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Nursing Diagnoses

This resource outlines nursing diagnoses related to fecal elimination issues such as constipation and diarrhea. It identifies related factors including inadequate fiber or fluid intake, immobility, pain during defecation, and laxative abuse for constipation. For bowel incontinence, it mentions causes like diarrhea, fecal impaction, and central nervous system disruptions. The document also addresses diarrhea related to dietary changes, stress, bowel inflammation, and medication side effects. Understanding these diagnoses aids nurses in creating individualized care plans for patients experiencing elimination problems.

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Nursing Diagnoses

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  1. Nursing Diagnoses Clients with Fecal Elimination Problems Heather Nelson, RN

  2. 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)

  3. Perceived constipation • Related to: • Altered thought processes • Family health beliefs • Knowledge deficit about normal processes

  4. Bowel incontinence • Related to: • Diarrhea • Fecal impaction • Central nervous system disruption (e.g., stroke) • Cognitive/perceptual impairment • Demyelinating disease • Extreme debilitation

  5. Diarrhea • Related to: • Dietary alteration • Stress/anxiety • Inflammation or irritation of bowel • Drug side-effects • Spoiled food • Tube feeding • Allergy

  6. Potential fluid volume deficit • Related to: • Diarrhea • Abnormal fluid loss through ostomy

  7. Potential impaired skin integrity • Related to: • Prolonged diarrhea • Bowel incontinence • Bowel diversion ostomy

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