Constipation related to Anemia

NCP for Anemia

Constipation related to a decrease in dietary inputs ; changes in the digestive process ; side effects of drug therapy is characterized by a client complain defecation hard in a long time, nausea or vomiting, decreased appetite, abdominal pain reported sudden or cramps, impaired bowel sounds.

Expected ; normal elimination pattern of bowel function.

Criteria results :
Shows changes in the pattern of elimination : bowel movements with soft consistency, frequency according habits, typical color of stool.

Interventions :

• Observation feces color, consistency, frequency and amount.
• Auscultation of bowel sounds.
• Monitor on the intake and output (food and fluid).
• Encourage fluid intake 2500-3000 ml / day.
• Avoid gas forming foods.
• Observation perianal skin conditions with frequent, note changes in skin condition or begins to malfunction.
• Perform each defecation perianal care in case of diarrhea.
• Give pelembek feces, mild stimulant, bulk -forming laxatives or enemas as indicated. Monitor effectiveness.
• Facilitate defecation if constipation occurs.
• Collaboration nutritionist for a balanced diet with high fiber and bulk.
• collaboration ; give medication as indicated.

Rationale :

• Help identify the cause / factor ballast and appropriate interventions.
• Bowel sounds are generally elevated in diarrhea and decreased in constipation.
• Can identify dehydration, excessive loss or tool in identifying dietary deficiency.
• Assist in improving the consistency of the stool when constipated. Will help maintain hydration status on diarrhea.
• Lowering gastric distress and abdominal distension.
• Prevents excoriated skin and damage.
• Fibers resist digestive enzymes and absorb water in the stream along the intestinal tract and thus produce bulk, which works as a stimulus for defecation.
• Decreases the motility of the intestine when diarrhea occurs.
• Assist in the diet plan to meet individual needs.
• The need replacement depending on the type of anemia and or the presence of poor oral enter and deficiencies identified.

Tag : Anemia, Constipation, Constipation related to Anemia