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
  • Ulcerative

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]

Assessment

Subjective:
“ My stomach cramps and I had to go to the rest room
for several times.” –verbatim of client.

Objective:
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

Nursing Diagnosis

Diarrhea related to ingestion of suspected contaminated food.

Inference

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.

Outcome

After 8 hours of nursing care, client will be able to re-establish and maintain normal bowel functioning.


Nursing Interventions

-Observe and record the frequency, amount, time, and characteristics of stool and for any presence of precipitating factors.

Rationale
-It could help determine the causative factor and the need for additional hydration replacement.


Nursing Interventions
Restrict foods as indicated like foods containing caffeine, too much oil, fiber, milk, and fruits

Rationale
These foods can add more irritation to the stomach


Nursing intervention
Provide a quite and non stimulating environment and teach client of relaxation techniques to decrease stress.

Rationale
-Stress can trigger frequent passing of stools; with these measures, stress could be avoided or relieved


Nursing Intervention
Start venoclysis and intravenous replacement as indicated.

Rationale
Hydrating the client helps replace the fluid and electrolyte he loose from diarrhea.


Nursing Intervention
-Administer anti-diarrheal agents/antibiotics as indicated

Rationale
-These agents could help halt diarrhea and the progression of this condition to dehydration


Nursing Intervention
Emphasize to increase fluid intake especially those containing with electrolytes, i.e. ORS.

Rationale
Rehydration is the top priority in diarrhea.


Nursing Intervention
Educate on how to prepare food properly and the importance of good food sanitation practices and handwashing.

Rationale
This could prevent outbreaks and spread of infectious diseases transmitted through fecal- oral route


Nursing Intervention
Educate on what to do in case diarrhea may happen again or with family members to prevent dehydration.

Rationale
Discharge health teaching may be necessary to provide adequate information on how to prevent and manage diarrhea at home.


Evaluation

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.

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