Fecal impaction
-is a solid, immobile bulk of stool that can develop in the rectum as a result of chronic constipation. The person is not able to voluntarily evacuate the stool.
Assessment
1.Absence of bowel movement for 3 to 5 days
2.Passage of liquid fecal seepage.
3.hardened fecal mass is palpated during digital examination of the rectum
4.Nonproductive desire to defecate and rectal pain.
5.anorexia, body malaise.
6.Subjective feeling of abdominal fullness or bloating; apparent abdominal distension.
7.Nausea and vomiting.
Nursing Intervention.
1. Manual extraction or fecal disipaction as ordered.
2. Increase Fluid intake
3. Sufficient bulk diet
4. Adequate activity and exercise




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