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ASSESSMENT NURSING INFERENCE GOAL INTERVENTION RATIONALE EVALUATION

DIAGNOSIS

SUBJECTIVE: Constipation Constipation is a very After 8 hours of Independent: After 8 hours of


“Hindi na ako related to common condition that nursing >Determine stool >Assists in identifying nursing
madalas decreased affects people of all interventions, the color, causative or interventions, the
dumumi dietary intake. ages. When you are patient will consistency, contributing patient was able to
nitong mga constipated, you feel establish or frequency and factors and establish or return
nakaraang that you are return amount appropriate to normal patterns
araw” not passing stools to normal interventions of bowel
as verbalized (feces) as often as patterns of bowel > Auscultate functioning.
by the mother. your normally functioning. bowel > Bowel sounds are
do, or that you have to Sounds generally decreased in
OBJECTIVE: strain more than usual, Constipation
>Formed stool or that you are unable
> Altered to > Encourage fluid > Assists in improving
bowel completely empty your intake of 2500- stool
sounds bowels. Constipation 3000 ml/day Consistency
>loss of can within
appetite also cause your stools cardiac tolerance
>decreased to be > Recommend > Decrease gastric
weight unusually hard, lumpy, avoiding distress and abdominal
large or small. The gasforming distension.
severity of foods
constipation can vary > Assist in > Prevents skin
greatly. Many people perianal excoriation and
only skin condition breakdown
experience frequently, noting
constipation for a short changes or
period of time with no beginning
lasting effects on their breakdown > Facilitates
health. For others, > Discuss use of defecation when
constipation can be a stool softeners, constipation is present
chronic (long-term) mild stimulants,
condition which causes bulk-
significant pain and forminglaxatives,
discomfort. Chronic or
constipation can also enemas as
lead to indicated. Monitor
complications, such as effectiveness.
fecal impaction (where >To enhance easy
dry, hard stools collect defecation
in your > Encourage to
rectum) or fecal eat
incontinence (where high-fiber rich
you foods >supplements of
involuntarily leak liquid essential and non-

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