Cues/Needs Nursing Scientific Goals and Nursing Rationale Evaluation

Diagnosis Explanation Objectives Intervention

Subjective Constipation Underlying causes SHORT TERM INDEPENDENT SHORT TERM
“ isang beses lang r/t medication for constipation in After 8 hours of  Encourage the Sufficient fluid is After 8 hours of
ako dumumi and reduced PD are nursing patient to take in needed to keep the nursing intervention,
since last week at activity multifaceted. intervention the fluid 2000 to fecal mass soft. But the goal was met as
masakit siya pag Besides physical patient will: 3000 mL/day take note of some evidenced by:
sinusubukan kong weakness, lifestyle  Verbalize patients or older  The patient
dumumi” as risks such as understanding patients having verbalized
verbalized by the reduced fluid intake of etiology cardiovascular understanding of
patient may substantially and limitations etiology and
promote its appropriate requiring less fluid appropriate
emergence. Moreov intervention intake intervention or
Objective er, side effects of or solutions solutions for
 Absence of medication but also for individual individual
bowel disease-related situation.  Educate the patient It will broden the situation
sounds pathomechanisms  will state on how anti patient knowledge  The patient stated
 Distended have been relief from cholinergic drugs about their relief from
abdomen identified. discomfort of can cause medication and it discomfort of
 Anorexia Regarding the constipation. constipation will decrease constipation
 Taking up latter, two usually  maintains anxiety to the  The patient
anticholinerg concomitant passage of patient maintained
ic medication alterations require soft, formed passage of soft,
like distinction: slow stool at  Encourage the Fiber add bulk to formed stool at
benztropine/a intestinal transit frequency patient to take the stool and makes frequency
rtane and outlet perceived as high fiber foods defecation easier perceived as
 Poor posture obstruction. “normal” by (e.g raw fruits, because it passes “normal” by the
 Poor muscle Increasing evidence the patient fresh vegetables, through the patient
coordination thereby indicates  Verbalize whole grains) intestine essentially  The patient
that delayed colonic understanding unchanged verbalized
 Difficulty in
transit in PD stems about how understanding
chewing and
from disordered anti  Encourage daily Movement about how anti
swallowing
central as well as cholinergic activity and promotes cholinergic drugs
 Stool: 1 since
peripheral drugs can exercise within peristalsis. can cause
last week
parasympathetic cause limits of Abdominal constipation
system constipation individual exercises strengthen LONG TERM
dysregulation. activity abdominal muscles After 1 week of
Additional sacral that facilitate nursing intervention,
parasympathetic LONG TERM defecation. the goal was met as
nuclei and pelvic After 1 week of evidenced by:
ganglia affection nursing The warmth of the  The patient
may foster outlet intervention the  Encourage sitz water relaxes demonstrated
obstruction. Outlet patient will: bath to the client muscles before behaviors or
obstruction, in turn,  Demonstrate if not defecation attempts lifestyle changes
describes behaviors or contraindicated to prevent
paradoxical lifestyle Abdominal recurrence of
contractions or changes to  Do an abdominal massage has been problem
failures of prevent massage to the known to be helpful
voluntary sphincter recurrence of patient in neurogenic
relaxation during problem bowel disorder but
defecation, which not for constipation
may entail in older adults.
difficulties in rectal
evacuation. An To promote timely,
established  Educate the patient intervention,
hypothesis that PD about specific thereby enhancing
commences in the actions to be client’s
enteric and taken if problem independence
progresses to the does not solve or
central nervous if the problem
system might has reoccurred.
explain constipation
manifesting at early
stages of the
disease or in some
cases even DEPENDENT This prevents
preceding the  Administer constipation
development of medication as especially to clients
motor symptoms prescribed by the who have reduce
Lastly physician (eg. muscle strength to
anticholinergic Stool softeners, defecate.
drugs is one mild stimulants,
contributory factor or bulk forming
for constipation in agents.
PD clients because
these drugs relaxes
smooth muscles
slows the bowel
movements.

Reference: Pedrosa
Carrasco, A. J.,
Timmermann, L., &
Pedrosa, D. J.
(2018).
Management of
constipation in
patients with
Parkinson's
disease. NPJ
Parkinson's
disease, 4, 6.
https://doi.org/10.1
038/s41531-018-
0042-8