a. d. l. sa fe

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  • 8/13/2019 A. D. L. sa fe

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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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