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Patients should drink plenty of water (if not contraindicated) as well as juices such as prune juice. Stool softeners should be taken before constipation occurs to prevent impaction or serious complications such as a bowel obstruction.įluids keep stools soft and easier to pass. Educate on the risk and prevention of constipation.Įducate that patient that constipation is increased due to their immobility and use of opioids (if taking). For severe constipation, enemas may be required.Ģ. When prescribed these medications a stool softener should be used prophylactically in conjunction. The most common side effect of opioid medications is constipation. Bowel movements every 2-3 days are considered normal as long as the patient is not experiencing discomfort. Assess the patient’s normal bowel pattern. Patient will implement 2 measures to prevent constipationĪssess for the presence, location, and characteristics of bowel sounds.Ģ.Patient will report no straining or discomfort with defecation.Patient will have a solid bowel movement at least every 3 days.Note: A risk diagnosis is not evidenced by signs and symptoms as the problem has not occurred yet and the goal of nursing interventions is aimed at prevention. Nursing Diagnosis: Risk For Constipation Related to: Untreated constipation can have uncomfortable and serious consequences. Opioids used for pain will cause constipation as they slow down gastric emptying and peristalsis.
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Instruct on other precautions with narcotics such as not operating vehicles, and possible side effects such as drowsiness, dizziness, nausea, and constipation. If the dose ordered is not controlling their pain they should contact their provider. Patients should be instructed to not take pain medications more frequently than prescribed. Immobilize the fractured area and follow weight-bearing instructions to promote healing. Utilize splints or traction devices as ordered.
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Implement alternative measures that alleviate the patient’s pain such as ice packs, heat, massage, distraction, and controlled breathing.Ī fractured extremity should remain elevated to reduce swelling. Patients should not rely solely on medication. NSAIDs such as Ibuprofen or Naproxen treat inflammation and are often given in conjunction with narcotics. Acute Pain InterventionsĪcute fractures usually warrant narcotic pain relief which may be oral or IV. These vital signs should improve once appropriate pain measures are instituted.Īfter administering pain medications, the nurse should follow up within an hour to assess the effectiveness of medications or interventions. The nurse should also assess the location, characteristics, and frequency of pain.Īn elevated blood pressure and heart rate is a normal response to pain. Using appropriate pain scales based on age and cognitive level (numeric, Wong-Baker FACES, FLACC) assess the severity of pain.