Nursing Diagnosis for Urinary / Bowel Elimination : Diarrhea, Constipation

Nanda Nursing Diagnosis for Urinary / Bowel Elimination : Diarrhea, Constipation

1. Alteration in Bowel Elimination : Diarrhea

  • Help need for defecation (if bed rest to prepare the necessary tools near the bed, attach the curtains and immediately dispose of faeces after defecation).
  • Increase / maintain fluid intake by mouth.
  • Teach about the foods and drinks that can worsen / precipitate diarrhea.
  • Observation and record the frequency of defecation, fecal volume and characteristics.
  • Observation fever, tachycardia, lethargy, leukocytosis, decreased serum protein, anxiety and lethargy.
  • Collaboration of appropriate medication therapy program (antibiotics, anticholinergics, corticosteroids).

2. Alteration in Bowel Elimination : Constipation

  • Encourage lots of drinking with ambulation dinikolab laxative administration.
  • Rationalization:
  • Many drinks can help dissolve the stool with ambulation reduce constipation.
  • Formation of stools soft launch.

3. Alteration in Bowel Elimination: Constipation related to neurological disorders of the intestine and rectum.

  • Auscultation of bowel sounds, note the location and characteristics. Rational: bowel sounds may be absent during spinal shock.
  • Observe for abdominal distention.
  • Note the presence of complaints of nausea and want to vomit, pairs of NGT. Rational: gantrointentinal and gastric bleeding may occur due to trauma and stress.
  • Provide a balanced diet high in calories and protein; Liquid. Rational: improving stool consistency.
  • Give laxatives to order. Rational: stimulate the intestines.

4. Altered Urinary Elimination related to the drainage of urine.

  • Assess urine drainage system immediately.
  • Assess the adequacy of urine output and drainage system patency.
  • Use aseptic procedures and washing hands when providing care and action.
  • Maintain a closed urine drainage system.
  • If irrigation is needed and prescribed, do this action carefully using sterile saline.
  • Assist patients in the mobilization.
  • Observation of color, smell and consistency of urine volume.
  • Reduce trauma and manipulation of catheters, drainage system and urethra.
  • Clean the catheter carefully.
  • Maintain adequate fluid intake.

5. Impaired Urinary Elimination

  • Observation of the bladder.
  • Encourage regular bowel movements.
  • Give warm compresses.
  • Rationalization:
  • The content of urinary maintain contractions or uterine involution.
  • Urine retained causes infection.
  • Relaxation springter urine.

6. Altered Urinary Elimination related to paralysis of the urinary condition.

  • Assess the pattern of urination, and record urine output per hour.
  • Rationale: determine kidney function.
  • Palpation of the possibility of bladder distension.
  • Instruct the patient to drink a 2000 cc / day.
  • Rationale: helps maintain kidney function.
  • Attach the catheter Dower.
  • Rational assist the process of urine.

7. Constipation
  • Observation bowel sounds periodically.
  • Suggest to increase fluid intake at least 2 liters a day when no contra indications.
  • Increase activity on a regular basis.
  • For the provision of appropriate therapy, investigation is needed.
  • Dietis team collaboration for the provision of a balanced diet and high in fiber.

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