Rationale

Nursing Nursing Scientific Objectives Nursing

(with
Assessment Diagnosis Basis of Care Actions
source)

I.
[Physiologic
Problem]:
*Diarrhea *Ulcerative After 8 1.1 - rationale for
colitis is a hours of promote 1.1 rest
*Abnormal chronic, or holistic bedrest decreasesint
immune long lasting,
Ulcerative colitis reaction in disease that
nursing and estinal
the care, the provide motility and
causes
intestitine pubescent bed side
reduces the
inflammation
client will toilet flushmetabolic
Objective *malabsorpti —irritation or be able to rate when
Cues: on of the swelling— 1.2
and sores infection or
bowel *report observe
*Abdominal called ulcers hemorrhage
pain is and record
bloating on the inner is a
releived or stool
lining of the complication
*nausea/loss of controlled frequency,
large
apetite
intestine. characteri - rationale for
*identify
*feeling tired stics and 1.2 helps
and avoid
Ulcerative amount differentiate
*urgent need to colitis is a contributi individual
have a bowel chronic ng factors 1.3 remove
disease and
movement inflammatory stool
*return to assess
disease of the promptly.
more severity of
gastrointestin Provide
normal episode
Subjective
al (GI) tract, room
called stool
Cues: deodorizer - rationale for
inflammatory consistenc
s 1.3 reduces
*fever bowel y
noxious
disease (IBD). 1.4 restart
*severe odors to
Crohn's oral fluid
abdominal avoid client
disease and intake
cramping microscopic embarrassm
gradually.
colitis are the ent
* frequent Offer clear
other
bloody bowel liquids - rationale for
common
movement hourly and 1.4 gradual
IBDs.
avoid cold resumption
fluids. of liquids
may prevent
 Rationale
Nursing Nursing Scientific Objectives Nursing
(with
Assessment Diagnosis Basis of Care Actions
source)

1.5 provide cramping

opportunit and
Source:
y to vent recurrence
Shanahan F. frustration of diarrhea;
Ulcerative s related cold fluids
colitis. In: to disease can increase
Hawkey CJ, process. intestinal
Bosch J, motility
Richter JE, 1.6
Garcia-Tsao identify - rationale for
G, Chan FKL, foods and 1.5 presence
eds. Textbook fluids that of disease
of Clinical precipitate with
Gastroenterol diarrhea unknown
ogy and
cause can
Hepatology.
lead to
2nd ed.
stress
Oxford:
reactions
Wiley-
Blackwell; that may
2012:355– aggravate
371. condition

- rationale for
1.6 avoiding
intestinal
irritants
promotes
intestinal
rest

(Source:)

Guidelines for
Individualizing
Client Care
 Rationale
Nursing Nursing Scientific Objectives Nursing
(with
Assessment Diagnosis Basis of Care Actions
source)

Across the Life

Span. Edition
8. Marilynn E.
Doenges, Mary
Frances
Moorhouse,
Alice C. Murr