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

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