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Constipation R/T Narcotic Pain Meds AEB Infrequent, Hard Stool, Abdominal Cramps and Distention Care Plan

The nursing care plan addresses constipation in a 27-year-old female patient who is G4 P3 and takes chronic narcotic pain medications. The plan includes assessing bowel sounds and abdominal distention, monitoring stool characteristics, and encouraging increased fluid and fiber intake, exercise, and a balanced diet. The goal is for the patient to understand behaviors to reestablish regular bowel movements. Interventions are based on the theory that pregnancy hormones and mechanical compression can cause constipation, and that increased fiber intake stimulates defecation.

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211 views2 pages

Constipation R/T Narcotic Pain Meds AEB Infrequent, Hard Stool, Abdominal Cramps and Distention Care Plan

The nursing care plan addresses constipation in a 27-year-old female patient who is G4 P3 and takes chronic narcotic pain medications. The plan includes assessing bowel sounds and abdominal distention, monitoring stool characteristics, and encouraging increased fluid and fiber intake, exercise, and a balanced diet. The goal is for the patient to understand behaviors to reestablish regular bowel movements. Interventions are based on the theory that pregnancy hormones and mechanical compression can cause constipation, and that increased fiber intake stimulates defecation.

Uploaded by

Netra
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Renetria Drake 09/20/15

Nursing of the Childbearing Family


Nursing Care Plan (ADPIE)
Assessment
Objective Data
BP- 100/64
Temp- 98.3/36.8
RR- 20
HR- 75
Pain- 6
27yo female G4
P3 Active bowel
sounds; Von
Willebrand
syndrome,
chronic narcotic
pain meds, h/o
adhd, heavy
smoker

Diagnosis
Constipation r/t
narcotic pain
meds AEB
infrequent, hard
stool, abdominal
cramps and
distention.

Planning
Client Goal
Patient will
verbalize
behaviors and
techniques to
reestablish bowel
movement.

Implementatio
Rationale
Evaluation
n
Independent Interventions
1. Auscultate
bowel sounds.

Bowel sounds
may be absent
due pain meds.

Met. Bowels were


active in all four
quadrants.

2. Observe for
abdominal
distention if
bowel sounds are
absent
hypoactive.

Loss of peristalsis
paralyzes the
bowel creating
ileus and bowel
distention.

Met. No
abdominal
distention
observed

3. Record
frequency,
characteristics
and amount of
stool during shift.

Establishes
degree of
impairment and
level of
assistance
required.

Met. Pt did not


have a BM during
shift.

Improves
consistency of
stool form transit
through bowel.

Met. Pt. stated


understanding
foods on tray that
would encourage
BM.

Improves appetite
and muscle tone
enhancing GI
motility.

Met. Pt. stated


understanding
the activity
encourages BM.

4. Encourage well
balanced diet
that includes bulk
fiber and
increased fluid
intake (2000 mL
per day) including
fruit juices.
5. Assist and
encourage
exercise and
activity as

Ricci, Susan. Essential of Maternity, Newborn, and Womens Health Nursing 3 rd Ed.
Lippincott Williams & Wilkins, 2013.

Renetria Drake 09/20/15


tolerated.

Subjective Data
Pt. states she hasnt
had a BM since before
admission (3days).
Also states that due to
Von Willebrand
syndrome and
narcotics her BMs are
infrequent.

Theory
(cite references)
Increasing levels
of progesterone
during pregnancy
lead to decreased
contractility of
the GI tract,
slowed
movement of
substances
through the colon
and a resulting
increase in water
absorption. All
factors that lead
to constipation. In
addition the large
bowel is
mechanically
compressed by
the enlarging
uterus.

Goal Evaluation
Met. Patient
stated
understanding
behaviors that
encourage
regular BM.

Interdependent Interventions

1. Consult with
dietitian to
provide wellbalanced diet
high in fiber.

Fiber absorbs
liquids in its
passage along
the intestinal
tract and adds
bulk that
stimulates
defecation.

Ricci, Susan. Essential of Maternity, Newborn, and Womens Health Nursing 3 rd Ed.
Lippincott Williams & Wilkins, 2013.

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