CONSTIPATION CASE STUDYMr. R. has metastatic lung cancer and a historyof congestiveheart failure. H
CONSTIPATION CASE STUDYMr. R. has metastatic lung cancer and a historyof congestiveheart failure. He received treatment with combinationchemotherapy 6 months ago, and he tolerated it well. However.the cancer progressed and he was referred for home hospicecare. Mr. R. has a poor appetite and states that he feels nauseatedif he eats more than a few bites of food. He keeps a 1-litrepitcher of water at his bedside and reports drinking the entirelitre over the course of a day. He also drinks a small glass oforange juice with breakfast. He is able to walk to the bathroomwith the assistance of his wife. Mr. R. reports that he has not hada bowel movement in 3 days despite taking Metamucil everyday. He is complaining of abdominal bloating and cramping.Mr. R.’s medications include the following: sustained-releaseoxycodone 40 mg twice daily, immediate-release oxycodone 10mg every 1 to 2 hours for breakthrough pain or dyspnea,ibuprofen 400 mg four times daily, furosemide 40 mg/day, anddigoxin 0.125 mg/day.On physical examination, the clinician notes that there is nostool in the rectum and that bowel sounds are hyperactive.WHAT ARE YOUR PHYSICAL FINDINGS?WHY DOES MR. R HAVE CONSTIPATION? WHAT ARETHE INFLUENCING FACTORS?WHAT ARE YOUR NURSING PROBLEMS AND WHATWOULD YOU DO TO HELP CORRECT MR. R’S SIGNS OFCONSTIPATION? MEDS? INTERVENTIONS?WHAT IS YOUR PLAN FOR FOLLOW-UP? Health Science Science Nursing NURSING NUR410 Share QuestionEmailCopy link Comments (0)
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