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Carpenito-Moyet, L. J. (2009) : Independent

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Patient Name: M. T Chief Complaint: Constipation Medical/Surgical Diagnosis: Aplastic Anemia with suspected DIC Bed No.

9C

Assessment Diagnosis Scientific Analysis Planning Intervention Rationale Evaluation


Subjective Data:  Constipation Decrease in normal After 6- Independent: After a day of
“Wala na sya related to frequency of 8hours •Determine stool - Assist in identifying nursing
kalibang mga 4 low dietary defecation accompanied of nursing color, consistency, causative or intervention the
days sukad naadmit fiber intake by difficult or intervention, frequency and contributing factors and patient bowel
sya dire sa hospital” secondary incomplete passage the client amount. appropriate returned to
as verbalized by to DIC of stool and/or passage will establish interventions. normal and the
patients S.O related to of excessively hard, dry or return to •Auscultate bowel (Carpenito-Moyet, L. J. (2009) goal was met.
APL stool. Constipation is normal sounds.
common especially patterns - Bowel sounds are
Objective Data: among older patients. of bowel generally decreased in
 Weak in The obvious culprits functioning •Encourage constipation.
appearance include a low fiber diet, as evidenced increased fluid (Carpenito-Moyet, L. J. (2009)
 The patient repeatedly ignoring the by: intake of 2500 –
has a pale urge to go, not drinking 3000 ml/day within - Sufficient fluid intake is
conjunctiva enough water, or a lack Absence of cardiac tolerance. necessary for the bowel
and lips of exercise. Also, the bloating to absorb sufficient
 Patient is use of medications, Patient amounts of liquid to
Bloated especially opioid expresses Dependent: promote proper stool
analgesics, and overuse feelings of consistency.
of enemas and laxatives, comfort  Administer (Carpenito-Moyet, L. J. (2009)
can cause constipation.  stool - These laxatives soften
softeners. stool and lubricate
(Ackley, B. J., Ladwig, G. B., intestinal mucosa.
Msn, R. N., Makic, M. B. F., (Gulanick, M., & Myers, J. L. (2016)
Martinez-Kratz, M., &  Bulk fiber - These laxatives increase
Zanotti, M. (Metamucil fluid, gaseous, and solid
(2019). Nursing Diagnosis
and similar bulk of intestinal
Handbook E-Book: An
Evidence-Based Guide to fiber contents.
Planning Care. Mosby.) products). (Gulanick, M., & Myers, J. L.
(2016)
Patient Name: M. T Chief Complaint: Constipation Medical/Surgical Diagnosis: Aplastic Anemia with suspected DIC Bed No. 9C

 Educate the - This may be challenging


caregiver but the caregiver has the
the use of a chance to learn to
fecal device, manage the device with
if necessary. appropriate guidance and
feedback.
(Gulanick, M., & Myers, J. L.
(2016)
Collaborative:
 Discuss with - A person with enough
a dietitian knowledge about the
about matter will recommend
dietary sources of fiber consistent
sources of with the patient’s usual
fiber. eating habits. A patient
unaccustomed to a high-
fiber diet may experience
abdominal discomfort and
flatulence; a progressive
increase in fiber intake is
recommended.
(Gulanick, M., & Myers, J. L. (2016)

References:
Ackley, B. J., Ladwig, G. B., Msn, R. N., Makic, M. B. F., Martinez-Kratz, M., & Zanotti, M.
(2019). Nursing Diagnosis Handbook E-Book: An Evidence-Based Guide to Planning Care. Mosby.
Carpenito-Moyet, L. J. (2009). Nursing care plans & documentation: nursing diagnoses and
collaborative problems. Lippincott Williams & Wilkins.
Patient Name: M. T Chief Complaint: Constipation Medical/Surgical Diagnosis: Aplastic Anemia with suspected DIC Bed No. 9C

Gulanick, M., & Myers, J. L. (2016). Nursing Care Plans: Diagnoses, Interventions, and Outcomes.
Elsevier Health Sciences. 

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