ACTIVITIES OF DAILY LIVING Activities Nutrition Before Hospitalization Before, the client eats 2-3 times a day.

He likes eating fried chicken, adobong baboy, no vegetables or fruits, and does not eat fish. Every day he would drink coke, and drinks only 1 glass of water a day. During Hospitalization Dati malakas talaga ako kumain at medyo chubby. Ngaun wala na ako masiyado ganang kumain, hindi ko kasi type ung mga pinapakain sakin dito sa hospital kaya minsan nagpapabili ako ng mga gusto ko kahit bawal at nangayayat nako ngayon ng sobra, as stated by the client. The patient is thin and appears weak. He drinks about 500 ml of water per day, but drinks coke when he wants to. Interpretation and Analysis Analysis: Proper nutrition is likewise essential to preventing deviations from the normal state or the establishment of acute or chronic diseases. All of lifes food choices bring upon health effects for the better or for worse. A single days intake of nutrient may exert only a minor effect on the body, but over years and decades, the repeated effects accumulate to have major impacts. In people with certain medical condition, modified diets serve to manage the symptoms and help achieve a better quality of life. The average adults drinks about 1500ml per day but needs 2,500 ml per day Generally, an adult eats three meals, which includes breakfast, lunch and supper with one to two additional snacks per day. (Fundamentals of Nursing, 7th Ed. Kozier et.al.pp.1356) Interpretation: Having proper nutrition is very important especially when a person is sick. Having illness sometimes does not allow a person to eat certain types of food and even be left to eat

Elimination

Before he urinates 5-7 times a day with difficulty and the color is very yellow. Before he defecates every 3 days and his stool is hard and formed.

Now that he is hospitalized, he urinates about 2-3 times a day and the color is slightly yellow with pain and difficulty. Now he defecates 2 times a week.

those foods that he doesnt like. But even though a person does not eat those foods, he must follow the advice of the doctor on his diet because it is for his own good and food a better recovery. The attitude of the client may slow his recovery or even prevent it. Compliance to the orders of the order must be emphasized to the client and must be explained well that it is for his own benefit. Analysis: Patterns of defecation vary in frequency, quantity, and consistency. Defecation patterns vary at different stages of life. Circumstances of diet, fluid intake and output, activity, psychologic factors, lifestyle, medications and medical procedures, and disease also affect defecation. Numerous factors affect the volume and characteristics of urine produced and the manner in which it is excreted. (FUNDAMENTALS OF NURSING, 7TH Edition by Barbara Kozier pages 1228 and 1258) Interpretation: The client will definitely face a problem with his elimination especially urination because his disease pertains to his reproductive organ. His

condition slightly got better when he was confined because interventions were started to be done. Because the disease of the client is more on the reproductive organ, the client must be taught to be aware of the assessment of his urine and urination. Usually the normal defecation and urination varies with people so the client must be taught to note any changes in his normal elimination. Pain is also a sign of a problem that must not be ignored by the client and must be reported to his physician.

Exercise

He does not exercise at all because he is busy with work.

He does not perform any type of exercise because he is in complete bed rest.

Individuals who have inactive lifestyles or who are faced with inactivity because of illness or injury are at risk for many problems that can affect major body systems. Clients experience a significant decrease in muscular strength and agility whenever they do not maintain a moderate amount of physical activity. In addition, immobility adversely affects the cardiovascular, respiratory, metabolic, urinary, and psychoneurologic systems. Exercises frequency is about 3 times a week, cumulative 30 minutes daily, and has an intensity of Moderate intensity as measured by the talk test and perceived exertion scale. (FUNDAMENTALS OF NURSING, 7TH Edition by Barbara Kozier, page 1068)

Interpretation: Working all day in the office does not excuse a person to be not able to exercise. Simple walking when going to the office or using stairs instead of always using the elevator could be a form of exercise to a person working in an office. On the other hand. The client can also exercise even if he is in complete bed rest in the hospital. He could perform range of motion or just a little turning and stretching. It must be a good health teaching for the client that other forms of activities could be an exercise not just going to the gym or jogging in the park. Different alternatives for exercise must be taught to the client so that he can still do exercise. Before he could take a bath every day by himself, change in his own clothes, and do usual hygiene like brushing his teeth, or go to the comfort room by himself. But now he asks his friends to help him change his clothes, after he cleans himself up, assist when brushing his teeth or when he has to go to the bathroom. Analysis: Clients hygienic practices are influenced by numerous factors including culture, religion, environment, developmental level, health and energy, and personal preferences. (FUNDAMENTALS OF NURSING, 7TH Edition by Barbara Kozier page 753) Interpretation:

Hygiene

Sleep and rest

The patient gets up at around 6 pm at night, then goes to work at 8 pm at Eastwood where he works as an IT, and then sleeps at 8 am in the morning. Hindi ako nakakatulog ng maayos kaso minsan may paperworks akong dapat tapusin or may deadlines. Mga 4-5 hours lang ako nakakatulog. Umiinom nalang ako ng kape or coke para ako ay magising

Dito sa hospital nagigising ako dahil sa ubo ko na almost a month na hindi nawawala, para ako nanghihina, nahihirapang huminga. Natutulog ako ng 8 pm sa gabi tas gumigising kapag may gamot, or gumigising mga 7 am sa umaga, yun ngalang ang problema ko pag-inuubo ako.

Proper hygiene is very important to be performed by a person. Having diseases or body weakness does not excuse a person from doing proper hygiene. It is good that other people try to help the client perform proper hygiene and he still regards his hygiene as important thing to practice even if he is weak and sick. But while other people are helping him do his hygienic practices, it must be ensured that the client still participates in the best way he can. He must not rely on other people to do it as much as possible especially when he still has the energy to do it. Analysis: Most adults require 8 to 10 hours of sleep each night to prevent undue fatigue and susceptibility to infections. (FUNDAMENTALS OF NURSING, 7TH Edition by Barbara Kozier page 1116) Illnesses that cause pain or physical distress can result in sleep problems. People who are ill require more sleep than normal, and the normal rhythm of sleep and wakefulness is often disturbed. Respiratory conditions can disturb an individuals sleep. Shortness of breath often makes sleep difficult, and people

kapag ako ay inaantok.

who have nasal congestion or sinus drainage may have trouble breathing and hence may find it difficult to sleep. (http://www.sleepdex.org/patterns.htm) Interpretation: It is really sometimes very difficult to sleep in the hospital especially when nurses, doctors and other members of the health team visits and performs their task. But as much as possible, he must try to relax and get some sleep if he can. Illness can also prevent a person from having a good sleep like having a cough. The client must comply with the treatment regimen so that his illness will be cured and he would be able to have a good sleep. Analysis:

Substance abuse

He used to drink alcohol occasionally, and smoked pack of cigarette every day. He started smoking in 2007.

The client does not smoke or drink inside the hospital but he admits that he is Substance abuse refers to the harmful or tempted to smoke even if it hazardous use of psychoactive substances, including alcohol and illicit drugs. is not good for his health. Psychoactive substance use can lead to dependence syndrome - a cluster of behavioural, cognitive, and physiological phenomena that develop after repeated substance use and that typically include a strong desire to take the drug, difficulties in

controlling its use, persisting in its use despite harmful consequences, a higher priority given to drug use than to other activities and obligations, increased tolerance, and sometimes a physical withdrawal state. Source: http://www.who.int/topics/substance_abuse/en/ Interpretation: The client was not able to smoke and drink in the hospital because it is prohibited but the client does not exhibit interest in stopping his vices. Smoking has been associated to be a cause of many diseases including cancer. It may not directly affect his testicular cancer but smoking produces harmful chemicals to the body that may aggravate his illness. The client said before that he still young and wants to live longer so he must follow his doctors and quit smoking and drinking. Peer pressure and following the bandwagon has been a reason why people starts drinking and smoking. His friends can help him to quit drinking and especially smoking. Analysis: The WHO defined sexual health as the

Sexual Activity

Before the client is sexually active. Oo sexually active ako. I

The client is not sexually active.

asked, If you dont mind me asking with girls or boys sir?. He responded with honesty, With both, but mostly boys. I asked how many times a week; he said that it depends sometimes from 3-4 times. The patient seemed comfortable of how he acted and mentioned that he has no regrets of how he turned out to be even though hes gay.

integration of the somatic, emotional, intellectual and social aspects of sexual being in ways that are positively enriching and that enhance personality, communication, and love. Sexuality is crucial part of a person's identity. Sex is central to who we are, to our emotional well-being, and to the quality of our lives. All people have the potential to positively experience and pleasurably express their sexuality. (FUNDAMENTALS OF NURSING, 7TH Edition by Barbara Kozier page 973) Interpretation: Sexual intimacy is innate to all people. It is not bad to have sex but the client must remember to have safe sex. There are many sexually transmitted disease now and it became rampant so having safe sex like the use of condom is very important.