BEFORE HOSPITALIZATION

DURING HOSPITALIZATION

ANALYSIS The patient concern/aware on and prefers on medical problems too late. is now her health consulting before its

Patient had some difficulty in Patient depends mainly on the chewing and swallowing when medical professionals now for eating but still views herself as her early recovery. healthy.

BEFORE DURING ANALYSIS HOSPITALIZATION HOSPITALIZATION Patient usually eats Patient were placed on an Foods and fluids are restricted vegetables, meat and fish NPO status. 6-8 hours prior to surgery. alternately. Shes also fond of eating native delicacies like An individuals health status puto and biko. She drinks an greatly affects eating habit average of 6-8 glasses of water and nutritional status. per day, a cup of coffee with bread at breakfast and 2 (Fundamentals of Nursing by Kozier, pp 1178) glasses of buko juice during snack time. She has difficulty in chewing and swallowing.

BEFORE HOSPITALIZATION

DURING HOSPITALIZATION

ANALYSIS Patient has no bowel movement due to decreased peristalsis in colon motility, and also due to inadequate fluid and food intake.

URINE ELIMINATION : URINE ELIMINATION: Patient usually voids 3-4x Urine (-) daily with light yellow in color and reports no difficulty in voiding.

BOWEL ELIMINATION: BOWEL ELIMINATION: Patient usually defecates once Stool (-) or twice daily without any difficulty with loose, brownish stool.

(Fundamentals of Nursing by Kozier p1071 & p1260)

BEFORE HOSPITALIZATION

DURING HOSPITALIZATION

ANALYSIS Illness limits the patients energy level and greatly affects the actual and perceived ability of the client for desired daily activities.
(Fundamentals of Nursing by Kozier)

Daily house chores like Patient is at Level II Activity washing the dishes, sweeping tolerance and with needs of the floor and fetching water minimal assistance. serves as her only form of exercise.

BEFORE HOSPITALIZATION Patient gets an average of 6-7 hours of sleep daily with 1-2 hour nap in the afternoon. Patient states of no difficulty of falling asleep.

DURING HOSPITALIZATION Patient cant sleep when the lights are on; she even wakes up once in a while due to the noise at the hallway.

ANALYSIS
Environmental factors can either enhance or impair sleep. Lighting, temperature, ventilation and noise level can all interact to sleep process.

(Delaune, Fundamentals of Nursing, p. 1119)

BEFORE HOSPITALIZATION

DURING HOSPITALIZATION

ANALYSIS

Patient has a 125-120 vision and doesnt wear any glasses. She has no hearing impairment but has difficulty in chewing and swallowing.

Patients vision is the same although she complains of feeling dizzy sometimes and has difficulty in swallowing.

Patients cognitive/ perceptual pattern hasnt changed but confinement due to an illness adds more stress thus making the condition worse.

(Fundamentals of Nursing by Kozier)

BEFORE HOSPITALIZATION Patient have 2 children (24 & 22 y/o) who gives financial support for the family since they are both unemployed. But in terms of budget and personal matters she still acts as the sole decision maker in their household.

DURING HOSPITALIZATION Patient is confined at the hospital which limits her role on the on-goings and daily activities in the house.

ANALYSIS Patients current condition restricts her from performing her duty as a mother to her kids and a wife due to her current condition.

(Fundamentals of Nursing by Kozier)

BEFORE HOSPITALIZATION Patient states on being intimate with her husband for 1-2x a week and has done ligation after the birth of her youngest child.

DURING HOSPITALIZATION Patient doesn't engage in any sexual activity now.

ANALYSIS Patients usual pattern have changed due to her confinement. Sexual activity is also contraindicated prior to surgery.

(Fundamentals of Nursing by Kozier)

BEFORE HOSPITALIZATION Patient doesnt think of her problems much, she usually finds a way to solve it. Sometimes, she prefers on watching TV to eased out.

DURING HOSPITALIZATION

ANALYSIS

Patient is positive on her Family support is beneficial to unresolved need, early recovery as her family meet decreasing the feeling of is waiting for her at home. anxiety, social isolation and facilitates positive self image.

(Kozier, Fundamentals of Nursing p1027)

BEFORE HOSPITALIZATION Patient is a Roman Catholic, but rarely goes to church every Sunday due to being so preoccupied at home. Though she has a great faith on God.

DURING HOSPITALIZATION

ANALYSIS

Patient prays for Spiritual belief can enhance guidance, support and self- esteem and help proper healing for early protect individuals from stress. It helps people adjust recovery. to stressful situations such as illness, injury and loss.

( Delaune, Fundamentals of Nursing p. 470)