Assessment Nursing Inference Goal Intervention Rationale Evaluation

Diagnosis

Subjective data: Diarrhea r/t Acute Short Term: Independent: Independent: Short Term:
-- “ Apat na beses na infectious Gastroenteritis is -- After 2-3 hours 1.) Auscultate the 1.) For presence. -- After 2-3 hours of
siya dumumi processes. an inflammation of nursing abdomen. Location and nursing interventions,
ngayong araw. of the stomach interventions, characteristics of bowel the patient’s mother
Samantalang and intestinal the patient’s 2.) Discuss to the sounds. shall gain knowledge
kahapon mga tract that mother will gain mother the different about diarrhea and
tatlong beses. primarily affects knowledge about causative factors and 2.) For the education of verbalized
Madalas din kung the small bowel. diarrhea. rationale for treatment the patient’s mother. understanding of
sumuka siya.” As regimen. causative factors of
verbalized by the Expected 3.) To allow for bowel diarrhea and rationale
mother Outcome: 3.) Restrict solid food rest and reduce for treatment regimen.
-- Verbalize intake. intestinal workload.
understanding of Long Term:
Objective data: causative factor. 4.) Provide for 4.) To allow foods that -- After 1-2 days of
changes in dietary precipitates diarrhea. nursing interventions,
-- Loosed bowel -- Verbalize the intake. the patient shall be
movement with rationale for 5.) To prevent gastric free of diarrhea as
yellowish watery treatment 5.) Limit caffeine, high irritation. evidenced by re-
stool minimum of regimen. fiber foods and fatty established and
thrice a day. foods. Dependent: maintained normal
Long Term: 1.) To decrease GI bowel movement,
-- Increase bowel -- After 1-2 days Dependent: motility and minimize reduced in frequency
sounds/ peristalsis of nursing 1.) Administer anti- fluid losses. of stools and stool
interventions, diarrheal medications, returned to its normal
-- Nausea and the patient will as indicated. 2.) To treat infectious consistency.
Vomiting be free of process, decrease
diarrhea. 2.) Administer motility and/or absorb
-- Abdominal medications, as water.
cramping Expected ordered.
Outcome:
-- Re-establish
and maintain
normal bowel
movement.

-- Reduction in
frequency of
stools.
-- Return of the
stool to the
normal
consistency.