ACTIVITIES OF DAILY LIVING

Activities

Before Hospitalization

During hospitalization Analysis:

Analysis

1. Nutrition

Before the client was The client during Proper nutrition is likewise essential to preventing deviations hospitalized, she usually eats hospitalization was instructed from the normal state or the establishment of acute or chronic 2-3 times a day which includes to be on an NPO diet. diseases. All of lifes food choices bring upon health effects for breakfast, lunch, and dinner. the better or for worse. A single days intake of nutrient may The patient consumes a cup of exert only a minor effect on the body, but over years and rice and it is usually comes on decades, the repeated effects accumulate to have major her every meal especially at impacts. In people with certain medical condition, modified breakfast. According to the diets serve to manage the symptoms and help achieve a better relatives the client had a good quality of life. The average adults drinks about 1500ml per day appetite before hospitalization. but needs 2,500 ml per day Generally, an adult eats three The client often eats pork and meals, which includes breakfast, lunch and supper with one to vegetables. The client likes two additional snacks per day. (Fundamentals of Nursing, 7th also drinking coffee. Ed. Kozier et.al.pp.1356) According to relatives the client would drink coffee five Interpretation: times a day. Most of their viands are fried. For her fluid The client usually consumes oily foods and caffeinated drink intake, she drinks at least 5-6 that are rich in fat. High consumption of these led the client to glasses (1000- 1200 ml) of have increased blood pressure and Diabetes. Since then, she water a day exclusive of other started to diminish her eating of fatty foods to avoid other fluid intake from his meals. various problems. The client remains on prolonged NPO because of her medical condition. An example of her everyday meal is: A cup of rice, tortang talong and cup of coffee for breakfast. A cup of rice,

giniling na baboy and a cup of water for lunch. A cup of coffee for merienda. A cup of rice, gulay and fried galunggong for dinner. Analysis: 2. Elimination The client defecates every The client urinates in the Patterns of defecation vary in frequency, quantity, and other day. According to the diapers. According to the consistency. patients relatives, her stool is relatives the diaper would be Defecation patterns vary at different stages of life. normal as brownish in color, described not totally soaked Circumstances of diet, fluid intake and output, activity, formed and has foul odor. in urine. The client has not psychologic factors, lifestyle, medications According to them, she yet defecated since admission and medical procedures, and disease also affect defecation. urinates approximately 3 to 4 in the ward. Although after Numerous factors affect the volume and characteristics of times a day. They described the operation, expulsion of urine produced and the manner in which it is excreted her urine typically as clear to blood was noted at the (FUNDAMENTALS OF NURSING, 7TH Edition by Barbara yellowish in color, and diapers. The blood Kozier pages 1228 and 1258) aromatic in odor. She does not discharged was described as have any difficulty with any of odorless, dark red in color these elimination patterns. and in clusters. Interpretation: People of all ages experience loss of bladder and bowel control, but the majority of those who suffer from this condition are over the age of sixty. The client suffers from incontinence. This serves as a very real reminder that the body is not working properly.

Analysis: 3. Exercise The client does not have any The client does not have any Individuals who have inactive lifestyles or who are faced with form of exercise due to form of exercise. She is in inactivity because of illness or injury are at risk for many

difficulty walking The client complete bed rest without problems that can affect major body systems. Clients uses a wooden staff for bathroom privileges. experience a significant decrease in muscular strength and walking. 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: The client doesnt engage herself through such activities. Thus wasting some muscles and tissues. Regular exercise provides a numerous of health benefits to the client including improvements in blood pressure and diabetes. Elderly cannot have a vigorous exercise. It is a good idea for seniors to have a 10minute exercise 2-3 times in a week. Regular exercise provides a numerous of health benefits to the client including improvements in blood pressure and diabetes.

Analysis: 4. Hygiene According to the relatives of She had not bathed since Clients hygienic practices are influenced by numerous factors the patient, she takes a bath admission due to restriction including culture, religion, environment, developmental level, every other day, cuts her nails of bathroom privileges health and energy, and personal preferences. twice a week and wears although her sons wash her (FUNDAMENTALS OF NURSING, 7TH Edition by Barbara slippers at home. According to face and body with towel at Kozier page 753) the relative of the patient, she the bed.

does not brush her teeth because she doesnt have any teeth anymore. Their family does regular house cleaning to keep it safe and clean. For their waste disposal, their garbage are kept in a garbage bag and collected every week.

Interpretation: The client is immobile and has difficulty in achieving hygiene. Maintaining good personal hygiene is an essential part of caring for an elderly person. It enhances a person's physical and mental well-being. Many elderly people are somewhat reluctant to let another person administer their daily personal hygiene routine. They may feel that they have lost self-respect and personal dignity. This is exactly how elderly people feel, regardless of their illness.

Analysis: 5. Substance abuse The client has no present and The client has no present and Alcohol is a depressant drug and most widely used by adults in history of substance abuse history of substance abuse our society. For them, it has produced many enjoyable noted. noted. moments and many sad ones as well. Smoking begins primarily during childhood and adolescents. One study found out that, once young adolescents begin to smoke cigarettes, the addictive properties of nicotine make it extremely difficult for them to stop. (Life-Span Development 8th edition by John W. Santrock pages 359-362) Interpretation: Substance abuse for older adults can mean many things. It includes the use of drugs that can change the clients mood, such as alcohol, tranquilizers, or illegal drugs.

Analysis:

6. Rest and Sleep The client has 6 to 8 hours of During hospitalization, the Most adults require 8 to 10 hours of sleep each night to prevent sleep a day. The patient takes a patient had difficulty undue fatigue and susceptibility to infections. nap in the afternoon for 2 sleeping and hasnt had a (FUNDAMENTALS OF NURSING, 7TH Edition by Barbara hours. Her usual routine for her good sleep since admission. Kozier page 1116) to fall asleep is by watching television. She also wants that Illnesses that cause pain or physical distress can result in sleep the lights are off when she is problems. People who are ill require more sleep than normal, sleeping. 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 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: Most adults need 7 or 8 hours of sleep each night to feel fully alert during the day. But as we get older, we might have more trouble sleeping. In the case of our client, her sleep problemis caused by illness, by pain that keeps her from sleeping.

Analysis: 7. Sexual Activity The client is not sexually The client is not sexually The WHO defined sexual health as the integration of the active. active. 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 ix 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: One of the most significant losses with advancing age is the loss of intimacy. Many seniors have no opportunity for physical contact and affection.