Critiquing Nursing Care

After reviewing the post, there are many aspects that I agree and disagree about the nursing care method. I definitely agree on the first priority of nursing care should be to address the patient’s cramping and bloating. The cramping and bloating was essentially the primary concern of the patient and was the result of the constipation. Additionally, I agree that the SMART outcome should involve the goal of the patient having a bowel movement by the end of the nurse’s shift, because having a bowel movement would essentially help resolve the primary concern of the abdominal discomfort. As a part of the pharmacologic treatment intervention, I did agree to providing an alternative medication other than Percocet to treat the pain as that particular
I felt that a priority in this particular scenario should include education of opioid drug use to ultimately avoid the reoccurrence of opioid-induced constipation. I felt that this education was important due to the patient’s likelihood to regularly taking opioid medications for his migraine headaches. Also I do agree felt that the non-pharmacologic intervention provided could be effective, but think that this method should include an increase to the patient’s dietary fiber intake. Increasing dietary fiber in the diet is a natural method that not only encourages the malnourished patient to eat, but additionally promotes a bowel movement. Dietary fiber is proven to help aid in the treatment for constipation, while having additional effects such as improving stool frequency and consistency (Abdullah, Gyles, Marinangeli, Carlberg, & Jones, 2015). I would include increasing dietary fiber intake as a non-pharmacological intervention to this patient, due to his current status of malnourishment and