Nurse's Pocket Guide

• Discuss possible change in infant formula. Diarrhea may be
result of/aggravated by intolerance to specific formula.
• Recommend products such as natural fiber, plain natural
yogurt, Lactinex, to restore normal bowel flora.
• Administer medications, as ordered, to treat infectious
process, decrease motility, and/or absorb water.
• Provide privacy during defecation and psychological support,
as necessary.
NURSING PRIORITY NO.6.To promote wellness (Teaching/Discharge
Considerations):
• Review causative factors and appropriate interventions to
prevent recurrence.
• Evaluate/identify individual stress factors and coping behaviors.
• Review food preparation, emphasizing adequate cooking time
and proper refrigeration/storage to prevent bacterial growth/
contamination.
• Emphasize importance of handwashing to prevent spread of
infectious causes of diarrhea such as Clostridium difficile
(C. difficile) or S. aureus.
• Discuss possibility of dehydration and the importance of
proper fluid replacement.
• Discuss use of incontinence pads to protect bedding/furniture,
depending on the severity of the problem.
Documentation Focus
ASSESSMENT/REASSESSMENT
• Assessment findings, including characteristics/pattern of
elimination.
• Causative/aggravating factors.
• Methods used to treat problem.
PLANNING
• Plan of care and who is involved in planning.
• Teaching plan.
IMPLEMENTATION/EVALUATION
• Client’s response to treatment/teaching and actions performed.
• Attainment/progress toward desired outcome(s).
• Modifications to plan of care.
DISCHARGE PLANNING
• Recommendations for follow-up care.
Information in brackets added by the authors to clarify and enhance
the use of nursing diagnoses.
Diagnostic Studies Pediatric/Geriatric/Lifespan Medications 263
DIARRHEA