00015 Risk Of Constipation

Domain 3: elimination and exchange
Class 2: gastrointestinal function
Diagnostic Code: 00015
Nanda label: constipation risk
Diagnostic focus: constipation
Approved 1998 • Revised 2013, 2017, 2020 • Level of evidence 3.2

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « risk of constipation » is defined as: susceptible to infrequent or difficult evacuation of feces, which can compromise health.

Risk factors

  • Alteration of regular routine
  • Average daily physical activity is lower than recommended according to sex and age
  • Cognitive dysfunction
  • Barriers in communication
  • It usually represses the urgency to defecate
  • deterioration of physical mobility
  • Postural balance deterioration
  • Insufficient knowledge of modifiable factors
  • Inappropriate elimination habits
  • Insufficient fiber intake
  • Insufficient fluid intake
  • Insufficient intimacy
  • Stressors
  • Inappropriate use of substances

Risk population

  • Hospitalized people
  • People who experience prolonged hospitalization
  • People in geriatric residences
  • People in the immediate postoperative period
  • Older adults
  • Pregnant women
  • Women

Associated problems

  • Colon block
  • Recto’s lock
  • Depression
  • Disabilities of development
  • Digestive system diseases
  • Endocrine system diseases
  • heart disease
  • Mental disorders
  • Muscle diseases
  • Nervous system diseases
  • Neurocognitive disorder
  • Pelvic floor disorders
  • Pharmacological preparations
  • Radiation therapy
  • Uroginecological disorders

Suggestions of use

  • See the suggestions for the use of constipation diagnosis.

Suggested alternative diagnostics

  • Constipation
  • Subjective constipation

NOC Results

  • Self -care: Use of the toilet: Ability to use the toilet, with or without help device
  • Intestinal elimination: formation and evacuation of feces

Evaluation objectives and criteria

  • Improvement of constipation, risk of evidenced by the state of intestinal elimination and self -care with the use of the toilet
  • It demonstrates intestinal elimination, which is manifested by the following indicators (specifying 1 to 5: severely, substantially, moderately, slightly or not affected)
    • Intestinal habit
    • Soft and formed stool
    • Evacuation without help
  • Demonstrates intestinal elimination (specifying 1 to 5: severe, substantial, moderate, mild, absent)
    • Blood in the stool
    • Pain when defecating

Other examples

The patient will be able to:

  • Prove that you know the necessary elimination regime to counteract the side effects of medications
  • Describe the dietary requirements (for example, liquid and fiber) necessary to maintain the intestinal habit
  • Evacuate feces with the usual consistency and frequency
  • Refer that you can defecate without pain or intense effort

NIC Interventions

  • Help in self -care: Use of the toilet: help another with evacuation
  • Risk identification: Analysis of possible risk factors, determination of health risks and prioritization of risk reduction strategies for a person or group
  • Food management: help with, or provide, an intake of balanced food and liquid diet
  • Liquid management: Promote water balance and prevention of complications resulting from abnormal or non -desirable concentrations of liquids
  • Building/impact management: prevention and improvement of constipation and impact
  • Exercise promotion: Promotion of regular physical activity to maintain or advance at a higher level of health and physical form

Nursing Activities

In general, nursing activities for this diagnosis focus on recognizing the presence of risk factors for constipation, monitoring symptoms, promoting normal elimination and activities to reduce or eliminate risk factors

Valuations

  • Obtain the database on intestinal habit, activity and medications
  • Evaluate and register in the Posoperative:
    • Color and consistency of the first evacuation
    • Flatulences
    • Presence or absence of abdominal noise and abdominal distension

Patient and family education

  • Inform the patient about the possibility that constipation is caused by medications
  • Explain to the patient the influence of the diet (for example, liquids and fiber) in the prevention of constipation
  • Inform the patient about the consequences of chronic use of laxatives

Collaboration activities

  • Channel to a dietitian, if necessary, to increase fiber and liquids in the diet

Others

  • Encourage the patient to perform an optimal activity to stimulate intestinal evacuation
  • Ensure patient privacy and safety during defecation
  • Give the patient the liquids you prefer; Specify liquids (to perform other interventions, see the constipation care plan)