Constipation is a condition in which the number of normal excretion is reduced, dyschezia is difficult, incomplete stool is discharged, and hard and dry stool is discharged. There is a possibility of abdominal bloating due to constipation, appearance of pain symptoms such as loss of appetite, shock symptoms, intestinal obstruction, cerebral hemorrhage and myocardial infarction due to efforts.
<Nursing care plan>
Have regular bowel movements
Have a bowel movement once a day
Self-management for defecation
1. Vital signs
-Presence or absence of hypertension
-Presence or absence of oral anticoagulant
2. Defecation status (number of times, amount, properties, interval, presence / absence of exhaust gas, presence / absence of bleeding)
3. Presence or absence of abdominal symptoms (peristaltic sound, abdominal distension, nausea or vomiting)
4. Excretion method, excretion hand
5. Presence / absence and type of drug used for excretion
6. Defecation pattern before hospitalization
7. Eating habits, tastes, water intake
8. Presence or absence of decreased exercise and activity
9. Presence or absence of treatment that affects constipation
10. Presence or absence of drugs that affect constipation
11. Presence or absence of stress or anxiety
12. Presence or absence of gastrointestinal disorders and rectal abnormalities
13. Presence or absence of hemorrhoid disease
14. Presence / absence of stoma, condition
15. Examination data (abdominal X-ray, abdominal ultrasound, gastrointestinal endoscopy, etc.)
16. Presence / absence and content of laxatives used
17. Status of self-management for defecation
1. Fill in a defecation diary to understand the defecation pattern
2. Encourage water intake (target about 2000 mL per day if there is no water restriction)
3. Change to a diet high in dietary fiber
4. Incorporate fermented foods into your diet
5. Periodically guide defecation (day of the week, day of the week, day of the week, every day) (hour, hour, hour)
6. Consider odor and sound when performing excretion care indoors
7. Perform abdominal massage, abdominal hot compress, and lumbar back hot compress
8. Use laxatives, suppositories and enemas
9. Disimpaction and bougie to defecate and induce exhaust gas
10. Adjust your posture and control pain so that you can apply sufficient abdominal pressure.
11. If you have defecation pain, use surface anesthesia (xylocaine jelly) to relieve the pain.
1. The following explains how to prevent and eliminate constipation.
-Eat a balanced diet and foods high in fiber
-Drink a lot of water
-Try to defecate regularly and make it a habit
-Go to the bathroom at a fixed time
-Keep a defecation diary (number of stools, properties, oral status of laxatives, etc.) to understand defecation patterns and effects of laxatives.
-The correct way to take laxatives
-Do not put up with defecation
-Use of abdominal massage and hot compresses to encourage defecation
-Moderate exercise (about 10 to 15 minutes a day)
-Living a regular life
-Normal stool properties
-How to use suppositories and enemas
2. If it is difficult to control defecation, explain to a medical institution for consultation.