Nursing Diagnosis In Nursing

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Nursing Diagnosis (at least 2) Planning (outcome/goal) Measurable goal during your shift (at least 1 per Nursing diagnosis) Prioritized Independent and collaborative nursing interventions; include further assessment, intervention and teaching (at least 4 per goal) Rationale (use APA citations) Evaluation Goal Met, Partially met, or not Met and Explanation Change in normal bowel habits related to loss of rectal sphincter control secondary to cerebrovascular accident as evidence by patient unable to control passage of stool. Patient will verbalize 4 ways on how to keep bowel movements regular by naming what foods to eat and how much fluid to intake. Patient will participate in a daily bowel program for 5 days or until a bowel pattern…show more content…
The patient will be turned every two hours as evidenced by nursing documentation. Patient will not have any further skin breakdown during the hospitalization. The nurse will promote an exercise program, as individually able, to increase muscle tone and strength, including perineal muscles. Wounds will be cleaned and bandages changed daily per wound care orders and proper hand hygiene will be performed before and after dressing changes, effectively keeping the skin and wounds clean and free from any further infection. The nurse will verbalize and demonstrate to the patient’s family 4 ways on how to prevent pressure ulcers The family will verbalize at least 2 ways on how to prevent pressure ulcers. Incontinence aid or pads will be provided for patient until control is obtained. Client was turned every 2 hours per guidelines, family demonstrated ways to prevent pressure ulcers for client. No further skin breakdown was documented for client during the 12…show more content…
Loperamide is used to treat diarrhea. Loperamide is also used to reduce the amount of stool in people who have an ileostomy (re-routing of the bowel through a surgical opening in the stomach). FDA pregnancy category C 2mg tablet Oral As needed for diarrhea Loperamide exerts its antidiarrheal action by slowing intestinal transit and increasing contact time, and perhaps also by directly inhibiting fluid and electrolyte secretion and/or stimulating salt and water absorption. Other actions/effects: High doses may inhibit gastric acid secretion. stomach pain or bloating; ongoing or worsening diarrhea; diarrhea that is watery or bloody; or severe skin reaction -- fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling; dizziness; drowsiness, tired feeling; constipation; mild stomach pain; or mild skin rash or itching. loperamide should be taken with a full glass of water. Drink extra water while you are taking this medication to keep from getting

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