Constipation - Nursing Diagnoses

Definition: Decrease in normal frequency of defecation accompanied by difficult or incomplete passage of stool and/or passage of excessively hard, dry stool.


RELATED FACTORS

Functional

  • Irregular defecation habits; inadequate toileting (e.g., timeliness, positioning for defecation, privacy)
  • Insufficient physical activity; abdominal muscle weakness
  • Recent environmental changes

Pharmacologic

Antilipemic agents; laxative overdose; calcium carbonate; aluminum containing antacids; nonsteroidal anti-inflammatory agents; opiates; anticholinergics; diuretics; iron salts; phenothiazides; sedatives; sympathomimetics; bismuth salts; antidepressants; calcium channel blockers


Mechanical

  • Hemorrhoids; pregnancy; obesity
  • other on the book..


DEFINING CHARACTERISTICS

Subjective

  • Change in bowel pattern, unable to pass stool, decreased frequency, decreased volume of stool
  • Change in usual foods and eating patterns; increased abdominal pressure, feeling of rectal fullness or pressure
  • Abdominal pain, pain with defecation; nausea and/or vomiting, headache, indigestion,generalized fatigue

Objective

  • Dry, hard, formed stool
  • Straining with defecation
  • continue on the book...

SAMPLE CLINICAL APPLICATIONS: abdominal surgeries,hemorrhoids/anal lesions, irritable bowel syndrome, diverticulitis, spinal cord injury, multiple sclerosis, enteral/parenteral feedings, hypothyroidism, iron deficiency anemia, uremia/renal dialysis, Alzheimer’s disease/dementia.

Client Will (Include Specific Time Frame)

  • Establish/regain normal pattern of bowel functioning.
  • Verbalize understanding of etiology and appropriate interventions/solutions for individual situation.
  • other on the book...

ACTIONS/INTERVENTIONS

Sample NIC linkages:

  • Constipation/Impaction Management: Prevention and alleviation of constipation/ impaction.
  • Bowel Management: Establishment and maintenance of a regular pattern of bowel elimination.


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