NURSING CARE PLAN

Identified Problem: Constipation

Nursing Diagnosis: Impaired comfort related to abdominal fullness

CUES OBJ ECTIVES INTERVENTIONS RATIONALE EVALUATION

Subjective:

Gasakit akong tiyan mura
kog gibutdan, as verbalized
by the patient.










Objective:
> Abdominal pain PS 6/10
> Unable to pass stool
> Abdominal tenderness
> Percuss abdominal
dullness
> Hypoactive bowel sound
> Anorexia

Short term objectives:

Within 4 hours of nursing
intervention, the patient will
be able to experience
alleviated abdominal pain
from pain scale of 6/10 to
3/10.








Long term objectives:

Within 8 hours of nursing
intervention, the patient will
be able to defecate.

Independent:

1. Monitor V/S and MIO


2. Assess pain and its
characteristics (location, onset,
intensity, aggreviation,
alleviation)

3. Auscultate bowel sound

4. Reposition the patient based on
his comfortable postion

5. Assist in ambulation



6. Instruct patient to increase fluid
intake


7. Encourage to eat high fiber

Dependent:

8. Administer analgesic if pain is
intolerable and when necessary

9. Administer stool softness



1. To have a baseline data and
note for any progress

2. To provide appropriate
intervention according to
patient needs


3. Reflecting bowel sound

4. To promote comfort


5. To promote comfort and
ambulation stimulate
contraction of the intestine

6. To avoid dehydration and
promote passage of soft
stool

7. To facilitate passage of stool
through colon


8. To alleviate pain


9. To promote passage of stool

Short term:

Within 4 hours of nursing
intervention, the patient was
able to experience alleviated
abdominal pain from pain
scale of 6/10 to 3/10.









Long term:

Within 8 hours of nursing
intervention, the patient was
able to defecate.