Diarrhea R/T intestinal inflammatory process Help with STG

[jenn_624]

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]

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]

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?

[jenn_624]

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?