Nursing Diagnosis of Acute Pain related to Constipation

Acute pain related to the accumulation of hard stool in the abdomen

Goal: show pain has been reduced

Expected Outcomes:

• Relaxation techniques individually demonstrate effective to achieve comfort
• Maintaining the level of pain on a small scale
• Reported physical and psychological health
• Recognize factors and using measures to prevent pain
• Using action to reduce the pain with analgesics and non-analgesic appropriately

Nursing Interventions Acute Pain related to Constipation

1. Help the patient to focus more on the activity of the pain by doing penggalihan through television or radio.
Rationale: The client can distract from pain.

2. Note that the elderly have increased sensitivity to the analgesic effects of opiates.
Rational: Be careful in giving anlgesik opiates.

3. Consider the possibility of drug interactions in the elderly.
Rational: Be careful in the provision of drugs in the elderly.

4. Ask the patient to assess pain or lack of comfort on a scale of 0-10
Rationale: Knowing the client's level of perceived pain

5. Use the pain flow sheet
Rationale: Knowing the characteristics of pain

6. Perform a comprehensive pain assessment
Rational: In order for the specific pain mngetahui

7. Instruct patient to meminformasikan on nurses if the pain-reducing achieved less
Rationale: Nurses can perform appropriate action in addressing the client's pain

8. Give pain neighbor information
Rational: In order for the patient does not feel anxious.

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Constipation Nursing Care Plan: Diagnosis and Interventions

Nursing Diagnosis: Constipation related to irregular bowel habit

Purpose: patients can defecate regularly (every day)

Expected outcomes:

• Defecation can be done once a day
• The consistency of soft stool
• Elimination of feces without the need for excessive straining

Nursing Interventions for Constipation

Independent

• Determine the pattern of defecation for clients and train clients to do so.
• Set the time is right for clients such as defecation after meals.
• Provide coverage of nutritional fiber according to the indication.
• Give fluids if not contraindicated 2-3 liters per day.

Collaboration

• Provision of laxatives or enemas as indicated

Rational:

• To restore the regularity of bowel habit clients.
• To facilitate the defecation reflex.
• High fiber nutrition to launch fecal elimination.
• To soften the stool elimination.

Nursing Diagnosis : Alteration in Nutrition: Less Than Body Requirements related to loss of appetite

Purpose: demonstrate good nutritional status

Expected Outcomes:

• Tolerance to dietary needs.
• Maintain body mass and body weight within normal limits.
• Laboratory values ​​within normal limits.
• Reported adequacy of energy levels.

Nursing Interventions Alteration in Nutrition: Less Than Body Requirements for Constipation

1. Create a meal plan with the patient to put in a feeding schedule.
Rationale: Maintain a diet of patients so that patients eat regularly.

2. Encourage family members to bring the patient's favorite foods from home.
Rationale: The patient feels comfortable with food brought from home and can improve the patient's appetite.

3. Offer large meals during the day when a high appetite.
Rationale: By providing a large portion can keep the adequacy of nutrient intake.

4. Make sure the diet meets the needs of the body as indicated.
Rationale: High carbohydrate, protein and calories needed or required during treatment.

5. Make sure the patient's diet is preferred or not preferred.
Rationale: To support the increasing appetite of the patient.

6. Monitor input and output and body weight periodically.
Rationale: Knowing the balance of intake and expenditure of food intake.

7. Assess the patient's skin turgor
Rationale: As the data supporting the existence of changes in nutrition that is less than demand.

8. Monitor laboratory values, such as hemoglobin, albumin, and blood glucose levels.
Rational: To be able to ascertain the level of content deficiency of hemoglobin, albumin, and glucose in the blood.

9. Teach patients and families about nutritious food.
Rationale: Maintaining adequacy of intake of nutrients needed.

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