GORDON's Bulacan Case

8/8/2019 GORDON's Bulacan Case

1/11

By:

Jocelyn Rivera

Block 4C-Group3


2/11

BEFORE

HOSPITALIZATION

DURING

HOSPITALIZATION ANALYSIS

Patient had some difficulty in

chewing and swallowing when

eating but still views herself as

healthy.

Patient depends mainly on the

medical professionals now for

her early recovery.

The patient is now

concern/aware on her health

and prefers on consulting

medical problems before its

too late.


3/11

BEFORE

HOSPITALIZATION

DURING


Patient usually eats

vegetables, meat and fish

alternately. Shes also fond of

eating native delicacies likeputo and biko. She drinks an

average of 6-8 glasses of water

per day, a cup of coffee with

bread at breakfast and 2

glasses of buko juice during

snack time. She has difficulty

in chewing and swallowing.

Patient were placed on an

NPO status.

Foods and fluids are restricted

6-8 hours prior to surgery.

An individuals health statusgreatly affects eating habit

and nutritional status.

(Fundamentals of Nursing by Kozier, pp 1178)


4/11

BEFORE

HOSPITALIZATION

DURING


URINE ELIMINATION :

Patient usually voids 3-4x daily

with light yellow in color and

reports no difficulty in

voiding.

BOWEL ELIMINATION:

Patient usually defecates once

or twice daily without anydifficulty with loose, brownish

stool.

URINE ELIMINATION:

Urine (-)

BOWEL ELIMINATION:

Stool (-)

Patient has no bowel

movement due to decreased

peristalsis in colon motility,

and also due to inadequatefluid and food intake.

(Fundamentals of Nursing by Kozier

p1071 & p1260)


5/11

BEFOREHOSPITALIZATION

DURINGHOSPITALIZATION ANALYSIS

Daily house chores like

washing the dishes, sweeping

the floor and fetching water

serves as her only form of

exercise.

Patient is at Level II Activity

tolerance and with needs of

minimal assistance.

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)


6/11

BEFOREHOSPITALIZATION

DURINGHOSPITALIZATION ANALYSIS

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.

Patient cant sleep when the

lights are on; she even wakes

up once in a while due to the

noise at the hallway.

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)


7/11

BEFORE

HOSPITALIZATION

DURING


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.



8/11

BEFORE

HOSPITALIZATION

DURING


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.

Patient is confined at the

hospital which limits her

role on the on-goings and

daily activities in the house.

Patients current condition

restricts her from

performing her duty as a

mother to her kids and a

wife due to her current

condition.



9/11

BEFORE

HOSPITALIZATION

DURING


Patient states on being

intimate with her husband

for 1-2x a week and has

done ligation after the birth

of her youngest child.

Patient doesn't engage in

any sexual activity now.

Patients usual pattern have

changed due to her

confinement.

Sexual activity is also

contraindicated prior to

surgery.



10/11

BEFORE

HOSPITALIZATION

DURING


Patient doesnt think of her

problems much, she usually

finds a way to solve it.

Sometimes, she prefers on

watching TV to eased out.

Patient is positive on her

early recovery as her family

is waiting for her at home.

Family support is beneficial to

meet unresolved need,

decreasing the feeling of

anxiety, social isolation andfacilitates positive self image.

(Kozier, Fundamentals of Nursing p1027)


11/11

BEFORE

HOSPITALIZATION

DURING


Patient is a Roman Catholic,

but rarely goes to church

every Sunday due to beingso preoccupied at home.

Though she has a great faith

on God.

Patient prays for

guidance, support and

proper healing for earlyrecovery.

Spiritual belief can enhanceself- esteem and help

protect individuals from

stress. It helps people adjustto stressful situations suchas illness, injury and loss.

( Delaune, Fundamentals of Nursing p.

470)

GORDON's Bulacan Case

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