THEORETICAL FRAMEWORK Nightingale's Environmental Theory

Environmental effects She stated in her nursing notes that nursing "is an act of utilizing the environment of the patient to assist him in his recovery" (Nightingale 1860/1969), that it involves the nurse's initiative to configure environmental settings appropriate for the gradual restoration of the patient's health, and that external factors associated with the patient's surroundings affect life or biologic and physiologic processes, and his development. Environmental factors affecting health Adequate ventilation has also been regarded as a factor contributing to changes of the patient's process of illness recovery Defined in her environmental theory are the following factors present in the patient's environment:

Pure or fresh air Pure water Sufficient food supplies Efficient drainage Cleanliness Light (especially direct sunlight)

Any deficiency in one or more of these factors could lead to impaired functioning of life processes or diminished health status.

E. THEORETICAL FRAMEWORK We utilized Florence Nightingales Environmental Theory. It states that our client was a post partum who undergone Cesarean Delivery.

Florence Nightingale, often considered the first nurse theorist, defined nursing over 100 years ago as "the act of utilizing the environment of the patient to assist him in his recovery". She linked health with five environmental factors: Pure or fresh air Pure water Efficient drainage Cleanliness Light, specially direct sunlight Nightingale's environmental factors attain significance when one considers that sanitation conditions in hospitals of the mid-1800s were extremely poor and that women working in the hospitals were often unreliable, uneducated, and incompetent to care for the ill. In addition to those factors, Nightingale also stressed the importance of keeping the client warm, maintaining a noise-free environment, and attending to the client's diet in terms of assessing intake, timeliness of the food, and its effect on the person. Nightingale set the stage for further work in the development of nursing theories. Her general concepts about ventilation, cleanliness, quiet, warmth, and diet remain integral parts of nursing and health care today. In the current setting of our client in Angono General Hospital, she was clearly deprived of fresh air, pure water, and cleanliness. The OB/CS ward is not suitable for health recovery since there are foul odors present. Poor ventilation deprives the client of fresh air. About cleanliness, environmental sanitation in the OB ward is not properly maintained since the bed linens are not changed regularly. Dressings and diapers are also not changed as indicated.