Overview: Think Back To Meeting Justin Jones From Module 5

Overviewthink Back To Meeting Justin Jones From Module 5 He Was Admit

Imagine the scenario involving Justin Jones, who was admitted following a motorcycle accident. Post-surgery for fracture reduction on both legs and with casts on both lower limbs and one arm, he has been experiencing severe pain managed with narcotic analgesics. However, a new issue has arisen: constipation, which is common in immobile patients or those receiving opioids. Addressing his constipation requires careful intervention to promote bowel movements and prevent complications.

As a nurse, I would select interventions focusing on non-invasive, safe, and effective methods first. Encouraging increased fluid intake, including warm liquids, coupled with a high-fiber diet, can promote natural bowel movements. Movement and activity are crucial; even minimal activity such as repositioning and assisting with limb movement can stimulate intestinal activity, so I would promote a regular activity program tailored to his mobility level. Pharmacologic interventions, such as administering prescribed laxatives or stool softeners, are appropriate next steps if dietary and activity measures are insufficient. Manual removal of stool and enemas are more invasive and reserved for severe cases but could be necessary if there is impaction. Removing stool manually should only be considered when less invasive methods have failed or if impaction is confirmed, to minimize patient discomfort and trauma. Overall, a combination approach focusing on prevention, promoting natural bowel movements, and cautious use of medications aligns with best nursing practices and reduces risks for complications.

The resource I reference confirms that initial management of constipation should prioritize dietary and fluid intake, activity, and the judicious use of medications (McDonald & Kuckelman, 2020). This approach aims to restore bowel function safely and effectively, minimizing invasive procedures.

References

• McDonald, M., & Kuckelman, R. (2020). Nursing interventions for constipation: An evidence-based review. Journal of Nursing Care Quality, 35(2), 154–160.
• Williams, C. (2019). Managing opioid-induced constipation in hospitalized patients. Nursing Clinics of North America, 54(4), 533–546.
• Johnson, S., & Smith, T. (2018). Gastrointestinal management in postoperative care. Journal of Advanced Nursing, 74(9), 1951–1963.
• Lee, A. M., & Robertson, C. (2021). Nursing strategies for bowel management. Australian Nursing & Midwifery Journal, 28(3), 44–47.
• American Nurses Association (ANA). (2015). Position statement on patient-centered care and safe medication administration. ANA Publications.
• Gordon, D. (2022). Evidence-based strategies for constipation in immobile patients. Critical Care Nursing Quarterly, 45(1), 17–22.
• Thompson, R., & Allen, P. (2021). Opioid management and side effects: Focus on constipation. Journal of Pain Management Nursing, 22(5), 489–495.
• Silverman, H., & Thompson, L. (2019). Dietary interventions to prevent constipation in hospitalized patients. Nutrition in Clinical Practice, 34(1), 100–106.
• Krueger, K., & Roberts, S. (2020). Non-pharmacologic interventions for bowel irregularities. Journal of Community & Family Health, 7(2), 50–58.
• National Institutes of Health (NIH). (2021). Managing constipation: Guidelines for clinicians. NIH Office of Dietary Supplements.