Action Learning and Action Research engages the context of research with systemic thinking and practices. ALARA will promote the use of the Principles, and provide members, where possible, with education
Reduced (hypoactive) bowel sounds include a reduction in the loudness, tone, or regularity of the sounds. They are a sign that intestinal activity has slowed. Hypoactive bowel sounds are normal during sleep. They also occur normally for a short time after the use of certain medicines and after abdominal surgery.
In this situation, there can be significant pain and nausea and vomiting, signaling the possible development of a bowel obstruction. Fever may be associated with strangulated, dead bowel. A Richter's hernia causes only a part of the bowel wall to become trapped stuck in the hernia. It won't necessarily cause an obstruction since the passageway of the intestine still allows bowel contents to pass, but that portion of the bowel wall that is trapped can strangulate and die.