IBS IHP Student's Name * First Middle Last Suffix This field is required. Please complete the following fields: First,Last. PhotoAccepted file types: jpg, gif, png, jpeg, Max. file size: 100 MB.DoB Month Incorrect Value for Month field Day Incorrect Value for Month field Year Incorrect Value for Month field Please enter a valid date. GR/LevelDaycareEEPKKN010203040506070809101112Post-GraduateWould you like to add the student's ID number? Yes No ID Campus/Building Would you like to add the student's homeroom number and teacher's name? 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Yes No ContactContact Name Add RemoveRelationship Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Name RelationshipChoose one:ParentGuardianOtherContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFaxContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFax Add More Treating Physician Add RemovePhysician Phone Number Add RemovePhysician Fax Number Add RemoveTreating Physician Physician Phone Number Physician Fax Number Add More Preferred Hospital City MEDICAL DIAGNOSIS(ES)Add a medication or procedure? Yes No MEDICATIONS/PROCEDURES Medication/Procedure Strength Dose ModeChoose one:OralTopicalInhaledIntranasalSQNebulizerSublingualRectalIMIVSched/PRN?Choose OneScheduledPRNTime Frequency If PRN, administer for Medication/Procedure Add RemoveStrength Add RemoveDose Add RemoveMode Add RemoveSched/PRN? Add RemoveTime Add RemoveFrequency Add RemoveIf PRN, administer for Add Remove Add More MEDICAL HISTORYASSESSMENT NursingList InterventionList OutcomesList Nursing Diagnosis: Chronic Pain Related to intestinal spasms Related to abdominal cramping Related to bowel irregularity (constipation or diarrhea) Related to stress-induced flare-ups of IBS symptoms Interventions The school nurse will collaborate with healthcare providers to manage pain through prescribed medications. The school nurse will encourage the student to track food intake to identify potential triggers for abdominal pain. The school nurse will teach relaxation techniques such as deep breathing, mindfulness, or progressive muscle relaxation to manage stress-related symptoms. The school nurse will provide heat therapy (warm compresses) for abdominal discomfort as appropriate. Expected Outcomes The student will report a reduction in the frequency and intensity of abdominal pain. The student will identify and avoid common food or stress-related triggers for IBS flare-ups. The student will utilize non-pharmacological methods (e.g., relaxation techniques) to manage mild abdominal pain. Nursing Diagnosis: Imbalanced Nutrition: Less than Body Requirements Related to dietary restrictions due to fear of triggering IBS symptoms Related to poor absorption of nutrients related to frequent diarrhea or malabsorption Related to nausea or loss of appetite during IBS flare-ups Interventions The school nurse will collaborate with a dietitian to create a balanced, IBS-friendly diet that minimizes triggers. The school nurse will educate the student and family on maintaining adequate hydration and nutrition during flare-ups. The school nurse will encourage small, frequent meals to improve nutrient intake and reduce the risk of triggering symptoms. The school nurse will monitor weight, nutritional status, and the student’s food diary to assess for any nutrient deficiencies. Expected Outcomes The student will maintain or achieve an appropriate weight for age and height. The student will demonstrate knowledge of an appropriate IBS-friendly diet and avoid known trigger foods. The student will experience improved appetite and maintain adequate nutritional intake despite IBS symptoms. Nursing Diagnosis: Diarrhea Related to altered bowel habits related to IBS Related to food intolerances (e.g., lactose, high-fat foods, gluten) Related to stress or anxiety exacerbating symptoms Interventions The school nurse will educate the student on the importance of identifying and avoiding food triggers that cause diarrhea. The school nurse will encourage the student to maintain a food and symptom diary to track patterns and adjust dietary habits accordingly. The school nurse will ensure access to bathroom facilities during the school day and reduce any stigma related to frequent restroom use. The school nurse will collaborate with healthcare providers to manage diarrhea with medications. Expected Outcomes The student will experience fewer episodes of diarrhea and report improved bowel habits. The student will identify and avoid food triggers that cause diarrhea. The student will maintain confidence in managing IBS symptoms at school with access to restrooms as needed. Nursing Diagnosis: Constipation Related to altered bowel motility Related to inadequate fiber or fluid intake Related to stress or anxiety contributing to constipation Related to sedentary lifestyle or lack of physical activity Interventions The school nurse will encourage the student to increase dietary fiber through fruits, vegetables, and whole grains, as tolerated. The school nurse will promote adequate hydration throughout the day, emphasizing the importance of fluid intake for bowel regularity. The school nurse will encourage regular physical activity to promote gastrointestinal motility. The school nurse will provide education on the use of stool softeners or laxatives if prescribed by a healthcare provider. Expected Outcomes The student will report regular bowel movements with minimal straining. The student will demonstrate an understanding of how to increase fiber and fluid intake to prevent constipation. The student will incorporate physical activity into their daily routine to promote bowel regularity. Nursing Diagnosis: Anxiety Related to fear of public embarrassment due to unpredictable IBS symptoms Related to social isolation related to fear of IBS flare-ups in public settings Related to worry about performance in school or extracurricular activities due to physical discomfort Related to stress-induced flare-ups of IBS symptoms Interventions The school nurse will provide reassurance and education about IBS to reduce anxiety related to the condition. The school nurse will encourage the student to develop a plan for managing symptoms in public, such as having access to restrooms or emergency medications. The school nurse will teach relaxation techniques, such as deep breathing or mindfulness, to manage stress and anxiety. The school nurse will collaborate with school staff to create a supportive environment, such as providing flexible bathroom breaks. Expected Outcomes The student will report reduced anxiety and greater confidence in managing IBS symptoms in school and social settings. The student will use relaxation techniques effectively to manage stress and prevent IBS flare-ups. The student will participate in school activities without fear of embarrassment due to IBS symptoms. Nursing Diagnosis: Disturbed Body Image Related to changes in self-perception due to frequent IBS symptoms Related to embarrassment related to bathroom urgency or accidents Related to altered lifestyle habits or diet restrictions due to IBS Interventions The school nurse will provide emotional support and a safe space for the student to express feelings of embarrassment or frustration. The school nurse will reinforce positive self-image by focusing on the student’s strengths and achievements rather than their condition. The school nurse will encourage participation in normal activities and social interactions to reduce isolation or self-consciousness. The school nurse will refer to a counselor if body image concerns are severely impacting the student’s self-esteem or social interactions. Expected Outcomes The student will demonstrate improved self-esteem and acceptance of IBS management strategies. The student will verbalize a more positive self-image despite the challenges of IBS. The student will engage in social and school activities with greater confidence and reduced self-consciousness. Nursing Diagnosis: Risk for Deficient Fluid Volume Related to frequent diarrhea leading to fluid loss Related to inadequate fluid intake during IBS flare-ups Related to avoidance of fluids to reduce bathroom frequency Interventions The school nurse will educate the student on the importance of maintaining adequate hydration, particularly during episodes of diarrhea. The school nurse will monitor fluid intake and output, ensuring the student drinks water throughout the school day. The school nurse will encourage the student to drink oral rehydration solutions, if necessary, to replace lost electrolytes during diarrhea episodes. The school nurse will collaborate with healthcare providers to manage diarrhea symptoms and prevent dehydration. Expected Outcomes The student will maintain adequate hydration with no signs of dehydration (e.g., dry mouth, dizziness). The student will demonstrate understanding of the importance of fluid intake, especially during diarrhea episodes. The student will report improved bowel habits and a decrease in fluid loss associated with IBS symptoms. Would you like to add another nursing diagnosis? Yes No Nursing DiagnosisNursing DiagnosisAdd your own nursing diagnosisInterventionsAdd your own nursing interventionsExpected OutcomesAdd your own expected outcomesNursing Diagnosis Add RemoveInterventions Add RemoveExpected Outcomes Add Remove Add More EVALUATIONNOTESIHP Developed ByName First Last Title Date Month Day Year Please enter a valid date. Do you want to include physician and parent signature lines? Yes Download IHP Clicking this button will download this IHP to your computer and return you to the blank IHP. Return Clicking this button will return you to the IHP to make changes.
