ACTIVITIES OF DAILY LIVING ADL Nutrition Before Hospitalization We asked the patient about his feeding pattern before

hospitalization he said,Madalas akong kumain ng isda at gulay dahil ito ang paborito ko, bihira ang ako kumain ng baboy o kaya karne, nakakawalo hanggang sampong baso naman ako ng tubig sa isang araw. During Hospitalization As we asked the patient about his feeding pattern during hospitalization he said, Ang madalas ko kainin ay lugaw dahil iyon ang sabi sa akin ng doctor at limitado din ang pag-inom ko ng tubig. The patient eat 1 cup of lugaw 2-3 times a day and the water he drinks per day is 1000 mL. Interpretation The patient is always eating lugaw and boiled egg. His experiencing malabsorption which means he didnt get the nutrients needed by the body. And his water intake is limited due to his edema on right lower leg. Analysis The desirable amount of fluid intake in adults ranges from 1500 to 3500 mL each 24 hours.(Carol Taylor, Carol Lillis and Priscilla LeMone, Fundamentals of Nursing 5th Edition, Chapter 46; Fluid, Electrolyte, and Acid-Base Balance pg. 1433) Protein containing foods are required in the diet to provide the essential amino acids and nitrogen required for growth and maintenance of body tissues. Protein is also a source of energy. (Living Nutrition 3rd Edition)

Elimination We asked the wife of the patient about his elimination pattern before hospitalization she said, Bago pa siya maospital araw-araw naman siya dumudumi kulay brown

As we asked the wife of the patient about his elimination pattern during hospitalization he said, Ngayong naospital ako, araw-araw pa din naman ako

Exercise

yung dumi niya,sa ihi niya naman madilaw ihi niya mga 4-5 beses ako umiihi sa isang araw. As we asked the wife of the patient about his exercise pattern before hospitalization she said, Bago pa man ako ma-ospital nage-exercise naman ako paminsanminsan, naglalakadlakad, nagstretching at nagjojogging konti dahil madali ako mapagod dahil sa asthma ko.

dumudumi tulad ng dati. The wife of the patient also stated that the stool is color brown and urine is dark yellow in color.

Hygiene

We asked the wife of the patient about his exercise pattern during hospitalization she said, Simula ng ma-ospital ako ang madalas ko na lang gawin ay humiga at umupo. The patient has the opportunity to walk only when he is going to bathroom.

The patient perform isotonic exercises.

Isotonic exercises are those in which the muscles shorten to produce muscle contraction and active movement. Most physical conditioning exercises running, walking, swimming, cycling, and other such activities are isotonic, as are ADLs and active ROM exercises (those initiated by the client). (Kozier and Erbs Fundamentals of Nursing 8th Edition, Volume 2, page 1107).

Substance Abuse

When we asked the wife of the client about his hygiene she said,Arawaraw naman siya naliligo bago pa man

As we asked the wife of the patient about his hygiene during hospitalization she said, Simula ng

The patient is not doing the proper hygiene because of his improper hygiene the skin of the

Personal hygiene is the slf-care by which pople attend to such functions as bathing, toileting, general body hygiene and

siya maospital.

ma-ospital ako nagpupunas na lang ako ng katawan. The patient also stated that he cant take a bath because of the dextrose. As we asked the patient about his vi Simula ng naospital ako hindi na ako umiinom at naninigarilyo dahil bawal na sa akin.

client becomes dry that can make a portal of entry for microorganism s.

Sleep and Rest

We asked the client about his vices he said,Dati umiinom ako araw-araw ng na bote ng Red Horse at nakakaisang kaha naman ako ng sigarilyo sa isang araw.

grooming. It involves care of the skin, hair, nails, teeth, oral and nasal cavities, eyes, ears and perianal-genital area. Skin is the largest part organ of the body. It protects underlying tissues from injury by preventing the passage of microorganisms . The skin and mucous membranes are considered the bodys first line of defense. Pg.742 chapter 33 hygiene

We asked the client about his sleep pattern he said, Nakakatulog lang ako ng mga lima

As we asked the client about his sleep pattern during

hanggang anim na oras sa isang araw.

hospitalization he said, Nang nandito na ko sa ospital hirap pa din ako makatulog kaya umiinom ako ng alak bago ako matulog. The patient also stated that he can only sleep 2-3 hours in a day because of asthma.

The patient has disturbed sleep because he drinks alcohol before he sleep that may the disturbance of his sleep. Environment is also one of the factors that affect his sleep because his environment is noisy.

Substance abuse is a major threat to the health. Alcohol, marijuana, amphetamines and cocaine for example, bring about feelings of well-being that may be highly valued by people with adjustment problems. Prolonged use of alcohol can lead to such diseases as cirrhosis of the liver and cancer of esophagus. Smoking is another type of drug abuse that can lead to diseases such as lung cancer and cardiovascular disease. Sleep is basic human need; it is a universal biological process common to all people. Humans spend about one-third of their lives asleep. We require sleep

for many reasons: to cope with daily stresses, to prevent fatigue, to conserve energy, to restore the mind and body, and to enjoy life more fully. Sleep enhances daytime functioning. It is vital nit only for optimal psychological functioning but also physiological functioning as the rate of healing of damaged tissue is greatest during sleep. Adults need 7 to 9 hours of sleep a night to be able to function well. People who drink alcohol often find their disturbed. Alcohol disrupts REM sleep, although it may hasten the onset of sleep. The alcoholtolerant person may be unable to sleep well and become irritable as a result. Environment can promote or

Sexual Activity

As we asked the wife of the patient about their sexual activity before the patients hospitalization she said, Hindi na kami nagsisiping ng asawa ko dahil wala na rin kami gana, saka natutulog na din ako agad dahil sa alak na iniinom ko at matanda na rin kami para ganyan.

We asked the wife of the patient about their sexual activity during hospitalization she said, Nasa ospital kami kaya siyempre hindi naming magagawa yun at saka hindi na rin naming magagawa yun dahil matatanda na kami.

The patient and his wife are not interested about sexual activity due to their age and alcohol intake of the patient.

hinder sleep. Any change-for example, noise in the environmentcan inhibit sleep. The absence of usual stimuli or the presence of unfamiliar stimuli can prevent people from sleeping. Hospital environments can be quite noisy, and special care needs to be taken to reduce noise in the hallways and nursing care units. (Kozier,Funda 8th edition chapter 45; sleep page11641171)

Excessive intake of alcohol can lead to decreased sexual desire, orgasmic dysfunction, and impotence(Kozier & Erbs Fundamentals of Nursing, 7th edition; chapter 38 sexuality; p.980)

In middle adulthood, , menopause occurs in women, usually anywhere between 40-55 years. (Kozier & Erbs Fundamentals of Nursing,7th edition; chapter 38 sexuality;p.976)