OBJECTIVES:

GENERAL OBJECTIVE:
For us, future nurses to be able to gather all the necessary and applicable knowledge, skills and attitude towards assessing and caring for patients who will experience Pleural Effusion and also to provide specific Health Teaching. For clients, to be familiarized of what are the complications may arise if the disease is left untreated, and the different aftercare procedures necessary to do when caring for someone with this disease. CLIENT CENTERED: Knowledge: 1. To define pleural effusion as well as on how as its acquired, factors, signs and symptoms. 2. To identify the complications that may arise if left untreated. 3. To state different treatments and managements that can be done to promote wellness. Skills: 1. To follow strictly follow therapeutic regimen for better improvement/recovery. 2. To show desire to learn different concepts about the disease. 3. To recognize one's abilities and limitations. Attitude: 1. To listen for and remember the teachings rendered to him/her. 2. To show the ability in coping stress regarding his condition. 3. To know the safety rules and practices them

STUDENT CENTERED:
Knowledge: 1. To use our critical thinking in assessing the patients condition and interpreting the cues and datas gathered with appro priate nursing care management. 2. To gather necessary information regarding the concept of Pleural Effusion. 3. To select necessary teaching plans to the client. Skills: 1. To apply the knowledge we obtained from our Related Learning Experience to an actual Hospital setting with an actual patient. 2. To prioritize appropriate nursing care plans applicable to the patients condition and render an effective nursing intervention. 3. To develop rapport with the patient and understand the condition he went through and shares some of the knowledge that we obtained from the Academe that will be beneficial to the patients general condition and promote wellness. Attitude: 1. To perform and maintain effective nurse-patient relationship. 2. To be able to appreciate the severity that this disease can cause to an individual. 3. To show therapeutic respect and empathy towards the client.

72 HOUR DIET RECALL (During Hospitalization)

DAY:
1ST DAY (TUESDAY) 5/21/13 1 cup lugaw (approx. 150g) 1 pc. Medium apple (25g) 1 bottle of 250ml mineral water 1 pack of skyflakes (25g) 1 glass of 350ml mineral water 1 platter of camansi vegetable (approx. 120g) 1 cup plain rice (approx. 100g) 1 glass of water (250ml) 1 medium sized of apple (25g) 1 glass of 250ml mineral water 1 small platter of Toge vegetable (50g) 1 small size fish (approx. 25g) 1 cup of plain rice (approx. 100g) 1 glass of water (250ml) 1350ml

BREAKFAST

SNACKS

LUNCH

SNACKS

DINNER

TOTAL INPUT

2nd day (WEDNESDAY) 5/22/13 1 bowl champorado (approx. 150g) 1 cup of coffee with creamer (approx. 200ml) none 3 slices of Nilagang baboy (200g) 1 cup plain rice (100g) none 1/4 bangus with toyo (approx. 200g) 1 cup of plain rice (approx. 1200ml

1 bottle of 250ml mineral water

1 glass of water (250ml)

100g) 2 glasses of water (500ml) ripe mango (approx. 75g)

3rd day (THURSDAY) 5/23/13 1 small puto and 1 small kunchinta (approx. 150g) 1 cup coffee with creamer (approx. 200ml) 1 bottle of 250ml mineral water none 1 bowl of mongo (approx. 170g) 1 cup of plain rice (approx. 100g) 1 glass of water (250ml) none 1 platter of grounded pork with potato (approx. 120g) 1 cup of plain rice (approx. 200g) 1 glass of water (250ml) 950ml

C. Elimination Pattern
A. BOWEL ELIMANATION FREQUENCY CHARACTERISTICS DISCOMFORT B. URINARY ELIMINATION FREQUENCY AMOUNT CHARACTERISTICS DISCOMFORT PROBLEM IN CONTROL TOTAL URINE OUTPUT PRIOR TO HOSPITALIZATION
Once a day (normal to client) Usually Brown and firm None

DURING HOSPITALIZATION
1 to 2 times a day (lesser amount) Light brown and firm None

PRIOR TO HOSPITALIZATION
Usually 5-6 times a day (normal to client) 1-2 medium glass (approx. 600ml) Transparent to light yellow, aromatic odour No discomfort None 1200ml

DURING HOSPITALIZATION
Usually 7-8 times a day (normal to client) 2-4 medium glass (approx. 1000ml) Dark to light yellow, smells like medication No discomfort None 4000ml

*The client stated that he usually sweats a lot. He sweats easily even after taking a bath.