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.
I think after any major abdominal surgery, you can almost expect the patient to have absent bowel sounds. I don't listen for five minutes if there are no bowel sounds and I chart that they are absent, not hypoactive.