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Objective Cues:
Pain scale of 8/10 ted
Facial grimace noted upon
moving no
Irritability noted
Restlessness
Pain upon moving noted
Anxiety noted
Guarding behaviour noted
Facial grimace during
movement noted
Actual Actual
Subjective: Altered Activities of Daily Living Altered activities of daily living Situational low self-esteem r/t
As verbalized by the client: related to presence of ileostomy presence of ileostomy secondary
Kabudlay kung may ileostomy. secondary to Bowel Obstruction to Bowel Obstruction
Potential Potential
Indi ko kumportable magtulog
Risk for ineffective health Risk for impaired social
kung gab e.
maintenance related to aleration interaction related to alteration in
Objective Cues: in daily living secondary to daily living secondary to
Anxiety noted Ileostomy Ileostomy