Alteration in Bowel Elimination: Diarrhea
(_)Actual (_) Potential
| (_)
Inflammation of bowels (_) Colon mucosa ulceration (_) Fecal impaction (_) Gastric bypass (_) Infant - breast fed (_) Decreased sphincter reflexes (_) Allergies |
(_)
Medications_______________________ ____________________________________ (_) Stress/anxiety (_) Tube feedings (_) Decreased tolerance to dietary program: ____________________________________ ____________________________________ (_) Other:_____________________________ ____________________________________ ____________________________________ |
| Major:
(Must be present) |
(_) Loose liquid
stools and/or: (_) Frequency |
| Minor:
(May be present) |
(_) Urgency (_) Cramping/abdominal pain (_) Hyperactive bowel sounds (_) Increase of fluidity or volume of stools |
| Date & Sign. |
Plan and Outcome [Check those that apply] |
Target Date: |
Nursing Interventions [Check those that apply] |
Date Achieved: |
| The
patient will: (_) Have stool/elimination pattern that closer resembles that of patient's normal stool/pattern. (_) Patient and/or significant other will verbalize methods for preventing and/or treating diarrhea. (_) Other: |
(_)
Assess abdomen for distention, bowel sounds, pain q___
hours. (_)
Identify factors that contribute to
diarrhea:________________ (_) Record color, odor, amount and frequency of stool. (_) Instruct patient in:
(_)
Other:________________ |
__________________________
Patient/Significant other signature
__________________________
RN signature
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