Alteration in Bowel Elimination: Diarrhea

Alteration in Bowel Elimination: Diarrhea

(_)Actual (_)Potential

Related
To:
[Check those that apply]
(_)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:_____________________________
____________________________________
____________________________________

 

As evidenced by:

[Check those that apply]

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:

  • diet
  • medication usage
  • S/S of diarrhea
    to watch for requiring medical attention
  • discontinuing
    solids
  • offer clear
    liquids.

(_)Other:________________
________________________
________________________
________________________

 

 

__________________________
Patient/Significant other signature

 

__________________________
RN signature