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.
This is the patient whose bowel sounds do not return after an operation. DIAGNOSIS. After a messy operation with much pus and spillage, expect ileus. After a clean one severe ileus is unlikely; if his gut obstructs the cause is more likely to be mechanical. Ileus tends to occur earlier and mechanical obstruction later.