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Nursing Diagnoses . Clients with Fecal Elimination Problems Heather Nelson, RN. Constipation . Related to: Inadequate fiber in diet Immobility or inadequate physical activity Inadequate fluid intake Pain on defecation Change in routine (e.g., diet intake) Abuse of laxatives

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Nursing diagnoses

Nursing Diagnoses

Clients with Fecal Elimination Problems

Heather Nelson, RN


Constipation
Constipation

  • Related to:

    • Inadequate fiber in diet

    • Immobility or inadequate physical activity

    • Inadequate fluid intake

    • Pain on defecation

    • Change in routine (e.g., diet intake)

    • Abuse of laxatives

    • Delaying defecation when urge is present

    • Use of prescribed constipating medications (e.g., narcotic analgesic, iron, antacid, and anticholinergic)


Perceived constipation
Perceived constipation

  • Related to:

    • Altered thought processes

    • Family health beliefs

    • Knowledge deficit about normal processes


Bowel incontinence
Bowel incontinence

  • Related to:

    • Diarrhea

    • Fecal impaction

    • Central nervous system disruption (e.g., stroke)

    • Cognitive/perceptual impairment

    • Demyelinating disease

    • Extreme debilitation


Diarrhea
Diarrhea

  • Related to:

    • Dietary alteration

    • Stress/anxiety

    • Inflammation or irritation of bowel

    • Drug side-effects

    • Spoiled food

    • Tube feeding

    • Allergy


Potential fluid volume deficit
Potential fluid volume deficit

  • Related to:

    • Diarrhea

    • Abnormal fluid loss through ostomy


Potential impaired skin integrity
Potential impaired skin integrity

  • Related to:

    • Prolonged diarrhea

    • Bowel incontinence

    • Bowel diversion ostomy


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