Medical Diagnosis: Acute Gastroenteritis (Adult) Problem: Diarrhea Nursing Scientific Diagnos Explanation is Subjective: Diarrhe Gastroenteri tis

is an y Verbalizati a inflammatio on of pain n of the with a stomach and scale of intestinal 6/10 on tract that the primarily abdominal affects the area small bowel. The major Objective: clinical Patient manifestatio manifested: ns are y Hyperacti diarrhea of ve bowel varying sounds degrees and y Audible abdominal borboryg pain and mi cramping. y Passage of Associated loose clinical liquid manifestatio watery ns are stools for nausea, more than vomiting, 3 times fever Patient may anorexia, manifest: distention, y Poor skin tenesmus turgor (straining on y Dehydrati defecation), on and y Dry lips borborygmi and oral (hyperactive mucosa bowel y Altered sounds). LOC Diarrhea is defined as an increase in the frequency, Assessment Planning Interventions Rationale Evaluation

Short Term: After 2-3 hours of nursing intervention s, the patient will verbalize understandi ng of causative factors and rationale for treatment regimen.

1. Establish rapport 2. Assess general condition and vital signs 3. Auscultat e abdomen 4. Discuss the different causative factors and rationale for Long Term: treatmen After 1-2 t regimen days of 5. Restrict nursing solid food intervention intake s, the patient will 6. Provide for reestablish changes and in dietary maintain normal intake pattern of 7. Limit bowel caffeine functioning and highAEB fiber passage of foods and semi-solid so as stools fatty foods 8. Promote use of relaxation technique 9. Encourag e oral

1. To gain patient s trust 2. For baseline data 3. For presence, location, and characteri stics of bowel sounds 4. For patient education 5. To allow for bowel rest and reduce intestinal workload 6. To allow foods/sub stances that precipitate diarrhea 7. To prevent gastric irritation 8. To decrease stress and anxiety 9. For fluid replaceme nt 10. To restore normal flora

Short Term: After 2-3 hours of nursing intervention s, the patient shall have verbalized understandi ng of causative factors and rationale for treatment regimen. Long Term: After 1-2 days of nursing intervention s, the patient shall have reestablishe d and maintained normal pattern of bowel functioning AEB passage of semi-solid stools

volume and fluid content of stool. Rapid propulsion of intestinal contents through the small bowel results in diarrhea. (Joyce M. Black, 2008)

fluid intake of fluids containin g electrolyt e 10. Recomme nd products like yogurt and cultured milk 11. Emphasiz e importan ce of hand washing 12. Administe r due meds

11. To prevent spread of infectious diseases