Nursing Diagnosis for Urinary / Bowel Elimination : Diarrhea, Constipation

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


1. Alteration in Bowel Elimination : Diarrhea

Intervention:

• 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

Intervention:

• 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.

Intervention:

• 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.

Intervention:

• 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

Intervention:

• 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.

Intervention:

• 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
Intervention:

• 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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Acute Pain related to Constipation

Nursing Diagnosis for Constipation : Acute Pain related to the accumulation of hard stool in the abdomen

Goal:

• Show the pain has diminished

Expected outcomes are:

• Shows relaxation techniques, individually effective to achieve comfort.
• Maintain the level of pain on a small scale
• Reported physical and psychological health.
• Recognize the causes and the use of measures to prevent pain.
• Using action to reduce the pain with analgesics and non-analgesics as appropriate.

Nursing Intervention for Acute Pain - NCP Constipation:
Independent:

• Help the patient to focus more on activities rather than pain, to make of switching via television or radio.
• Note that the elderly have increased sensitivity to the analgesic effects of opiates.
• Consider the possibility of drug-drug interactions and drug disease in the elderly.

Rational:

• Clients can distract from pain.
• Be careful in giving anlgesik opiates.
• Be careful in the provision of drugs in the elderly.

Observation:

• Ask the patient to assess pain or lack of comfort on a scale of 0-10.
• Use the pain flow sheet.
• Perform a comprehensive pain assessment.

Rational:

• Knowing the client's level of pain experienced.
• Knowing the characteristics of the pain.
• Knowing the specific pain.

Health education

• Instruct patient to inform the nurse, if the reduction of pain, less is reached.
• Provide information about the pain.

Rational:

• Nurses can perform the right actions, overcoming the client's pain.
• So that patients do not feel anxious.

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Constipation related to the irregular pattern of defecation

Constipation related to the irregular pattern of defecation

Objectives:
Patients can defecate regularly (every day)

Expected outcomes are:

• Defecation can be done once a day.
• The consistency of soft stool.
• Elimination of excess stool without straining.

Intervention:
Independent:

• Determine the pattern of defecation for clients and train clients to do.
• Set the time for clients such as defecation after meals.
• Give the range of fibrous nutrients according to the indication.
• Give fluids if not contraindicated 2-3 liters per day.

Collaboration:

• Giving a laxative or enema as indicated.

Rational:

• To restore order to the client defecation pattern.
• To facilitate the defecation reflex.
• High fiber nutrients to carry fecal elimination.
• To soften the stool elimination.

• To soften the stool.

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