Health Assessment and Health Promotion Plan Essay

AbstractConstipation is a putting surface condition that affects people of wholly ages. It whitethorn be described as a transition in an individuals normal catgut habit with discomfort and diminished quality of life. checkup assessment is required as the rudimentary realise whitethorn be due to a proficient checkup condition. Managing patients with impairment presents m both challenges to the wellness fretfulness professional, non only overcoming communication barriers associated with catgut habits still to a fault beca persona there is no universally accept definition. Constipation is ordinarily multifactorial, often with complicated underlying railo-physiology and it shadower be influenced by physical, psychological, physiological, emotional and environmental factors.Chronic disablement is one of the most common cut certify gastrointestinal disorders affecting people in America and is a key health awe for healthc are digestrs. This is mainly accurate for pat ients in wondering(a) groups such as the elderly, patients detriment from immobility, neurologically impaired patients and those with septuple health-care needs, as well as and those admitted to the hospital or residing in a healthcare facility. Unfortunately, constipation may be regarded as less important than separate(a) conditions commonly seen in general practice. Constipation has represent implications in terms of medications, containment equipment and nursing time. The pursuit piece forget investigate a patient suffering from constipation while developing a wear understanding and approach of guidance for such ailment. health judgment and Promotion PlanMrs. Burns a 64 years old female presents with headway complaint of world constipate. She states she has a bowel movement about e rattling 3 to 4 solar sidereal days, feels the need to strain at defecation and her s legal documents are heavily and pain in the neckful to excrete. She similarly has stated having commonplace headaches, assume, a smelling of bloatedness and press release of appetite. As nurture in the book, Physical Examination and Health Assessment by Jarvis, the aging adult frequently reports constipation signs and symptoms, such as reduced stool frequence (less than 3 bowel movements per week), and other common and strike associated symptoms like straining, lumpy or hard stool, tint of incomplete evacuation, feeling of anorectal blockage and habit of manual maneuvers. Common causes of constipation take on decline in physical activity, inadequate intake of water, a low-fiber diet, side effects of medications (opioids, tricyclic antidepressants, and antacids), irritable bowel syndrome, bowel obstruction, hypothyroidism, and inadequate toilet facilities. Upon obtaining subjective info it was appoint that Mrs. Burns lives by herself later the demise of her maintain 6 months ago.She states no longer being able to eat as she used to when her husband was still a live and she cooked any day right off she usually eats by herself. She stated she has scattered over 20 lbs. since her husbands dead. She also reported usually feeling lonely and very sad. Client also stated her usual meals of the day include breakfast starting with a loving cup of coffee and a slice of toast, lunch is usually eaten between 1 and 2 pm and include toilet 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 maintain the dangerous psychological and behavioral effects on all aspects of an individuals life. The individual can become seriously underweight, irritable and easily overthrow which can lead to depression and social withdrawal. Anorexia can also affect sleep and lead to fatigue during the day, as well as decrease solicitude and concentration (Prynn, 2011).Mrs. Burns does not often feature fruits and vegetables or other add itional source fiber. She does not like the taste of water, so is very archaic for her to consume it. She states not having trouble chewing, swallowing, or feeling nauseous or vomiting, but she likes to take naps after eating. Mrs. Burns also reported having signs and symptoms of abdominal pain located in the right and left lower quadrants of the stomach. The pain usually starts after the third day of constipation, which she describes as cramping (colic type) and usually seized after she ambulates or has a bowel movement. Mrs. Burns describes her bowel habits as changed from going on a daily keister to only having a bowel movement every 3 to 4 days with a hard consistency. In her past abdominal history she reports not ever having an abdominal surgery.She brought an abdominal x-ray report, which concludes fecal matter 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 really difficult for her to watch a normal life. She reports her coping mechanisms as winning over-the-counter preparations especially laxatives, the use of digital excitant 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 implemental activities of daily living and has no problems with mobility. In the other hand, she has reported that she used to be much more than active while her husband was alive and remembers pass the park for at least 20 proceedings three times per week.Upon physical examination the following anthropometric measures and vital signs were obtained Height 162 cm (54), Weight 65 kg (143 lbs.), Temperature 36.2C (97.2F), wink 82 BPM, Respirations 20/minute, Blood pressure 128/74 mm Hg, Active bowel sounds in all four quadrants and abdome n slightly distended without pain or tenderness at the present time. Gait and heading are normal for a patient of her age. there are no complaints related to lower back symptoms, perineal area observed free of any abnormalities or redness, perineal movement and anal anatomical sphincter squeeze noted with moderate muscle coordination. digital rectal examination performed hard fecal veridical noted, anal sphincter tone was normal, no rectal prolapse, no hemorrhoids, and no skin tags or anal lesions were noted. Labs results for hemoglobin, 11.8 and urinalysis, negative.Effective assessment provides nurses with the relevant information on which advice, interventions and management can be planned. In addition, 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 embarrassment 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 objective measurement of bowel frequency quite than using a subjective symptom tool (Kyle, 2011).Assessment is based on a condition of all the possible causes, while useicularly secure that it is not caused by an underlying undiagnosed medical examination condition. The aim of assessment is to establish a symptom profile in order to plan separate bowel care. The main goal of word and management for constipation is prevention and relief. Establishing an ideal bowel put to expiry 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 causes for the bowel symptoms based i n the context of a more relevant medical/surgical/obstetric history and functional ability. tether main components have been identified as part of the plan of care developed for Mrs. Burns authorized chief complaint.These primary components include the implementation of an purpose routine, as well as a dietetic regimen that pass on include more uids and ber. This is let out known as lifestyle advice or footprint 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 implementation of this approached go out be supervise by a dietitian, along with the nurses who will provide Mrs. Burns with dietary education and lifestyle allowance strategies. In addition, other very important components will be included as well. Mrs. Burns will have a psychological consult as she is at risk for depression as prove by her husbands recent death and feelings of loneline ss and sadness.Nurses should develop a more proactive and evidence-based approach to the prevention of constipation rather than keep with the existing reactive response to this distressing symptom. such an approach is dependent primarily on astir(p) 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 root from unhealthy digestive systems.ReferencesJarvis, C. (2012). Physical Examination. (6th edition ed.). St. Louis W B Saunders Co. Kyle, G. (2011). Risk assessment and management tools for constipation. British Journal of Community Nursing,16(5), 224-230.Kyle, G. (2010). Considering the options for treating constipation. example Nursing, 21(3), 124. Prynn, P. (2011). Managing adult constipation. Practice Nurse, 41(17), 23-28.