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NURSING CARE PLAN Altered Bowel Elimination

1350 UNIT X / Promoting Physiologic HealthIf outcomes are not achieved, the nurse should explore thereasons. The nurse might consider some or all of the followingquestions: Were the client s fluid intake and diet appropriate? Was the client s activity level appropriate? Are prescribed medications or other factors affecting the gas-trointestinal function? Do the client and family understand the provided instruc-tions well enough to comply with the required therapy? Were sufficient physical and emotional support provided? NURSING CARE PLANA ltered Bowel EliminationASSESSMENT DATANURSING DIAGNOSISDESIRED OUTCOMESN ursing AssessmentMrs. Emma Brown is a 78-year-old widow of 9 months. She livesalone in a low-income housing complex for elders. Her two chil-dren live with their families in a city approximately 150 milesaway. She has always enjoyed cooking for her family; however,now that she is alone, she does not cook for herself. As a result,she has developed irregular eating patterns and tends to preparesoup-and-toast meals.

tend the health fair sponsored by the housing complex and seeks assistance from the county public health nurse. Constipation related to low-fiber diet and inactivity (as evi-denced by infrequent, hard stools; painful defecation; ab-dominal distention) Bowel Elimination [0501], as evidenced by Comfort of stool passage Stool soft and formed

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