Nursing Clinical Outcome Plan question!!?

What would a Clinical Outcome plan for the following patients??

Q1) A 52yrs old man has been admitted with acute bowel obstruction(diagnosed by Doctor from assessment and abdominal Xray), he has pain and nausea.
The doctor's order are for nil orally and insertion of naso-gastric tube if the patient starts vomiting. IM analgesia and antiemetics and for IV fuilds

Q2) A 90ys old lady has been in hospital for 5 days following a split skin graft to right let ulcer. She is thin and has a poor appetite, stress incontinence and hasn't opened her bowels for 2 days but isn't complaining of discomfort in this area. The doctor orders are to rest in bed and leave donor site and slpit skin graft intact and dry.

Expected clinical outcome of Nursing Plan for pt#1:

1) The pt feels much more comfortable; pain is lessened if not free of pain from IM analgesia. He stated so on a pain scale. He doesn't complain of pain. He's able to rest and sleep comfortably.

2) He's not nauseous anymore after the administration of anti-emetics.

3) Bowel sounds even if diminished due to the bowel obstruction were noted upon insertion of the N-G tube. The N-G tube is insitu and patent. The amt, consistency and description of the secretions are recorded.

4) Abdomen is observed to be soft and not distended anymore.

5) IV fluids are administered at a certain flow rate to avoid dehydration. The IV site is noted not to be infiltrated. There is no swelling or pain at the site. The site is adequately labelled and dressed.


Expected clinical outcome of the Nusing Plan for Pt #2:

1) Pt is able to rest in bed.

3) She's turned side to side to avoid hypostatic pneumonia due to strict bedrest and prolonged hospitalization and because of her age. She's encouraged ;able to DB and C.


4) Drsgs to both donor site and split skin graft on right leg are dry and intact. Daily dressings change are done. No discharge.or bleeding. Donor site is observed not to be reddened ;edematous or inflammed. It's warm to touch. There are good pedal pulses palpable.

5) P.O. fluids are given as tolerated to avoid dehydration.

5) Dietitian able to assess the likes and dislikes.of the patient for her diet selection to improve her appetite. Pt was assisted to fill out her menu.- most likely a soft diet. Consequently, pt was able to eat and her nutritional needs met.

6) Prune juice can be given to relieve the constipation which is common among the elderly. If the pt complains of abdominal discomfort or does get restless, this problem can be addressed with fecal disinpaction. manually.

7) A pad is placed underneath her for hygiene and her stress incontinence problem. The doctor might even order a foley catheter.as she's unable to ambulate or be placed on the bedpan due to the surgery. The amt and color of the urine is recorded.

Good luck on obtaining good grades for this!!