Diarrhea is defined as a state in which an individual experiences a change in normal bowel habits characterized by the frequent passage of loose, fluid, unformed stools. Diarrhea is indeed the passing of at least 3 or more loose watery stools which may be a reaction to certain underlying factors or conditions.
It can be a result of drinking of unboiled or contaminated water, ingestion of food contaminated with microorganism/s leading to viral, bacterial, or parasitic infection, food or medicine allergy, and intolerance to food (milk or lactose). However, a change in a bowel pertaining to severe diarrhea may be attributed to other serious conditions, like:
- Irritable bowel syndrome (IBS)
- Chrohn’s disease
- Malabsorption syndrome
- Colon cancer
Diarrhea can be manifested through these symptoms:
- Frequent passing of loose watery stools (3 or more)
- Abdominal pain or cramps
- Frequency in flatulence
- It could be accompanied or not with fever and nausea and vomiting
It is often due to unsafe and unsanitary food practices, so proper hand washing and food hygiene should be emphasized. On the other hand, clients should also be advised to replace fluid loss and as well seek medical help to avoid dehydration.
Diarrhea Nursing Care Plan Pdf
Diarrhea Nursing Care Plan [Full Text]
“ My stomach cramps and I had to go to the rest room
for several times.” –verbatim of client.
Passed loose watery stools for 5 times already Frequent flatulence as claimed Presence of abdominal cramps
Ate “isaw” (grilled chicken intestine) day prior to onset of symptoms
BP= 110/60mmHg PR= 87bpm Skin warm and moist Good skin turgor and capillary refill
Diarrhea or frequent passing of loose, watery stool is not really a disease but a condition due to underlying factors or diseases. One risk factor is the ingestion food with the presence of microorganisms like V. cholera, Salmonella typhi and others. These organisms could adhere to the gut wall, alter the acidity, and irritate the gastrointestinal tract.
After 8 hours of nursing care, client will be able to re-establish and maintain normal bowel functioning.
-Observe and record the frequency, amount, time, and characteristics of stool and for any presence of precipitating factors.
-It could help determine the causative factor and the need for additional hydration replacement.
Restrict foods as indicated like foods containing caffeine, too much oil, fiber, milk, and fruits
These foods can add more irritation to the stomach
Provide a quite and non stimulating environment and teach client of relaxation techniques to decrease stress.
-Stress can trigger frequent passing of stools; with these measures, stress could be avoided or relieved
Start venoclysis and intravenous replacement as indicated.
Hydrating the client helps replace the fluid and electrolyte he loose from diarrhea.
-Administer anti-diarrheal agents/antibiotics as indicated
-These agents could help halt diarrhea and the progression of this condition to dehydration
Emphasize to increase fluid intake especially those containing with electrolytes, i.e. ORS.
Rehydration is the top priority in diarrhea.
Educate on how to prepare food properly and the importance of good food sanitation practices and handwashing.
This could prevent outbreaks and spread of infectious diseases transmitted through fecal- oral route
Educate on what to do in case diarrhea may happen again or with family members to prevent dehydration.
Discharge health teaching may be necessary to provide adequate information on how to prevent and manage diarrhea at home.
After 8 hours of nursing care, the goal is partially met as evidenced by reduction in frequency of passing of stool to 3 from previous of 6.