Effective Care Plan For Constipation Nursing Diagnosis
Constipation is a common and often painful condition that affects Australians of all ages. Developing an effective treatment plan for constipation is crucial for nurses. It helps maintain patient comfort and prevents complications.
This article will outline the most important elements of a nursing care plan for managing constipation in Australia.
How To Understand Constipation ?
Individuals with constipation have irregular bowel movements, have trouble passing stools, or feel like they haven't gone all the way. It can happen for many reasons, including food, lifestyle, medicines, and underlying health problems.
Constipation that lasts for a long time can cause significant problems like fecal impaction, hemorrhoids, and anal cracks. This makes adequate management very important.
Assessment
Determining what's causing your constipation is the first thing you should do to treat it. Nurses should get a complete background of each patient, which should include:
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What patients eat: Regular meals, water, and vegetable intake.
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Doing physical things: How active patients are every day.
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Taking medicines: Both prescription drugs and over-the-counter drugs.
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Patterns of bowel movement: How often, how consistently, and if there is any pain or soreness.
A belly palpation should be part of a physical exam to check for distension or pain. Also, a digital rectal exam should be conducted to check for tone and stool in the pelvic area.
Diagnosis
One can make a nursing determination based on the evaluation. The North American Nursing Diagnosis Association sets the rules for how this process should work.
For constipation, the diagnosis could be: "Constipation caused by not getting enough fiber and not being active, as shown by irregular bowel movements, hard stools, and complaints of straining from the patient."
Planning
Setting attainable and trackable goals to ease constipation is part of the planning step. Some possible goals are:
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At least once every two days, the person will go to the bathroom.
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The person will say they don't have to work as much when they go to the bathroom.
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The person will ensure they eat at least 25 grams of fiber daily.
Implementation
Putting the care plan into action requires several steps, including:
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Dietary Changes: Patients must eat lots of fruits, veggies, whole grains, and beans to get a lot of fiber. Tell them to drink more water—their goal should be at least 2 liters daily.
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Physical Activity:Encourage regular exercise, like yoga, walking, or swimming, to help the bowels work better.
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Medication Management: Look over and change any drugs that you take that might be making your constipation worse. Sometimes, you may need to use laxatives or stool softeners. You should be careful not to become dependent on these, though.
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Education: Teach the patient how important it is to go to the bathroom when needed. Ignoring it can cause you to have severe constipation. Give advice on using the toilet correctly, like using a chair to raise your feet. This may make it easier to pass stools.
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Behavioral Interventions: Help the person get into a regular bowel pattern by telling them to simultaneously go to the bathroom for a few minutes every day, especially after a meal.
Evaluation
Monitoring the patient's progress toward the set goals is part of the evaluation. It includes writing down how often and how often you have bowel movements and any pain you feel.
There should be changes to the care plan based on how the patient reacts to treatments. For instance, if changing the patient's food doesn't help, the nurse might look into other reasons or possible treatments.
Documentation And Communication
Keeping accurate records of all tests, interventions, and reviews is essential. Good contact with the healthcare team keeps everyone involved in the patient's care up to date on their success and any changes that need to be made to the care plan.
Conclusion
With a well-structured nurse care plan, patients with constipation can have much better results and quality of life. As shown above, nurses can help their patients have regular, pain-free bowel movements by following these steps.
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