Jump to content

Diarrhea R/T intestinal inflammatory process Help with STG

Posted
jenn_624 jenn_624 (New) New

I'm needing help with my short term goal. This is my first Rn careplan of the year and I'm wanting to make sure that I do it right. My diagnosis goes as follows;

Diarrhea R/T intestinal inflammatory process AMB abdominal pain,cramping, urgency, and the frequent passage of loose liquid stools.

STG: Ptwill maintain fluid balance as evidenced by adequate I&O's, maintainingweight and skin turgor, and ingesting at least 80% of each meal during thisshift 11/02/12.

LTG: Pt will have a return to normal bowel patterns as evidenced by passage offormed soft stool at least every other day for 1 week.

I'm worried that my stg isn't specific enough to the problem. Should it be something more like, the pt will verbalize causative agents? She has diverticulitis.

hodgieRN

Specializes in ER trauma, ICU - trauma, neuro surgical. Has 10 years experience.

You shold take another look at your nursing diagnosis :) Diarrhea is a medical diagnosis. There's is a nursing diagnosis for pts with diarrhea.

Esme12, ASN, BSN, RN

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma. Has 40 years experience.

Actually it is.....OP. What care plan book do you use? I use Ackley: Nursing Diagnosis Handbook, 9th Edition and Gulanick: Nursing Care Plans, 7th Edition

NANDA-I Definition

Passage of loose, unformed stools

Defining Characteristics

Abdominal pain; at least three loose liquid stools per day; cramping; hyperactive bowel sounds; urgency

Related Factors (r/t)

Psychological: Anxiety; high stress levels

Situational: Adverse effects of medications; alcohol abuse; contaminants; travel; laxative abuse; radiation; toxins; tube feedings

Physiological: Infectious processes; inflammation; irritation; malabsorption; protozoal, gastrointestinal disorders

I would think of skin integrity. I would think of controlling pain with a short term goal of pain relief. What are ways to control the diarrhea?

  • Defecate formed, soft stool every day to every third day
  • Maintain a rectal area free of irritation
  • State relief from cramping and less or no diarrhea
  • Explain cause of diarrhea and rationale for treatment
  • Maintain good skin turgor and weight at usual level

But what are THIS particular patients needs? What are their complaints?

I'm needing help with my short term goal. This is my first Rn careplan of the year and I'm wanting to make sure that I do it right. My diagnosis goes as follows; Diarrhea R/T intestinal inflammatory process AMB abdominal pain,cramping, urgency, and the frequent passage of loose liquid stools. STG: Ptwill maintain fluid balance as evidenced by adequate I&O's, maintainingweight and skin turgor, and ingesting at least 80% of each meal during thisshift 11/02/12. LTG: Pt will have a return to normal bowel patterns as evidenced by passage offormed soft stool at least every other day for 1 week. I'm worried that my stg isn't specific enough to the problem. Should it be something more like, the pt will verbalize causative agents? She has diverticulitis.
I also have diarrhea as a nursing diagnosis in my cox's diagnosis book. My pt has diverticular disease. Admitted due to abdominal pain & diarrhea rt excaccerbatin of the disease. Do you think the maintain fluid balance is an acceptable stg or would it better to do the skin integrity or verbalization of teachings?