NURSING CARE PLAN - diarrhea - Nursing Crib

NURSING CARE PLAN
ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION
Subjective:
“Madalas akong
dumumi ngayon
kaysa kahapon”
as verbalized by
patient.
Objective:
• Increased
peristalsis.
• Frequent
watery
stools.
• Abdominal
pain.
• V/S taken as
follows:
T: 36.6
P: 80
R: 18
Bp: 110/90
• Diarrhea
related to
presence of
toxins.
• Diarrhea is the
passage of loose
and watery
stools (more
than 3 bowel
movements per
day) often
associated with
gassiness,
bloating, and
abdominal pain.
It may also be
accompanied by
nausea,
vomiting, and
fever. Diarrhea
results to loss of
body fluids and
salts leading to
dehydration of
varying severity.
Severe
dehydration may
cause death
especially in
children
• After 4 hours
of nursing
interventions,
the patient
will report
reduction in
frequency of
stools.
Independent:
• Observe and
record stool
frequency,
characteristics,
amount and
precipitating
factors.
• Promote bed rest.
• Provide bedside
commode.
• Identify foods and
fluids that
precipitate
diarrhea.
• Restart oral fluid
intake gradually.
Offer clear liquids
hourly, and avoid
cold fluids.
• Helps
differentiate
individual
disease and
assesses
severity of
episode.
• Rest decreases
intestinal
motility and
reduces
metabolic rate.
• Urge to
defecate may
occur without
warning and
uncontrollable,
increasing risk
of incontinence
or falls if
facilities are not
close at hand.
• Avoiding
intestinal
irritants
promotes
intestinal rest.
• Provides colon
rest by omitting
or decreasing
stimulus of
foods or fluids.
Gradual
consumption of
liquids may
prevent
cramping and
• After 4
hours of
nursing
intervention
s, the
patient was
able to
report
reduction in
frequency of
stools.

• Encourage to eat
foods like banana
and apple.
• Avoid foods that
are oily, spicy and
caffeine.
Collaborative:
• Administer antidiarrheals
as
prescribed by the
physician.
recurrence of
diarrhea. Cold
fluids can
increase
intestinal
motility.
• Fruits that are
stool former.
• Foods that may
precipitate
gastric
cramping.
• Decreases G.I
motility or
peristalsis and
diminishes
digestive
secretions to
relieve
cramping and
diarrhea.