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Sample of NCP for Diarrhea with Nursing Diagnosis and Interventions

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Diarrhea is a common gastrointestinal condition characterized by the frequent passage of loose or watery stools. It can occur as an acute or chronic symptom depending on its cause. Diarrhea may result from infections, food intolerances, medication effects, stress, or chronic health disorders such as inflammatory bowel disease. Effective nursing care aims to identify the underlying cause, maintain hydration status, prevent complications, and promote patient comfort.

This article provides a complete Sample Nursing Care Plan (NCP) for diarrhea, including assessment data, nursing diagnosis, expected outcomes, and nursing interventions with rationale based on the NANDA-I, NOC (Nursing Outcomes Classification), and NIC (Nursing Interventions Classification).

NCP for Diarrhea with Nursing Diagnosis and Interventions

1. Assessment

During the nursing assessment, the following data may be observed:

  • Subjective Data:
    • Patient reports frequent loose or watery stools.
    • Complaints of abdominal cramping or discomfort.
    • Feeling weak or fatigued.
    • Nausea or reduced appetite.
  • Objective Data:
    • Increased frequency of bowel movements (more than 3 times per day).
    • Watery or loose stool consistency.
    • Signs of dehydration such as dry mucous membranes and poor skin turgor.
    • Possible fever depending on cause.
    • Electrolyte imbalance (if laboratory tests are available).
    • Weight loss in prolonged cases.

2. Possible NANDA Nursing Diagnosis

Diarrhea related to gastrointestinal irritation secondary to infection, food intolerance, or medication effect as evidenced by frequent loose stools, abdominal cramping, and dehydration symptoms.

(NANDA Code: 00013)

3. Nursing Outcomes (NOC)

NOC Outcome Indicators Expected Goal
Fluid Balance (0601) Hydration status, mucous membrane moisture, skin turgor. Patient will maintain adequate hydration levels within 24-48 hours.
Diarrhea Control (0413) Frequency and consistency of stools. Frequency of stools will gradually decrease and return to normal.
Nutritional Status (1004) Food tolerance, appetite, electrolyte balance. Patient will maintain adequate nutritional intake.

4. Nursing Interventions (NIC) and Rationales

1. Fluid Management (4120)

  • Intervention: Monitor intake and output accurately.
  • Rationale: Helps detect dehydration and guides fluid replacement needs.
  • Intervention: Encourage oral rehydration salts (ORS) or electrolyte solutions.
  • Rationale: Replaces lost fluids and electrolytes effectively.
  • Intervention: Administer IV fluids if oral intake is inadequate.
  • Rationale: Restores intravascular volume and prevents hypovolemic shock.

2. Diarrhea Management (0460)

  • Intervention: Assess stool frequency, volume, and characteristics.
  • Rationale: Helps identify the cause and monitor progress.
  • Intervention: Administer antidiarrheal medication as prescribed (e.g., Loperamide).
  • Rationale: Decreases bowel motility and stool frequency.
  • Intervention: Advise avoidance of irritant foods (spicy, fatty, caffeinated drinks).
  • Rationale: Prevents further irritation to intestinal mucosa.

3. Nutritional Support (1100)

  • Intervention: Provide small, frequent meals that are easy to digest (e.g., bananas, rice, toast, oatmeal).
  • Rationale: Maintains calorie intake while minimizing gastrointestinal stress.
  • Intervention: Educate patient to avoid dairy if lactose intolerance is suspected.
  • Rationale: Lactose can worsen diarrhea in sensitive individuals.

4. Infection Control (6540)

  • Intervention: Instruct patient and family to practice good hand hygiene.
  • Rationale: Prevents transmission of infectious agents.
  • Intervention: Use appropriate isolation precautions if infectious diarrhea is suspected.
  • Rationale: Reduces risk of spreading infection.

5. Sample Nursing Care Plan Table

Nursing Diagnosis Goal/Outcome Interventions Rationale
Diarrhea related to gastrointestinal irritation as evidenced by frequent watery stools.
  • Patient will report decreased stool frequency.
  • Hydration status will remain stable.
  • Monitor I&O.
  • Provide ORS.
  • Administer antidiarrheal meds as ordered.
  • Educate about dietary modification.
  • Identifies fluid loss.
  • Prevents dehydration.
  • Controls bowel motility.
  • Reduces mucosal irritation.

References

  • NANDA International. (2021). NANDA-I Nursing Diagnoses: Definitions and Classification.
  • Bulechek, G., Butcher, H., & Dochterman, J. (2021). Nursing Interventions Classification (NIC).
  • Moorhead, S., Johnson, M., Maas, M. (2021). Nursing Outcomes Classification (NOC).
Related Articles : https://nandacareplan.blogspot.com/2013/12/sample-of-ncp-for-diarrhea-with-nursing.html
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Diarrhea Nursing Diagnosis Nursing Interventions