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NCP Nursing Care Plan for Irritable Bowel Syndrome. Irritable bowel syndrome (IBS), sometimes called spastic, spastic colitis, mucous colitis. Is a common condition marked by chronic or periodic diarrhea alternating with constipation. It’s accompanied by straining and abdominal cramps. Although people with IBS have a gastrointestinal (GI) tract that appears normal, colonic smooth muscle function is often abnormal. The autonomic nervous system, which innervates the large bowel, fails to provide the normal contractions interspaced with relaxations that propel stool smoothly forward. Excessive spasm and peristalsis lead to constipation or diarrhea, or both. Generally patients with IBS have either diarrhea or constipation predominant syndrome. Irritable bowel syndrome occurs mostly in females, with symptoms first emerging before age 40.
Causes for Irritable Bowel Syndrome
Although the precise etiology is unclear, irritable bowel syndrome involves a change in bowel motility, reflecting an abnormality in the neuromuscular control of intestinal smooth muscle.
Contributing or aggravating factors include anxiety and stress. Irritable bowel syndrome may also result from dietary factors, such as fiber, fruits, coffee, alcohol, and foods that are cold, highly seasoned, or laxative in nature. Other possible triggers include hormones, laxative abuse, and allergy to certain foods or drugs.
Complications for Irritable Bowel Syndrome
Irritable bowel syndrome is associated with a higher-than-normal incidence of diverticulitis and colon cancer. Although complications are usually few, the disorder may lead to chronic inflammatory bowel disease.
Nursing Assessment NCP Nursing Care Plan for Irritable Bowel Syndrome
  • Patient reports a history of chronic constipation, diarrhea, or both. investigate possible contributing psychological factors such as a recent stressful life change that may have triggered or aggravated symptoms.
  • Inspection, the patient may seem anxious and fatigued, but otherwise normal. Auscultation may reveal normal bowel sounds. Palpation typically discloses a relaxed abdomen. Occasionally, percussion reveals tympany over a gas-filled bowel.
  • Auscultation of the abdomen, normal bowel sounds may be heard, although they may be quiet during constipation. Tympanic sounds may be heard over loops of filled bowel. Although palpation often discloses a relaxed abdomen, it may reveal diffuse tenderness, which becomes worse if the sigmoid colon is palpable. The patient may have pain on rectal examination but does not usually experience rectal bleeding.
Diagnostic tests for Irritable Bowel Syndrome
No definitive test exists to confirm irritable bowel syndrome, the diagnosis typically involves studies to rule out other, more serious disorders, such as diverticulitis or colon cancer. The most frequently performed tests include barium enema, stool examination and Flexible sigmoidoscopy or colonoscopy
Nursing diagnosis NCP Nursing Care Plan for Irritable Bowel Syndrome
  • Acute pain
  • Constipation
  • Deficient knowledge (diagnosis and treatment)
  • Diarrhea
  • Disturbed body image
  • Ineffective coping
Nursing Key outcomes Nursing Care Plan for Irritable Bowel Syndrome
Nursing outcomes Nursing Care Plan for Irritable Bowel Syndrome, patient will;
  • Express feelings of comfort.
  • Patient’s stool will be soft and will pass easily.
  • Express an understanding of the disease process and treatment regimen.
  • Bowel function will return to normal.
  • Express positive feelings about herself.
  • Demonstrate adaptive coping behaviors.
Nursing interventions NCP Nursing Care Plan for Irritable Bowel Syndrome
Usually Patient isn’t hospitalized; nursing interventions focus on patient teaching and home health care guidance.
  • Teach to the patient about disease and treatment plan, prescribed drugs, reviewing their desired effects and possible adverse reactions. Diagnostic tests. Review all pretest guidelines. Explain that diagnostic tests can’t specifically diagnose irritable bowel syndrome but do rule out other disorders.
  • Help the patient to implement lifestyle changes that reduce stress
  • Remind the patient about regular exercise, Discourage smoking, Explain the need for regular physical examinations

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