Constipation

 

Instructions: Fill out this form, print it, and hand it in with your assessment to your instructor. When you click on Next at the bottom of the page, you see the data you submitted. Please follow the instructions on how to save the data on the next page.

AOL users: Read this instruction.

Definition:decrease in frequency of stool accompanied by difficult or incomplete passage of stool and/or passage of hard, dry stool

1. Client's initials (required): 

2. Defining Characteristics- check those that apply to your client:

None- high risk diagnosis  change in bowel pattern dry hard formed stools hypoactive bowel sounds  oozing liquid stools feeling of rectal fullness  pain with defecation  distended abdomen  nausea  unable to pass stool
3. Related Factors- check those that apply to your client:

medications, anesthesia immobility major surgery trauma insufficient fiber intake insufficient fluid intake
electrolyte imbalance habitual ignoring of urge to defecate neurological disorder  lack of privacy stress aging
pregnancy pain, hemorrhoids bowel disorder (tumor for example)


4. Goal (ultimate, long term) 

5. Outcome Criteria (short term) 

6. Evaluation: Was the outcome criteria met? 

Yes- Give Evidence: 

No- Explain how you would change the plan: 

7A. Interventions 

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7B. Rationale for each intervention
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