Health Assessment and Health Promotion Plan Essay

AbstractConstipation is a commons condition that imprints people of totally ages. It whitethorn be described as a variation in an individuals form catgut habit with soreness and diminished quality of life. Medical judgment is required as the underlying thrust may be due to a serious checkup condition. Managing forbearings with irregularity presents many an(prenominal) challenges to the health c ar masterfessional, non sufferd overcoming communication barriers associated with gut habits but too beca occasion there is no universally recognised definition. Constipation is normally multifactorial, oftentimes with intricate underlying patho-physiology and it sack be influenced by physical, mental, physiological, emotional and environmental factors.Chronic disability is one of the near common raze gastrointestinal dis order of battles affecting people in America and is a key health concern for healthc atomic number 18 providers. This is brinyly immaculate for patie nts in high-risk groups such as the elderly, patients suffering from immobility, neurologically impaired patients and those with multiple health-care fills, as well as and those admitted to the hospital or residing in a healthcare facility. Unfortunately, deterioration may be regarded as little important than different conditions comm except seen in general practice. Constipation has cost implications in terms of medications, containment equipment and nurse time. The following written report willing investigate a patient suffering from damage objet dart break out a better understanding and prelude of management for such ailment.Health perspicacity and Promotion PlanMrs. ruin a 64 years old womanish presents with chief complaint of beingness constipate. She states she has a bowel movement most each 3 to 4 daylights, feels the need to strain at defecation and her plentys are hard and inconvenience oneselfful to excrete. She in any case has say having frequent headaches, fatigue, a ruling of bloatedness and overtaking of appetite. As mention in the book, physical Examination and Health Assessment by Jarvis, the aging adult frequently reports damage signs and symptoms, such as reduced stool frequency (less than 3 bowel movements per week), and other common and troubling associated symptoms like straining, chunky or hard stool, feeling of neither evacuation, feeling of anorectal blockage and use of manual maneuvers. Common causes of constipation imply decrease in physical activity, wanting(predicate) in reckon of water, a low-fiber diet, side set up of medications (opioids, tricyclic antidepressants, and antacids), irritable bowel syndrome, bowel obstruction, hypothyroidism, and inadequate toilet facilities. Upon obtaining prejudiced selective nurture it was found that Mrs. burn lives by herself by and by the drusth of her save 6 months ago.She states no longer being able to eat as she used to when her husband was lighten al ive and she cooked e truly day straight off she usually eats by herself. She stated she has lost over 20 lbs. since her husbands dead. She also describe usually feeling lonely and very sad. guest also stated her usual meals of the day include breakfast starting with a cup of coffee and a stinger of toast, lunch is usually eaten between 1 and 2 pm and include rout out soup or a tuna sandwich if she feels hungry and for dinner tea. Anorexia is a loss of appetite, and the purpose for obtaining information about signs and symptoms of anorexia is vital to prevent the dangerous psychological and behavioral effects on all aspects of an individuals life. The individual can become seriously underweight, irritable and well upset which can lead to feeling and social withdrawal. Anorexia can also affect sleep and lead to fatigue during the day, as well as decrease perplexity and concentration (Prynn, 2011).Mrs. Burns does not often discharge fruits and vegetables or other superfluous source fiber. She does not like the relishing of water, so is very rare for her to consume it. She states not having trouble chewing, swallowing, or feeling nauseous or vomiting, but she likes to take naps by and by eating. Mrs. Burns also reported having signs and symptoms of type AB pain located in the right and left set out quadrants of the stomach. The pain usually starts after the third day of constipation, which she describes as cramping (colic type) and usually relieved after she ambulates or has a bowel movement. Mrs. Burns describes her bowel habits as changed from going on a daily basis to wholly having a bowel movement every 3 to 4 days with a hard consistency. In her past type AB account she reports not ever having an abdominal surgery.She brought an abdominal x-ray report, which concludes faecal study to be present. She reports her list of medications including calcium, iron supplements and antacids, which she takes on a daily basis. The patient reports that being constipated all the time makes it in truth difficult for her to turn out a normal life. She reports her coping mechanisms as taking nonprescription(prenominal) preparations peculiarly laxatives, the use of digital input signal and taking ibuprofen as necessary to relieve the pain when food or ambulation are not effective. A throughout functional assessment was performed and found that Mrs. Burns is able to ambulate, perform activities of daily living, including slavish activities of daily living and has no problems with mobility. In the other hand, she has reported that she used to be much more active while her husband was alive and remembers walking the greenness for at least 20 trans live up tos three times per week.Upon physical testing the following anthropometric measures and vital signs were obtained big top 162 cm (54), Weight 65 kg (143 lbs.), Temperature 36.2C (97.2F), Pulse 82 BPM, Respirations 20/minute, Blood pressure 128/74 mm Hg, Active bowel sounds in all four quadrants and abdomen or so distended without pain or tenderness at the present time. Gait and posture are normal for a patient of her age. in that location are no complaints related to lower back symptoms, perineal area detect free of any abnormalities or redness, perineal movement and anal sphincter pressure noted with moderate muscle coordination. digital rectal examination performed hard fecal material noted, anal sphincter notation was normal, no rectal prolapse, no hemorrhoids, and no skin tags or anal lesions were noted. Labs passs for hemoglobin, 11.8 and urinalysis, negative. powerful assessment provides nurses with the germane(predicate) information on which advice, interventions and management can be externalisened. In hang onition, it contributes to the path of outcomes measured and evaluation of care. Assessing patients with constipation presents many challenges to the health professional, not only by overcoming communication barriers associated with bowel habits and the perplexity associated with an intimate rectal examination, but also because constipation may not result from a single straightforward cause. The subjective nature of constipation adds to the difficulty of the assessment, especially as nurses tend to use the neutral measurement of bowel frequency kinda than using a subjective symptom tool (Kyle, 2011).Assessment is based on a consideration of all the likely causes, while particularly assuring that it is not caused by an underlying undiagnosed medical condition. The aim of assessment is to establish a symptom profile in order to plan individualized bowel care. The main goal of treatment and management for constipation is prevention and relief. Establishing an ideal bowel action should prevent recurrence. Therefore, effective assessment provides nurses with the information on which advice and interventions of management can be planned effectively. Establishing a symptom prole assist in identifying the most likely ca uses for the bowel symptoms based in the context of a more relevant medical/surgical/obstetric history and functional ability. Three main components consent been identified as part of the plan of care developed for Mrs. Burns certain chief complaint.These primary components include the performance of an exercise routine, as well as a dietary regimen that will include more uids and ber. This is better cognize as life style advice or tone one of a stepped approach to bowel care, which is often recommended for promoting a healthy bowel and is still considered the rst-line treatment for constipation (Kyle, 2010). The slaying of this approached will be monitor by a dietitian, along with the nurses who will provide Mrs. Burns with dietary education and lifestyle modification strategies. In addition, other very important components will be include as well. Mrs. Burns will have a psychological consult as she is at risk for depression as evidenced by her husbands recent death and feel ings of loneliness and sadness.Nurses should develop a more proactive and evidence-based approach to the prevention of constipation rather than go on with the existing reactive response to this disconsolate symptom. Such an approach is dependent earlier on improving the education and the skill-base of nursing and those with whom they work. Finally, further research and discussions will add to the knowledge framework of such a significant condition, since so many complications are rooted from unhealthy digestive systems.ReferencesJarvis, C. (2012). animal(prenominal) Examination. (6th edition ed.). St. Louis W B Saunders Co. Kyle, G. (2011). risk of exposure assessment and management tools for constipation. British journal of Community Nursing,16(5), 224-230.Kyle, G. (2010). Considering the options for treating constipation. invest Nursing, 21(3), 124. Prynn, P. (2011). Managing adult constipation. Practice Nurse, 41(17), 23-28.