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NURSING DIAGNOSIS: Constipation
May be related to
- Pain and swelling in surgical area
- Immobilization, decreased physical activity
- Altered nerve stimulation, ileus
- Emotional stress, lack of privacy
- Changes/restriction of dietary intake
Possibly evidenced by
- Decreased bowel sounds
- Increased abdominal girth
- Abdominal pain/rectal fullness, nausea
- Change in frequency, consistency, and amount of stool
Desired Outcomes
Bowel Elimination (NOC)
- Reestablish normal patterns of bowel functioning.
- Pass stool of soft/semiformed consistency without straining.
8 Laminectomy Nursing Care Plan (NCP)
- Impaired Physical Mobility — Laminectomy Nursing Care Plan (NCP)
- Ineffective Tissue Perfusion — Laminectomy Nursing Care Plan (NCP)
- Risk for Trauma — Laminectomy Nursing Care Plan (NCP)
- Ineffective Breathing Pattern — Laminectomy Nursing Care Plan (NCP)
- Acute Pain — Laminectomy Nursing Care Plan (NCP)
- Constipation — Laminectomy Nursing Care Plan (NCP)
- Urinary Retention — Laminectomy Nursing Care Plan (NCP)
- Knowledge Deficit — Laminectomy Nursing Care Plan (NCP)
Constipation — Laminectomy Nursing Care Plan (NCP): Nursing Interventions & Rationale
| Nursing Interventions | Rationale |
| Note abdominal distension and auscultate bowel sounds. | Distension and absence of bowel sounds indicate that bowel is not functioning, possibly because of sudden loss of parasympathetic enervation of the bowel. |
| Use fraction or child-size bedpan until allowed out of bed. | Promotes comfort, reduces muscle tension. |
| Provide privacy. | Promotes psychological comfort. |
| Encourage early ambulation. | Stimulates peristalsis, facilitating passage of flatus. |
| Begin progressive diet as tolerated. | Solid foods are not started until bowel sounds have returned/flatus has been passed and danger of ileus formation has abated. |
| Provide rectal tube, suppositories, and enemas as needed. | May be necessary to relieve abdominal distension, promote resumption of normal bowel habits. |
| Administer laxatives, stool softeners as indicated. | Softens stools, promotes normal bowel habits, decreases straining. |
Found through:
nursing diagnosis for abdominal pain, Abdominal Pain Nursing Care Plan, nursing care plan for acute abdominal pain, g tube nursing care plan, registrednursecareplanimpairedcomfort, sample care plan for G-tube
