The patient will make some effort to stop compulsive thoughts and behavior. A qualitative evaluation study. The patient will verbalize emotional control and refrain from harming themselves or others. St. Louis, MO: Elsevier. Ensure that the care environment is free of stimuli (e.g., loud noises, bright lights) and avoid crowding as much as possible. Desired outcome: The patient will be able to re-establish return of normal elimination pattern and being free from pain while passing stools. Medicaid However, a few patients may have an outlet obstruction as the underlying cause, such as rectal prolapse or a rectocele. Confabulation: Assessment and Intervention. Speech-language pathologists, occupational and physical therapists, and nurses often work with clients suffering from traumatic Post Intervention Evaluation & Monitoring, The Pathophysiology, Diagnosis, and Treatment of Constipation, Diet low in fiber and/or high in fats and sugars, Delaying the urge to have a bowel movement, Medications (including pain killers, antidepressants, and blood pressure drugs), Complaints of straining at stooling, incomplete evacuation, abdominal bloating, or pain, Avoidance of bowel movements (withholding, especially in public), A feeling of being blocked (or not having fully emptied the bowel), Large, dry stools that are difficult to pass, Taking certain medications (sedatives, opioid pain medications, some antidepressants, blood pressure drugs), Having a mental health condition (such as depression or an eating disorder), Evaluation of how well food moves through the colon. 0000016588 00000 n Provide time to use the toilet. -->,