: for soothing effect
to rectal area

Dependent:

>Administer stool
softners as ordered
>apply
lubricant/anesthetic
ointment
>administer enemas
digitally remove
impacted stool as
ordered