ADL Nutrition

BEFORE The client stated that Kumakain ako ng tatlong beses sa isang araw at ang kadalasang ulam namin ay karne tulad ng hotdog, tocino, chicken, baboy, isda minsan gulay at madalang lang ako kumain ng prutas. She eats at least 1 cup of rice per meal. She drinks 6-8 glass of water a day.

INTERPRETATION AND ANALYSIS During the stay of INTERPRETATION the client in the clinic, she stated Since the client was that she has an confined in the clinic, the order to have Diet clients eating pattern as tolerated (DAT) has changed due to her with bananas per condition. meal. ANALYSIS During pregnancy, a woman must eat adequately to supply enough nutrients to the fetus, so it can grow, as well as to support her own nutrition. Adequate protein intake may also help prevent complications of pregnancy such as pregnancy-induced hypertension or preterm birth. Either deficiencies or overuse of vitamins and minerals may contribute to birth anomalies or complications during pregnancy. ( Maternal and Child Health Nursing Care of the Childbearing and Childrearing Family 5th edition by Pilliteri p. 302)

AFTER

Elimination

When it comes to urine output the mother said nakaka 5-6 beses ako umihi sa isang araw at ang kulay ay medyo dilaw. Kung minsan naman ay yellow orange at nahihirapan ako umihi kung minsan kasi paunti-unti. While in stools the client stated Di naman matigas yung dumi ko, ang color nung dumi ko ay light brown. She defecates once a day.

When it comes to urine output of the client the client said ngayon mga apat na beses ako nakakaihi pero minsan pinipigil ko kasi mahirap umihi dahil may mga binibitbit pa na mga swero. Ang kulay ng ihi ko ngayon ay medyo dilaw. While on stools, the client stated di pa nga ako nakakadumi simula nung naadmit ako dito sa clinic.

INTERPRETATION There are significant changes on clients elimination pattern: the frequency, the amount and the color of the urine. There is also a change in the pattern of her stool elimination. ANALYSIS Urinary output normally is approximately equal to fluid intake. Most people void about 5 to 6 times a day. The normal color of urine is straw, amber transparent. The normal odor is faint aromatic and no microorganism present. While in the defecation the normal color adult: brown The consistency is formed, soft, semi solid and moist. The shape is cylindrical (contour of rectum) Normal odor is aromatic: affected by ingested food and persons own bacterial flora. ( Kozier Fundamentals of Nursing 8th Ed. Vol 2 pp. 1290-1293 And page 1325) When mobility is an effort, a woman may not drink as much as usual or use a bathroom as frequently as she would

if those actions were effortless. Encourage a high fluid intake and frequent voiding to prevent urinary tract infections. ( Maternal and Child Health Nursing Care of the Childbearing and Childrearing Family 5th edition by Pilliteri p. 478)

Exercise

The client said kapag umaga, naglalakad lakad ako sa labas ng bahay namin para naman kahit papano eh nakakapag exercise pa rin ako

The client verbalized that she only lies and sit on bed. The client said: ngayon di na ako nakakapaglakadlakad di tulad ng dati dahil nanghihina yung paa ko

INTERPRETATION Since the client was confined in the clinic, the client cant perform her usual activities. ANALYSIS Exercise during pregnancy is important to prevent circulatory stasis in the lower extremities. It can offer a general feeling of well-being. ( Maternal and Child Health Nursing Care of the Childbearing and Childrearing Family 5th edition by Pilliteri p. 478)

Hygiene

The client stated that she takes a bath 2 times a day. Also, she changes her clothes when she perspires a lot. The client cut her nails when she sees it long. She brushes her teeth

The client stated that she doesnt take a bath since she was admitted here in the hospital but every day she make sure that she changes and is dressed properly.

INTERPRETATION Since the client was confined in the clinic, some of the clients usual hygiene cant be performed which is normal. The client has a poor hygiene since she doesnt have a bath from

after meals.

the time she was admitted here in the clinic. ANALYSIS Hygiene is the science of health and its maintenance. Personal hygiene is a self-care by which people attend to. When an individual experience an impaired function it will lead to decreased ability to feed, bathe, dress or toilet oneself. (Nursing diagnosis Application to Clinical Practice by Lynda Carpenito page 374) INTERPRETATION Before was confinement in the clinic, the client had no substance use. ANALYSIS Cefuroxime is an antibiotic drug given It is used to treat certain kinds of bacterial infections. Plain Normal Saline Solution is used for replacement therapy to replace current losses in fluid and electrolytes Potassium chloride is important for the heart, muscles, and nerves. It is found in many foods and is normally supplied

Substance Abuse

Before hospitalization, the client told us that the she doesnt have any maintenance or medications. The client had no substance use prior to hospitalization.

During hospitalization, the client was given the following medications. Cefuroxime, , Plain Normal Saline Solution (main line), 40 meq Potassium Chloride (side drip), Ferrous sulfate and Multivitamins

by a well balanced diet. This medicine is used to treat low potassium. Ferrous sulfate replaces iron that is essential to healthy red blood cells. Iron is used to treat iron deficiency anemia. Multivitamins: BComplex Vitamin with Vitamin C is a multivitamin. It is mostly used to help provide good nutrition to people who need extra intake of these vitamins due to stress, renal disease, or other medical conditions. 2010 LIPPINCOTTS NURSING DRUG GUIDE SLEEP PATTERN The client stated that before admission in the clinic, the client had 8 hours of sleep everyday starting from 1 am until 9 am. The client stated that she had no definite pattern on the time of sleep because she wakes up every hour or every other hour. The client takes naps during her stay in the clinic. The client said Ngayon mga 2 am na ako nakakatulog at nagigising ako ng mga 6 am pero ung tulog ko sa mga oras nay un ay paputol-putol INTERPRETATION There was a difference in the clients sleeping pattern before and during her stay in the clinic. ANALYSIS Before her stay in the clinic, the client gets 8 hours of sleep. According to the book of Kozier and Erb, adults are required to have 6 to 8 hours of sleep. So the client had normal sleeping pattern. One of the reason of

confinement in the clinic is to provide period of rest. Bed rest or mechanical restraining devices are frequently prescribed to aid in the healing and restorative process. Environment also play a vital role in promoting sleep, people needs a quiet room. This restful environment such as clinic setting helps to reduce sleep interruptions, satisfy the client by providing a room temperature and ensure safe environment. Kozier & Erbs Fundamentals of Nursing 8th Ed. Vol 2

SEXUALITY

The clients doesnt have any sexual activity with her husband after they discovered that she is pregnant.

INTERPRETATION The patient doesnt have any sexual activity with her husband during her pregnancy. ANALYSIS Early in pregnancy, a woman may experience A decreased desire for coitus resulting from the increased levels of estrogen from the body. ( Maternal and Child Health Nursing Care of the Childbearing and

Childrearing Family 5th edition by Pilliteri p. 275)