00015 Risk for constipation

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00015 Risk for constipation

Definition of the NANDA label

The risk for constipation is the probability of suffering a decrease in the normal frequency of defecation accompanied by difficult or incomplete elimination of stools or elimination of hard and dry stools.

Susceptible to a decrease in normal frequency of defecation accompanied by difficult or incomplete passage of stool, which may compromise health.

Risk factors

Functional

  • Recent environmental changes.
  • Denial or habitual lack of response to the urge to defecate.
  • Insufficient physical activity.
  • Irregular bowel habits.
  • Problems during defecation (eg, lack of time, improper position, lack of privacy).
  • Weakness of the abdominal muscles.

Psychological

  • Emotional stress.
  • Mental confusion.
  • Depression.

Physiological

  • Bad eating habits.
  • Decreased motility of the gastrointestinal tract.
  • Inadequate oral hygiene or teething.
  • Insufficient supply of fibers.
  • Insufficient intake of fluids.
  • Change in type of food eaten or eating pattern.
  • Dehydration.

Pharmacological

  • Anticonvulsants.
  • Antilipemic agents.
  • Laxative overdose.
  • Calcium carbonate.
  • Antacids containing aluminum.
  • Non-steroidal anti-inflammatory drugs.
  • Opiates.
  • Anticholinergics.
  • Diuretics.
  • Iron salts.
  • Phenothiazides.
  • Sedatives.
  • Sympathomimetics.
  • Bismuth salts.
  • Antidepressants.
  • Calcium channel blockers.

Mechanics

  • Abscess or rectal ulcer.
  • Pregnancy.
  • Rectal or anal fissure.
  • Tumors.
  • Megacolon (Hirschsprung’s disease).
  • Electrolyte imbalance.
  • Rectal prolapse.
  • Prostatic enlargement.
  • Neurological impairment.
  • Rectal or anal stenosis.
  • Rectocele.
  • Post-surgical obstruction.
  • Hemorrhoids.
  • Obesity

Associated condition

  • Electrolyte imbalance
  • Hemorrhoids
  • Hirschprung’s disease
  • Inadequate dentition
  • Iron salts
  • Neurological impairment
  • Postsurgical bowel obstruction
  • Pregnancy
  • Prostate enlargement
  • Rectal abscess
  • Rectal anal fissure
  • Rectal anal stricture
  • Rectal prolapse
  • Rectal ulcer
  • Rectocele
  • Tumor

NOC

  • Beliefs about health.
  • Bowel elimination.
  • Nutrition management.
  • Managing physical activity.

NIC

  • Education.
  • Bowel training.
  • Prevention.

This diagnosis will retire from the NANDA-I Taxonomy in the 2021-2023 edition unless additional work is completed to bring it up to a level of evidence 2.1 or higher.

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