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