NURSING CARE PLAN FOR DIARRHEA Assessment Subjective: (Patient reports) Abdominal pain Gas, bloating Urgency and frequency Objective: (Nurse assesses) Hyperactiv e bowel sounds Three or more loose stools per day Blood or mucus in the stool Diagnosis Risk for bleeding related to possible impaired liver function. Deficient fluid volume related to vascular leakage. Pain related to abdominal pain and severe headaches . Risk for ineffective tissue perfusion related to failure of the circulatory system. Risk for shock related to dysfunctio n in the circulatory system. Objective Patient will verbalize understandin g of foods that contribute to diarrhea. Patient will maintain adequate fluid intake to prevent dehydration of at least 1500 mL/day. Patient will report experiencing less than three loose stools per day. Patient will report stools are formed and soft without blood or mucus. Patient will report relief from abdominal pain, gas, or cramping. Intervention Encourage a liquid diet. Diarrhea normally requires bowel rest and the healthcare provider may order an NPO diet, but more likely a clear or full liquid diet. Educate on diet changes to prevent diarrhea. A bland diet with low fiber is needed to bulk the stools. Review medications. Medications may need to be changed if diarrhea is an intolerable side effect. Review how a patient is taking their medications. Administer antidiarrheals as appropriate. Once the cause of diarrhea has been determined and it is not contraindicate d, administer antidiarrheals to stop diarrhea. Correct electrolyte imbalances. Dehydration is common with diarrhea. Administer IV fluids if Evaluation Patient knows the foods that contribute to diarrhea. Adequate fluid intake to prevent dehydration of at least 1500 mL/day is maintained. Patient reports when experiencin g less than three loose stools per day. Patient report stools that are formed and soft without blood or mucus. Patient reports relief from abdominal pain, gas, or cramping. dehydration is severe. Replace electrolytes such as potassium if required. Children may need oral rehydration. Children experiencing diarrhea may need oral rehydration solutions such as Pedialyte. Promote relaxation for stress or anxiety. Promote skin integrity. Frequent diarrhea can cause skin breakdown to the perianal area. Educate on proper food handling. Food poisoning is a common cause of diarrhea. Refer to specialists for chronic diarrhea. Chronic diarrhea that lasts longer than four weeks requires further assessment. Lifestyle modifications. Alcohol can be irritating to the intestines and speeds digestion. Educate on post-surgical expectations. Patients undergoing GI surgeries will likely have loose stools for days to weeks.