Question

Interview and make assessment of an one older adult and identify if there will be possible impairment problem regarding sensory and explain your findings, give at least 4 nsg. diagnosis and 10 nsg. interventions with rationale.

Answer 1

Patient name : Julie

Age : 60 years

Problems: She believes that she often experiences constipation along with strain while defecation.

Nursing intervention	Rationale
During admission, assess and record the patient’s normal bowel elimination pattern (frequency, time of day, associated habits, and previous measures to manage constipation). Discuss with the patient’s significant others or caregiver if the patient cannot provide this information.	This assessment sets a baseline and identifies the normal bowel elimination pattern of the patient.
Quantify the amount of roughage to the severity of constipation.	Excessive roughage taken too rapidly can cause gas, bloating and diarrhea.
Assess hydration status for signs of dehydration. Maintain diet, fluid, activity, and continuation of routines. If there is an absence of bowel movement within 3 days, start with mild laxatives to attempt to reattain the normal bowel pattern.	The use of osmotic medications can result in dehydration. Fluid volume deficit can result in hard stools, which are more difficult to pass.