Mary Ellen
Bone Cancer
Opioid meds
Small marble stools
NOC
Bowel
Elimination
NIC Constipation
Management:
Assess diet to determine
If she eats fiber-rich foods
Evaluation:
Had son instructed re: raised toilet seat
Identified fear as barrier to plan
Identified lack of knowledge re: laxative
choices as barrier.
Completed fluid schedule
Constipation
r/t decreased bowel motility
/s.e. of opioid meds
NOC
Hydration
NIC Constipation
Management:
Encourage oral fluid.
Make plan for fluids:
- schedule, types,
reminders
NOC
Medication
Response
NIC Medication
Management:
Teach re: opioid use and constipation
Administer stool softener and
mild stimulant
Goal: by discharge pt will:
Describe 3 actions she can take at home to
reduce her constipation
Goal: Within 2 wks of D/C pt will:
Identify barriers to implementing program
Have BM as often as indicated by intake
Report feces are softer
Report feeling of complete evacuation
Show less abd. Distention
Have no palpable stool masses in abd.
NOC
Symptom
Control
NIC Constipation
Management:
Provide elevated toilet seat prn
Discuss alternate types of pain
management