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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 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 • Delaying defecation when urge is present • Use of prescribed constipating medications (e.g., narcotic analgesic, iron, antacid, and anticholinergic)
Perceived constipation • Related to: • Altered thought processes • Family health beliefs • Knowledge deficit about normal processes
Bowel incontinence • Related to: • Diarrhea • Fecal impaction • Central nervous system disruption (e.g., stroke) • Cognitive/perceptual impairment • Demyelinating disease • Extreme debilitation
Diarrhea • Related to: • Dietary alteration • Stress/anxiety • Inflammation or irritation of bowel • Drug side-effects • Spoiled food • Tube feeding • Allergy
Potential fluid volume deficit • Related to: • Diarrhea • Abnormal fluid loss through ostomy
Potential impaired skin integrity • Related to: • Prolonged diarrhea • Bowel incontinence • Bowel diversion ostomy