This nursing care plan for Constipation includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions: Hemorrhoids or pain on defecation Patients who experience hemorrhoids may delay having bowel movements to avoid pain associated with it.
What are hemorrhoids? Hemorrhoids are vascular structures in the anus canal that helps with controlling stool. These structures can become inflamed from some type of trauma. The pain experience with hemorrhoids can very painful, making a patient to prolong defecation.
When defecation is prolonged the stool stays in the rectum where water in reabsorbed causing the stool to be hard. When the stool becomes hard it makes it difficult to pass.
Below is a case scenario that may be encountered as a nursing student or nurse in a hospital setting.
What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan?
This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions.
Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. Do not treat a patient based on this care plan.
Care Plans are often developed in different formats. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Some hospitals may have the information displayed in digital format, or use pre-made templates. The most important part of the care plan is the content, as that is the foundation on which you will base your care.
Nursing Care Plan for: Constipation for patients with Hemorrhoids
If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Otherwise, scroll down to view this completed care plan.
Scenario: |
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A 26 year old female is in day 3 of postpartum care from delivering a healthy baby girl via c-section. She reports to you she is experiencing constipation and has been unable to have a bowel movement for 5 days. She says she has been “straining” and she is having difficulty passing stool and when she does it is a very hard small “ball”. In addition, she say she feels ” a lot of pressure” in her rectum and she is having pain from hemorrhoids she developed in the last trimester of her pregnancy. She says she is afraid to have a bowel movement because of the pain caused by the hemorrhoids The patient received many narcotics during and after the delivery.
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Nursing Diagnosis: |
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-Constipation related to pain on defecation secondary to hemorrhoids as evidence by the patient reporting she has not had a bowel movement for 5 days, hard stool, rectum pressure, and painful hemorrhoids.
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Subjective Data: |
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-The patient states she is experiencing constipation and has been unable to have a bowel movement for 5 days. She says she has been “straining” and she is having difficulty passing stool and when she does it is a very hard small “ball”. In addition, she say she feels ” a lot of pressure” in her rectum and she is having pain from hemorrhoids she developed in the last trimester of her pregnancy. She says she is afraid to have a bowel movement because of the pain caused by the hemorrhoids.
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Objective Data: |
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A 26 year old female is in day 3 of postpartum care from delivering a healthy baby girl via c-section. The patient received many narcotics during and after the delivery.
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Nursing Outcomes: |
| -The patient will have a bowel movement before discharge.-The patient will report decreased pain in rectum from hemorrhoids.
-The patient will verbalize 3 techniques on how to keep bowel movements regular. -The patient will verbalize how to take prescribed medication regime to prevent constipation. |
Nursing Interventions: |
| -The nurse administer per MD orders Miralax and Colace as prescribed to help assist patient with bowel movement.-The nurse assess and document when patient has had a bowel movement daily.
-The nurse will provide the patient with a sitz bath and hemorrhoid cream as prescribed to help with hemorrhoid pain. -The nurse will educate the patient on 3 techniques on how to keep bowl movements regular by discharge. -The nurse will educate the patient how to take prescribed medications to prevent constipation by discharge.
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