Nursing Care Plan

Nursing Care Plan

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Loose Stools, Clostridium difficile (C. Diarrhea may result from a variety of factors, including intestinal absorption disorders, increased secretion of liquid by the intestinal mucosa, and hypermotility of the intestine. Problems associated with diarrhea, which might be severe or chronic, include liquid and electrolyte imbalance and modified epidermis integrity. Diarrhea may derive from infectious (i.e., viral, bacterial, or parasitic) processes; primary bowel diseases (e.g., Crohn’s disease); drug therapies (e.g., antibiotics); increased osmotic tons (e.g., pipe feedings); radiation;, or increased intestinal motility such as with irritable colon disease. Treatment is dependent on addressing the cause of the diarrhea, replacing fluids and electrolytes, providing diets (if diarrhea is prolonged and/or severe), and maintaining pores and skin integrity.

Health care workers and other caregivers must take precautions (e.g., diligent hand cleaning between patients) to avoid distributing diarrhea from individual to individual, including personal. Expected Outcomes Patient passes gentle, each day formed feces no more than three times. Assess for stomach pain, cramping, frequency, urgency, loose, or liquid stools, and hyperactive bowel sensations.

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Culture stool. Testing will identify causative microorganisms. Tolerance to milk and other milk products Patients with lactose intolerance have insufficient lactase, the enzyme that digests lactose. The presence of lactose in the intestines raises the osmotic pressure and attracts water into the intestinal lumen. Medications patient is or has been taking antibiotics and Laxatives may cause diarrhea.

C. difficile can colonize the intestine pursuing antibiotic lead and use to pseudomembranous enterocolitis; C. difficile is a common reason behind nosocomial diarrhea in healthcare facilities. Idiosyncratic food intolerances Spicy, fatty, or high-carbohydrate foods may cause diarrhea. The approach to food preparation Fried food or food contaminated with bacteria during planning might cause diarrhea. Osmolality of tube feedings Hyperosmolar fluid or food draws excess fluid into the gut, stimulates peristalsis, and causes diarrhea. Current stressors Some individuals react to stress with hyperactivity of the GI tract.

Previous gastrointestinal (GI) surgery Following bowel resection, a period (1 to 3 weeks) of diarrhea is normal. Abdominal rays Radiation causes sloughing of the intestinal mucosa, reduces typical absorption capacity, and may result in diarrhea. Assess impact of therapeutic or diagnostic regimens on diarrhea. Preparation for radiography or surgery, and radiation or chemotherapy predisposes to diarrhea by changing mucosal transit and surface time through the colon.

Input and output Diarrhea can result in serious dehydration and electrolyte imbalance. Assess condition of perianal skin. Diarrheal stools may be highly corrosive, as a total consequence of increased enzyme content. Explore the emotional impact of illness, hospitalization, and/or soiling accidents by providing verbalization personal privacy and a chance for. Give antidiarrheal drugs as ordered.