I am a first year nursing student and have my clinical placement at LTC facitliy. Can anyone tell me if i am on the right truck? My supervisor is very detail oriented so I want to make sure it looks good. My resources are pretty limited ex. fiber diet.
this is what i came up with
Constipation r/t diverticular disease of intestine, chronic kidney failure aeb type 1, small amount of hard stool, insufficient physical activity, wheelchair dependent, severe obesity (BMI 40.7), hypoactive bowel sound x 4
goal: The client will report a relief from constipation and pass type 2-4 stool (Bristol Stool Chart) by Tuesday, April 3rd
Interventions: The nursing student will Assist the client with passive ROM flexion and extension of knee. Assist the client with active and passive ROM flexion, extension of fingers, wrist, elbow, shoulder and supination and pronation of the forearm. 5 repetitions for each exercise. 15 minutes total.
For my second intervention I wanted to put The nurse will auscultate bowel sounds x 4, each for full 5 minutes if suspected absent sounds.
I cannot encourage more fluid as is because of pitting edema on his legs.
Thank you for any info!!