I have to come up with a care plan for this pt I had several weeks ago. Has to be nutrition/elimination diagnosis.
82 year old female, was admitted with pneumonia, COPD. When I interviewed her, she said her normal bowel frequency was three times daily, has hemorrhoids, date of last BM 2 dys ago. She said probably because she is not at her home. Her bowel was distended, and I did listen to her, she did have bowel sounds x4.
medications: asa, blood thinners, vasotec, mvi, oscal, theodur,lasix, and administered senokot that morning to her.
Intake-800ml Out-500ml 4 hrs. Hgb 10.1 hct 30.3 Na 141, cl 104, K 3.0
I've come up with constipation, r/t decreased peristalsis secondary to: stress AEB last bm 2 dys ago, bowel distended, and pt states, "probably not going, because I'm not at home".
can someone critique this before i turn it in, please. Any suggestions would be appreciated, thanks.