Assessment

Subjective:
My stomach
cramps and I had to
go to the rest room
for several times.
verbatim of client.
Objective:
Passed loose watery
stools for 5 times
already
Frequent flatulence
as claimed
Presence of
abdominal cramps
Ate isaw (grilled
chicken intestine)
day prior to onset of
symptoms
BP= 110/60mmHg
PR= 87bpm
Skin warm and
moist
Good skin turgor
and capillary refill

Nursing Diagnosis

Inference

Diarrhea related to
ingestion of
suspected
contaminated food.

Diarrhea or frequent
passing of loose,
watery stool is not
really a disease but a
condition due to
underlying factors or
diseases. One risk
factor is the
ingestion food with
the presence of
microorganisms like
V. cholera,
Salmonella typhi and
others. These
organisms could
adhere to the gut
wall, alter the
acidity, and irritate
the gastrointestinal
tract.

NURSING CARE PLAN FOR DIARRHEA

Outcome
Nursing
Interventions
After 8 hours of
nursing care,
client will be able
to re-establish
and maintain
normal bowel
functioning.

Rationale

-Observe and record

the frequency,
amount, time, and
characteristics of
stool and for any
presence of
precipitating factors.

-It could help

determine the
causative factor
and the need for
additional
hydration
replacement.

-Restrict foods as
indicated like foods
containing caffeine,
too much oil, fiber,
milk, and fruits.

- These foods can

add more irritation
to the stomach.

-Provide a quite and

non stimulating
environment and
teach client of
relaxation
techniques to
decrease stress.

-Stress can trigger

frequent passing of
stools; with these
measures, stress
could be avoided
or relieved.

- Start venoclysis
and intravenous
replacement as
indicated.

-Hydrating the
client helps replace
the fluid and
electrolyte he loose
from diarrhea.

-Administer antidiarrheal agents/

antibiotics as
indicated.

- These agents
could help halt
diarrhea and the
progression of this
condition to

Evaluation
After 8 hours of
nursing care, the
goal is partially
met as evidenced
by reduction in
frequency of
passing of stool to
3 from previous of
6.

dehydration.
-Emphasize to
increase fluid intake
especially those
containing with
electrolytes, i.e. ORS.

- Rehydration is
the top priority in
diarrhea.

- Educate on how to
prepare food
properly and the
importance of good
food sanitation
practices and hand
washing.

-This could prevent

outbreaks and
spread of
infectious diseases
transmitted
through fecal- oral
route.

-Educate on what to
do in case diarrhea
may happen again
or with family
members to prevent
dehydration.

-Discharge health
teaching may be
necessary to
provide adequate
information on
how to prevent and
manage diarrhea at
home.