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Maraming Tubig at Kakain NG Prutas para Makadumi Ako."

The patient is at risk for constipation after a cesarean section. The nurse's short term goal is for the patient to demonstrate behaviors to prevent constipation within 8 hours. Nursing interventions include encouraging fluid intake, fiber-rich foods, and ambulation. The long term goal is for the patient to maintain their usual bowel pattern within 3 days through lifestyle changes and medical management if needed.

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Cayla Mae Carlos
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78 views2 pages

Maraming Tubig at Kakain NG Prutas para Makadumi Ako."

The patient is at risk for constipation after a cesarean section. The nurse's short term goal is for the patient to demonstrate behaviors to prevent constipation within 8 hours. Nursing interventions include encouraging fluid intake, fiber-rich foods, and ambulation. The long term goal is for the patient to maintain their usual bowel pattern within 3 days through lifestyle changes and medical management if needed.

Uploaded by

Cayla Mae Carlos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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NURSING

ASSESSMENT PLANNING INTERVENTIONS RATIONALE EVALUATION


DIAGNOSIS

No subjective cues Risk for Short Term INDEPENDENT After 8 hours of


constipation r/t Goal: INTERVENTIONS: nursing
Objective Cues: post pregnancy  Ascertain normal  This is to interventions, the
 Patient has cesarean Within 8 hours bowel functioning of determine the patient was able
not yet section of nursing the patient, about normal bowel to identify
eliminated interventions, how many times a pattern measures to
since day does she
the patient will prevent infection
delivery defecate  To increase the
be able to  Encourage intake of as manifested by
 Absence of bulk of the
bruit sounds demonstrate foods rich in fiber stool and client’s
 Normal behaviors or such as fruits facilitate the verbalization of:
pattern of lifestyle changes passage “Iinom ako ng
bowel has to prevent through the maraming tubig
not yet developing colon at kakain ng
returned problem  Promote adequate  To promote prutas para
fluid intake. moist soft stool makadumi ako.”
Long Term Goal: Suggest drinking of
warm fluids,
especially in the
Within 3 days of Within 3 days of
morning to
nursing stimulate peristalsis nursing
 To stimulate
interventions,  Encourage interventions, the
contractions of
the patient will ambulation such as the intestines patient was able
be able to walking within and prevent to maintain usual
maintain usual individual limits post operative pattern of bowel
pattern of bowel complications functioning
functioning  However, since she  To avoid stress
has had cesarean, on the
also encourage cesarean
adequate rest incision/ wound
periods

COLLABORATIVE:

 Administer bulk-  To promote


forming agents or defecation
stool softeners such
as laxatives as
indicated or
prescribed by the
physician

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