NURSING CARE PLAN
NURSING
CUES OBJECTIVE INTERVENTION RATIONALE EVALUATION
DIAGNOSIS
Subjective: Constipation After 8 hours of applying
interventions, the patient To identify
‘wala pa siya will establish or regain Review medical, surgical conditions
normal pattern of bowel and social history. commmonly
kalibang upat na
functioning. Note the client’s age
ka-adlaw’ as Note general oral/dental
associated with
verbalized by the health issues. constipation..
patients Determine fluid intake and Constipation is more
significant others output. likely to occur in
Evaluate the client’s individuals older
medications or drug than 65.
usage Dental problems
Objective: Note energy and activity can impact dietary
levels and exercise intake.
Hypoactive bowel pattern. To note deficits.
sounds Determine stool color,
Abdominal Medications could
consistency, frequency,
dullness upon and amount cause/ exacerbate
percussion Auscultate bowel sounds constipation.
Moderate flatus Lack of physical
noted
Palpate abdomen
Encourage increased fluid activity or regular
intake 2500-3000 m/day exercise is often a
within cardiac tolerance factor in
Instruct client on a high- constipation.
fiber diet as appropriate Assists in identifying
Discuss use of stool causative or
softeners, mild stimulants,
contributing factors
bulk forming laxatives or
enemas as indicated. and appropriate
Monitor for effectiveness. interventions
Bowel sounds are
generally decreased
in constipation.
To palpate
for presence of distension
or masses.
Sufficient fluid intake
is necessary for the
bowel to absorb
sufficient amounts of
liquid to promote
upper stool
consistency.
Fiber absorbs water,
which add bulks and
softness to the stool
and speeds up
passage through the
intestines.
Facilitates defecation
when constipation is
pressent.