Nursing Care Plan for Diverticular Disease
1. Nursing Diagnosis : Constipation
NOC
1. Bowel elimination
2. Hydration
Outcomes:
1. Maintain soft stool every 1-3 days.
2. Free from discomfort and constipation.
3. Identify indicators to prevent constipation.
4. Soft and shaped feces.
NIC
1. Constipation / Impaction Management
2. Monitor signs and symptoms of constipation.
3. Monitor bowel sounds.
4. Monitor stool (frequency, consistency and volume)
5. Explain the etiology and rationalization of the action against the patient.
6. Identify factors that cause constipation.
7. Support fluid intake.
8. Collaborate for laxatives.
9. Monitor for signs and symptoms of impaction.
10. Monitor bowel movements, including consistency of frequency, shape, volume, and color.
11. Consult with the doctor about the decrease / increase in frequency of bowel sounds.
12. Monitor for signs of intestinal rupture / peritonitis.
13. Describe the etiology of the problem and thoughts for the patient's actions.
14. Encourage increasing fluid intake.
15. Evaluation of drug profiles for gastrointestinal side effects.
16. Encourage patient / family to record the color, volume, frequency and consistency of stool.
17. Encourage the patient to have a high-fiber diet.
18. Advise the patient on the proper use of laxatives.
19. Encourage patients to relate to diet, exercise, and constipation / impaction.
20. Measure the patient's weight regularly.
2. Nursing Diagnosis : Imbalanced Nutrition: Less Than Body Requirements
NOC
1. Nutritional status
2. Intake
3. Weight control
Outcomes:
1. There is an increase in body weight according to purpose.
2. Ideal body weight according to height.
3. Being able to identify nutritional needs.
4. There are no signs of malnutrition.
5. Demonstrates increased tasting and swallowing function.
6. There is no significant weight loss.
NIC
Nutrition Management
1. Assess for food allergies.
2. Collaboration with nutritionists to determine the number of calories and nutrients needed by patients.
3. Encourage patients to increase protein and vitamin C.
4. Give sugar substance.
5. Make sure the diet eaten contains high fiber to prevent constipation.
6. Give selected food.
7. Monitor the amount of nutrients and calorie content.
8. Provide information about nutritional needs.
9. Assess the patient's ability to get the needed nutrition.
Nutrition Monitoring
1. Monitor for weight loss.
2. Monitor the type and amount of activity normally done.
3. Monitor the interaction of children or parents during meals.
4. Monitor the environment during meals.
5. Monitor dry skin and pigmentation changes.
6. Monitor Skin turgor.
7. Monitor dryness, dull hair, and break easily.
8. Monitor nausea and vomiting.
9. Monitor albumin levels, total protein, Hb, and Ht levels.
10. Monitor growth and development.
11. Monitor pallor, redness and dryness of conjunctival tissue.
12. Monitor calories and nutritional intake.
13. Note the presence of edema, hyperemic, hypertonic, papillary tongue and oral cavity.
14. Note if the tongue is magenta, scarlet.
3. Nursing Diagnosis : Disturbed Sleep Patterns
NOC
1. Anxiety reduction
2. Comfort level
3. Pain level
4. Rest: Extent and pattern
5. Sleep: Extent danpattern
Outcomes:
1. The number of hours of sleep within the normal limit is 6-8 hours / day.
2. Sleep patterns, quality within normal limits.
3. Feeling refreshed after sleeping or resting.
4. Being able to identify things that can improve sleep.
NIC
Sleep Enhancement
1. Determine the effects of medication on sleep patterns.
2. Explain the importance of adequate sleep.
3. Facilities to maintain activity before going to bed.
4. Create a comfortable environment.
5. Collaboration on giving sleeping pills.
6. Discuss with patients and families about patient sleep techniques.
7. Monitor eating and drinking time with bedtime.
8. Monitor / record the patient's sleep needs every day and hour.
