a. d. l. sa fe
TRANSCRIPT
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1. Nutrition
2. Elimination
3. Activity
and
Exercise
The patient eats well. She eats what is served on
their table.
The patient defecates once a day and urinates x
a day. !er stool is color brown. She doesn"t feel
any discomfort or pain when defecatin#. The
color of her urine is amber. There is no pain or
discomfort when she urinates.
The patient doesn"t do exercise. She considered
wal$in# as her exercise.
The patient is unable to eat well.
She has lac$ of appetite.
The client said that defecated once
since she was admitted in the
hospital but she urinates 1%& ml
'measured in the urine ba#(.
The color of her urine is li#ht
yellow and she doesn)t experience
any discomfort while urinatin#.
*ue to his hospitali+ation her
activities are limited. She is in a
complete bed rest.
,- The patient"s appetite decreases durin# her sic$ness.
A- oor diet can have an in/urious impact on health0 causin#
deficiency diseases 'undamental of Nursin# seventh edition by
o+ier pa#e 3(
,- normal.
A-
re4uency of 5owel Elimination and urination-
The fre4uency of elimination is hi#hly individual varyin# from
several times per day. The amount eliminated also varies from
person to person.
resence of *iscomforts and ability to control- normally absent
'o+ier0 undamentals of Nursin#0 12&(
6olor- brown
6onsistency- formed0 soft0 semisolid0 moist
Shape- 6ylindrical about 1 inch in diameter in adults
Amount- varies with diet
7dor- Aromatic
8o+ier0 p# 1229
,- There is a decrease in functional status of the client due to
hospitali+ation.
A- Functional statusis determined by the ability to perform
activities of daily livin# 'A*:s(;
eatin#0 dressin#0 bathin#0 ambulatin#0 and toiletin#;and
instrumental A*:s ',A*:s(;
shoppin# for #roceries0 meal preparation0 housewor$0 laundry0
#ettin# to places beyond wal$in#
distance0 mana#in# medications0 mana#in# finances0 and usin# a
telephone.
Functional decline;the inability to perform usual activities of
daily livin# due to wea$ness0
reduced muscle stren#th0 and reduced exercise capacity.
*urin# hospitali+ation0 the patient often experiences reduced
mobility and activity
levels. unctional decline0 includin# chan#es in physical status and
mobility0 has been identified
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%. !y#iene
. Substance
est
The patient ta$es a bath once a day. The patient
brushes her teeth when she wa$es up and before
she #oes to sleep.
The patient is a is a non smo$er and non
alcoholic drin$er
The patient always wa$es up at = in the mornin#.
She sleeps at around 1& or sometimes 11 in the
evenin#. The patient said that she is satisfied with
the amount and 4uality of her sleep.
The client said she ta$en a
bath once and brush her teeth
3x since she was admitted to
the hospital.
The client did not smo$e nor
drin$ durin# hospitali+ation.
The patient doesn"t have
continuity in her sleep. The
patient said that she slept at
?-3& pm last ni#ht and
suddenly wa$es up at 12 noon
because the nurse needs to
ta$e her vital si#ns. She too$ a
sleep a#ain at around 2 am and
wa$e up a#ain at % am.
because of the same reason.
The patient said that she"s
satisfied with the 4uantity and
4uality of her sleep
,-
,- The client practice personal hy#iene but her bathin# routine
chan#es when she #ot ill.
A- oor hy#iene can lead to more chance of disease0 infections and
further complications.
An intact0healthy s$in is the body)s first line of defense0the de#ree to
which the s$in protects the underlyin# tissues from in/ury depends on
the #eneral health of the body.s$in that is poorly nourished and dry is
less easily protected and more vulnerable to in/ury. @oisture in contact
with the s$in for more than a short time can result in increased
bacterial #rowth and irritation. 5ody odors are caused by resident s$in
bacteria actin# on body secretions and cleanliness is the best
deodorant. 5athin# removes accumulated oil0perspiration0dead cells
and some bacteria.'o+ier0 undamentals of Nursin#0 9&%(
,-. Normal
A- eople of any a#e should avoid alcohol0 or limit their inta$e to no
more than one or two drin$s per wee$.
Too much alcohol can be as bad for the heart 8 or worse 8than many
ille#al substances. Alcohol abuse is a ma/or ris$ factor for hi#h blood
pressure0 cardiomyopathy0 heart failure0 and stro$e.
Avoid
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9. Sexual activity The client said that she often do sexual activity
with her partner
None ,- The sexual activity done by partner is normal as lon# as both of them
are satisfied on what they"re doin# and both of them understand why
they cannot do such activities for some reason. The actual fre4uency
and type of sexual activity depends on them as lon# as they"re satisfied
with their doin#.
A- A normal sexual behavior includes any act mutually satisfyin# to
both sexual partners. Actual fre4uency and type of sexual activity vary
widely 8illiteri0 @aternal and child health nursin# thedition ol. 1 p.
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