HEALTH TEACHING HEALTH PERCEPTION AND MAINTENANCE Provided knowledge that being healthy doesnt only pertains to physical

l aspect of a person but as well as his mental and emotional well being. Advised to use soft-bristled toothbrush to prevent bleeding gums. Instructed patient to keep fingernails short and smooth to prevent skin excoriation and infection from scratching. NUTRITION AND METABOLIC Encouraged to take nutritious, high-protein diet, if tolerated, supplemented by vitamins of the B complex and others as indicated including vitamin A, C, K and folic acid. Instructed to eat small frequent meals (6per day) than three large meals, because of the abdominal pressure exerted by ascites. Instructed to limit fluid intake of 1Liter per day as ordered by the doctor. Instructed to avoid alcohol consumption and foods rich in Sodium. ELIMINATION Encouraged to defecate each time the urge is felt. Provided information that the tea colored urine is due to the present of bile related to his present condition.

ACTIVITY/EXERCISE Advised patient to minimize activity and prolong his rest periods to permit the liver to reestablish its functional ability. It also reduces the demands on the liver and increased the livers blood supply. Encouraged and assisted in turning side to side, which could help in preventing such problems as pneumonia and pressure ulcers and to promote mobilization of edema. Encouraged to increase activity gradually within tolerable limit, after nutritional status improves and strength increases. Instructed to ask for assistance to get out of bed. Instructed and assisted family members to perform range of motion exercises to the patient every 4 hours; and elevate the edematous extremities. Instructed patients relatives to make sure that side rails are always up to prevent falls. Instructed to maintain elevation of head of bed at least 30 degrees to reduce abdominal pressure on the diaphragm and permits fuller thoracic excursion and lung expansion. SELF PERCEPTION Provided information for assessing impact of changes in appearance, sexual function, and role on the patient and family Encouraged to verbalized reactions and feelings about the changes in his physical body. Encouraged and assisted patient in decision making about care. ROLES AND RELATIONSHIP Encouraged verbalization of feelings to family members. Encouraged family members to always be the client, to provide support and care. VALUES AND BELIEFS Encouraged to always pray and ask for strength and encouragement. Encouraged to read the bible every start and end of the day.