Data Organization and Norms and Standards

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    DATA ORGANIZATION AND NORMS AND STANDARDS

    FUNCTIONAL PATTERN NORMS AND STANDARDS

    Health Perception and Management

    S>

    Based from the given question How would yourange your health status today? the client

    answered 5 ecause most of the time shefeels stressed!

    "he considers eing away from any #inds ofillnesses as a form of eing healthy and as oneof her health goals!

    Her eliefs and practices aout eing healthyare y ta#ing $itamin %& drin#ing plenty ofwater and y ta#ing enough sleep!

    'he patient usually visits her health careprovider if ever there are prolems with herhealth& most especially when she(s havingsevere asthma!

    "he also visits her dentist for a chec#) upevery three months!

    'he client is usually having her annual chec#)up at least three to four times a year so that

    she could have an idea on how to improve herhealth status and how to maintain her goodhealth haits!

    Her safety practice to #eep her health is ystaying away from polluted places and y#eeping herself clean as much as possile! *orher& these #inds of safety practices to #eep herhealth are effective!

    "he maintains her health y eating fruits andvegetales and y trying to have an enoughamount of rest!

    "he does not perform reast self) e+amination

    ecause she is not familiar of the steps on howto do it!

    ,t is easy for her to follow the things that herdoctor suggests ecause she wants to have a

    "tress causes an+iety& and an+iety affectsperformance! -lso& stress affects a person(s

    thin#ing y filtering information .e!g!& onlyhearing the information you want to hear ormissing all of the information/& whichsusequently affects prolem) solving aility!.0o1ier 2 3r(s *undamentals of 4ursing th

    3dition $olume 67 p! 86/

    "cientific or iomedical health is ased on theelief that life and life processes are controlledy physical and iochemical processes that cane manipulated y humans! 'he client with thisview will elieve that illness is caused ygerms& viruses& acteria& or a rea#down of thehuman machine& the ody! .0o1ier 2 3r(s

    *undamentals of 4ursing th3dition $olume 97p! :68/

    People who elieve that they have a ma;orinfluence on their own health status) that healthis largely self) determined) are called internals!People who e+ercise internal control are moreli#ely than others to ta#e the initiative on theirown health care& e more #nowledgeale aouttheir health& and adhere to prescried healthcare regimens such as ta#ing medication&ma#ing and #eeping appointments with primaryhealth care providers& maintaining diets& andgiving up smo#ing! .0o1ier 2 3r(s

    *undamentals of 4ursing th

    3dition $olume 67p! 8

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    healthy life!

    ,n the client(s feeling aout her healthconcerns& she verali1ed that& #ey namana#o pagdating sa mga health concerns& walanaman a#ong masyadong pinoprolema dun#asi as much as possile sumusunod naman

    a#o sa mga dapat #ong gawin para malayo a#osa sa#it! .'he client(s statement was relevantto the situation when she was as#ed aoutthis/!

    *or her personal hygiene& she ta#es a ath forat least twice a day and rushes her teeththrice a day! "he wears slippers at home andshe washes her hands efore and after eating!"he uses deodorant and cologne to stay freshthe whole day! "he trims her nails once awee#!

    hen it comes to ta#ing care of the ody& shestated that& syempre naman sinisugurado#ong malinis ang uong #atawan #o! 4aliligoa#o twice a day& nagtu) toothrush a#ouma#ain a#o ng gulay at prutas& at umiinomng maraming tuig!

    'he client doesn(t have any vices ut whethershe li#e it or not& she could often smell thesmo#e of cigarettes ecause of thesurroundings in her school and she can(t ta#eaway the fact that a lot of students in herschool are smo#ers! Moreover& she(s aware ofthe effects of those things to her health!

    -out the presence of environmentalcontaminants& the client verali1ed thateynaman sa ahay& malinis naman at walanglamo# o #ung anumang madumi! @un nga langpag papunta na a#o sa school& dun madalasmas madaming dumi tulad na lang ng uso# sasigarilyo at sasa#yan!

    Her environmental surroundings at home arewell) lighted and well) ventilated so she doesn(thave any prolems with it!

    @ung lugar #ung saan a#o na#atira& o#eynaman #ahit dorm siya! Maaliwalas naman atmay enough space #aya #omporale na rin a#odun!

    'he client has no prolems when it comes tothe environmental sanitation ecause theyalready have a clean water supply and cleantoilet facilities! 'heir garage is also collectedy the garage collector!

    .0o1ier 2 3r(s *undamentals of 4ursing th

    3dition $olume 67 p! 8

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    @ung sa community naminC #umpleto namanyung facilities #aya wala a#ong prolematung#ol dun!

    @ung sa services naman na ino) offer ngmunisipyo namin& medyo wala a#ong alam dunpero nangongole#ta ata sila ng asura araw)

    araw& said the client aout the place she iscurrently living in and aout the community andmunicipal services given to their place!

    *or indoor and outdoor clothing& the clientstated that& Pag nasa ahay a#o& shorts at ')shirt pero pag nasa laas& pants at ') shirt!

    'he client(s hygienic practices at home is thatshe sweep the floor twice a wee# and shema#es sure that their trash is eing collectedy the garage collector everyday!

    Her usual activities done outdoors is playingvolleyall when she and her friends have e+tratime and mostly wal#ing!

    'he client descried her health as& yun angnagagawa #o ang lahat ng dapat #ong gawinnang walang sagaal na #ahit ano& tulad ngsa#it!

    *or her& Difestyle affects health! 'he clienthas no prolems with regards to healthcarefinancing!

    'he client avoids eating seafood so that shewould not have any allergy attac#s!

    Meron a#ong sugat sa left leg #o! 'inahi siya&mga 68 stitches yun! 4aasagan #asi a#o ngote sa paa #aya ayunC nasugatan a#o! 'heclient said& when she was as#ed if there areany important in;uries or illnesses in her life!

    'he client doesn(t have any pets at homeecause of her asthma! -s much as possileshe avoids having furry pets at home!

    'he client has appliances li#e air) conditioningunit& electric fan& television set& E$E player&computer& and everything that she needs!

    O>

    .0o1ier 2 3r(s *undamentals of 4ursing th

    3dition $olume 67 p! :69/

    - safe home requires well) maintained flooringand carpets& a nons#id athtu or showersurface& functioning smo#e alarms that arestrategically placed& and #nowledge of fireescape routes! utdoor areas such asswimming pools need to e safely secured andmaintained! -dequate lighting& oth inside andout& will minimi1e the potential for accidents!.0o1ier 2 3r(s *undamentals of 4ursing th

    3dition $olume 67 p! :69/

    3ducation aout safety precautions and in;uryprevention is a ma;or role of the nurse inpromoting the health of young adults! .0o1ier 23r(s *undamentals of 4ursing th 3dition$olume 67 p! 8F5/

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    Body uilt& height& and weight& in relation to theclient(s age& health and lifestyle) Proportionate&varies with lifestyle

    %lient(s posture and gait& standing& sitting& andwa#ing) %oordinated& Gela+ed& 3rect

    %lient(s overall hygiene and grooming) %lean&

    neat "igns of health or illness) Healthy appearance

    %lient(s attitude) -le to follow instructions

    %lient(s affectmood7 appropriateness of theclient(s responses) -ppropriate to the situation

    Iuantity and quality of speech)Jnderstandale& moderate pace& low tone

    Gelevance and organi1ation of thoughts) Has asense of reality& Dogical sequence

    4utritional and Metaolic

    S>

    'he client(s typical daily food inta#e is that sheconsumes at least one to two cups of rice

    during rea#fast& lunch and dinner!

    Her typical daily fluid inta#e ranges from aout6!F9 to 9!A= liters per day! "he consumes morewater than any other fluids li#e fruit ;uices mil#or chocolate drin#s!

    "he is more on read than rice and sheprefers to eat wheat read rather than theordinary read!

    "he ta#es 3nervon Multivitamins .A5

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    'he client li#es to eat fried dishes& sweets& andmeat and she also li#es to drin# pineapple

    ;uice! "he has a good appetite for sweet andspicy foods and she doesn(t prefer to eat itterfoods!

    Her food is always prepared well) done e+ceptfor the vegetales ecause for her& thevegetales should not e overcoo#ed!

    "he usually eats at school& in fast foodrestaurants and at home together with herfriends and family!

    'he client doesn(t have any prolems when itcomes to food udgeting!

    "he has lost 9 pounds since -ugust 9& 9

    "#in) Desions according to location&distriution& si1e& shape& type structureK*rec#les& some irthmar#s& some flat andraised nevi7 no arasions or other lesionsK 4os#in prolems

    Mouth) .lips/K Jniform pin# color& soft& moist&smooth te+ture& symmetry of contour& aility topurse lips7 .mucosa/K Jniform color& moist&smooth& soft& glistening& and elastic te+ture7.teeth/K 89 teeth7 smooth& white& shiny toothenamel& smooth& and intact dentures7 .gums/K

    pin# gums& moist firm te+ture to gums& noretraction of gums

    4ursing th3dition $olume 97 p! 698/

    People develop li#es and disli#es ased onassociations with a typical food! .0o1ier 23r(s *undamentals of 4ursing th 3dition$olume 97 p! 698/

    -dvertising is thought to influence people(s foodchoices and eating patterns to a certain e+tent!.0o1ier 2 3r(s *undamentals of 4ursing th

    3dition $olume 97 p! 69=

    'he client defecates every other day orwhenever she feels that there is an urge!

    'he frequency of defecation is highly individual&varying from several times per day to two orthree times per wee#! .0o1ier 2 3r(s*undamentals of 4ursing th3dition $olume 97p! 6895/

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    'here are no recent environmental changes inher defecation!

    -ccording to her& her feces is color rown& thete+ture is smooth& it has no foul odor& and it issemi) formed in consistency! "he also stated

    that& 'here are no changes in thecharacteristics of my feces recently in the pasttwo years! 'here are also no changes in myowel elimination pattern!

    ala naman a#ong prolema sa pagdumi #o!CBasta dapat nasa ayos ang pag#ain #o parahindi a#o mahirapan dumumi! Eapat dinuminom ng maraming tuig para mas magandaang digestion& hindi #asi pwedeng umasa #a nalang sa pag) inom ng #ahit anong flids o #ahitanong gamot na pampaayos ng digestion!3ffective naman yung mga ginagawa #ong

    yun para sa L#in #aya hindi a#o nag#a#aroonng constipation! 'he client said!

    "he urinates for appro+imately five to eighttimes a day! 'here are no changes in herurinary elimination pattern since puerty untilthis current time! "he urinates every two tothree hours or whenever she feels the urge orwhenever she feels nervous or cold!

    "he sometimes hesitates to urinate whenevershe(s in the middle of an e+amination!

    Her urine is clear to light yellow and& it has nofoul odor!

    'he amount of urine that she eliminates daily isfrom 6!5

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    two to three hours! Moreover& she alsoverali1ed that& 'o e ale to achieve this& youhave to drin# lots of fluid and it also dependson the #ind of fluid that you will drin# as towhen you will again feel the urge to urinate!*or her& she finds it more effective to do those

    #inds of practices!

    Dastly& the client has no e+cessive perspirationand has no odor prolems!

    O>

    4ormal Jrine %haracteristics) color& clarityKstraw& amer& transparent7 odorK faint aromatic7sterilityK no microorganisms present7 pHK =!5) 7specific gravityK 6!

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    nagaasa na lang a#o! -yo#o #asi ngmasyadong na#a#apagod na gawain #asipalagi na nga a#ong pagod dahil sa wor# e!Nthe client said!

    'he client also en;oys swimming as one of her

    leisure activities! "he en;oys this #ind ofactivity once in a while to feel more rela+ed andpeaceful! *or her& it is important to have leisureactivities ecause it ma#es her physically fitand healthy!

    'he client prefers to sleep during her sparetime so that she could catch up with thenumer of sleeping hours that she lost!

    'he client verali1ed that& N-ng damingnagago ngayon& #ung last year may time paa#o para sa ia #o pang mga agay na gusto

    #ong gawin& ngayon halos wala na a#ong timepara sa iang mga agay& tulad na lang ngpamamasyal!

    Eahil na rin sa marami na a#ong ginagawa&hindi a#o nao) ore!N NMadami namangmapag#a#aaalahan sa ahay e& may t!v! #ami#aya lang& hindi lang talaga a#o pala) nood&may player naman a#ong pwedeng pa#ingganang music at may internet din naman!N

    3ven though the client has so much wor#& shementioned that there was nothing changed inher physical appearance!

    'he only thing that has changed is that shesheOs getting tired everyday ecause of schoolwor#!

    n a scale of 6) 6

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    to restoring her energy after resting& sheverali1ed that& 4o& #elangan sapat yungenergy #o para sa awat araw!

    'he client doesn(t have any physicalcomplaints now than efore!

    "he also mentioned that since she is still acollege student and has no ;o& her wor# is ;ustto study and sometimes do household choresat home!

    O>

    Body uilt& height& and weight& in relation to theclient(s age& health and lifestyle) Proportionate&varies with lifestyle7 %lient(s posture and gait&standing& sitting& and wa#ing) %oordinated&Gela+ed& 3rect7 signs of distress& in posture orfacial e+pression) 4o signs of distress7 "igns of

    health or illness) Healthy appearance "leep) Gest

    S>

    'he client is ale to sleep for at least four toseven hours a day!

    "he usually sleeps at one o( cloc# in themorning and wa#es up at seven o( cloc# in themorning!

    !

    'he client feels rela+ed and refreshedwhenever she gets to sleep for five to eight anda half hours and she feels la1y whenever sheonly gets to sleep for five to si+ hours!

    "he ta#es a nap efore studying her lessons!"he ta#es a nap in the afternoon if she has freetime in school and at night efore she does herassignments at home for aout thirty minutes&ut sometimes it e+ceeds up to an hour andthirty minutes ecause of tiredness!

    'he client manages to find time for other

    activities li#e church wor#& household chores&and going out with friends!

    'he client doesn(t engage in self) reflection!

    'here have een no notale changes in herpast and present set of activities!

    -dolescents .69 to 6 years of age/ require F to6< hours of sleep each night7 however& fewactually get that much sleep! .0o1ier 2 3r(s*undamentals of 4ursing th3dition $olume 97p! 66A/

    ,nsufficient sleep) healthy individuals whootain less sleep than they need will e+periencesleepiness and fatigue during the daytimehours! .0o1ier 2 3r(s *undamentals of4ursing th3dition $olume 97 p! 66:8/

    %omfort measures are essential to help theclient fall asleep and stay asleep& especially ifthe effects of the person(s illness interfere withthe sleep! .0o1ier 2 3r(s *undamentals of4ursing th3dition $olume 97 p! 66:/

    - short daytime nap .e!g!& 65) 8< minutes/& cane restorative and not interfere with nighttimesleep! .0o1ier 2 3r(s *undamentals of4ursing th3dition $olume 97 p! 66::/

    Geflection is thin#ing from a critical point ofview& analy1ing why one acted in a certain way&and assessing the results of one(s actions!.0o1ier 2 3r(s *undamentals of 4ursing th

    3dition $olume 67 p! =5=/

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    'here are no changes with her sleep pattern!

    @ung sleeping environment #o& o#ey namansiya& wala naman a#ong prolema dun in away na wala namang maingay sa pagtulog #o!

    CHindi rin a#o nagsi) sleep tal# o nananaginipng #ung anu) ano pag tulog a#o!

    CHindi naman mahirap ma#atulog at masna#a#atulong sa a#in yung pa#i#inig sa musicpara ma#atulog a#o nang mahiming!

    'he client(s sleep pattern has no interruptionsand she usually wa#es up at the same time& notunless when she(s really tired and when shereally lac#s sleep!

    "he sleeps with her friends and or group mateswhenever there are overnight activities to edone li#e school wor#& ut most of the time shesleeps in her dorm! 'his started when she wasalready in college! "he doesn(t use any #ind ofdrugs that affect her sleep ut she drin#s coffeewhenever there are overnight school wor#s!

    'he client was ale to fulfill her responsiilitiesfully!

    3nvironment can promote or hinder sleep! -nychange) for e+ample& noise in the environment)can inhiit sleep! 'he asence of usual stimuli

    or the presence of unfamiliar stimuli canprevent people from sleeping! .0o1ier 2 3r(s*undamentals of 4ursing th3dition $olume 97p! 66:

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    'o ta#e care of her vision& she avoids reading

    when she is lying down!

    'he client has no difficulty in her hearing!

    "he doesn(t use any medications and shedoesn(t use any hearing aid! "he hasn(t hadher ears e+amined since her enrollment forcollege last summer of 9

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    "a schoolC ayus naman! ala namangmasyadong prolema dun #undi marami langtalagang #elangang ipasang paper wor#s atreports pero& na#a#araos naman a#o #ahitpapano #asi natatapos #o naman ang lahat ontime!

    CPag may prolema sa school& madali #olang naman na naso) solve yun #asi nandyannaman ang classmates #o& minsan sa #anila nalang a#o nagtatanong #ung meron a#ong hindinage) gets tapos sa#a #o na lang siya pinag)aaralan! 'he client mentioned aout herschool performance!

    O>

    4ear visionK -le to read newsprint at 6= in7*ar visionK Deft 9

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    Custo #o ding maging nurse alang arawC#elangan #o nga lang mag) aral nang mautipara matupad yon!

    'he client li#es to e with people who #nowhow to appreciate things and it is also

    important for her that they also #now how tocommunicate with people very well! -ne+ample is that the client li#es to e withpeople who have a sense of humor!

    'he client states aout her mood that&0almado a#ong tao at nag) iia lang angmood #o pag sorang dami na ng tinatraaho#o at pag tuwing maiinit ang panahon minsan&eto na rin ang mga factors na nagpapasama ngaraw #o o #aya na#a#apag) pagalit sa#in!

    CPag ad trip a#o& madalas na nananahimi#

    na lang a#o #aya yung mga tao sa paligid #o&naniniago sa#in!

    CPositive thin#er a#o #aya #ung ire) rate #oang sarili #o& siguro & #asi #aya #og dalhin angsarili #o! Para sa#in& #untento na a#o sa sarili#o at #ung anuman ang pag) uugali na merona#o ngayon #asi hindi naman a#o nag#a#a)prolema tung#ol dun! "atisfied na #o samood na madalas meron a#o #asi di namansiya na#a#asagaal sa mga ginagawa #o!

    CProlematic naman a#o pag may maaanggrades a#ong na#u#uha!

    LC0ung may nag) o) offer naman sa#in ngtulong& e di syempre tinatanggap #o para masmagaan ang traaho!

    - young child(s values are largely influenced ythe family and culture! Dater on& peers

    influence the child and therey affect the senseof self! .0o1ier 2 3r(s *undamentals of4ursing th3dition $olume 97 p! 6

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    initiate ng activity tulad ng pagputa sa mallpero pag outing syempre parents! 'he clientsaid aout her relationship with her family!

    C"yempre tinutulungan a#o ng lahat ngfamily memers #o at hindi nila a#opinapaayaan anu(t anuman!

    CHindi rin a#o natata#ot na saihin #ung anoang nararamdaman #o!

    C4afu) fulfill #o naman ang role #o sa family#o #ahit papaano #ahit na madami a#ongginagawa!

    C0ung may family conflicts& dinadaan na langnamin sa usapan para maayos na ma) solve!

    Cala din #aming situational crisis na

    dinanas #asi nga palagi #aming masaya!

    'here is also sufficient income for their needsand she feels li#e a part of the community thatthey are living in!

    $olume 67 p! =8=/

    Messages are constantly eing communicatedamong family memers& oth verally andnonverally! .0o1ier 2 3r(s *undamentals of4ursing th3dition $olume 67 p! =8=/

    Gole performance relates what a person in aparticular role does to the ehaviors e+pectedof that role! .0o1ier 2 3r(s *undamentals of4ursing th3dition $olume 97 p! 6

    'he client e+presses herself as a woman y

    wearing clothes that are appropriate for womenli#e her!

    "he is also comfortale in the gender in whichshe elongs and she doesn(t have anyprolems with regards to this #ind of matter!

    Her relationship with the opposite se+ is normalin a way that she is comfortale withcommunicating with them! "he can go withanyody& whether male or female may it e!

    Gight now& she has someone significant in herlife and she feels satisfied with it!

    "he first had her menstrual period when shewas in rade A! ,t happened in the year 9

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    to four pads a day!

    "he doesn(t have any menstrual prolems!

    "he doesn(t perform reast self) e+amination!."he does not perform reast self) e+aminationecause she is not familiar of the steps on howto do it!) health perception and managementpattern/

    O>

    Breast and -+illae) "i1e& symmetry& contour orshapeK *emalesK rounded shape& slightlyunequal in si1e7 generally symmetric7 Jniform

    s#in color.same appearance as s#in ofadomen or ac#/7 s#in smooth intact7 diffusesymmetric hori1ontal or vertical vascularpattern in light)s#inned people7 striae. stretchmar#s/7 moles and nevi7 Gound or oval andilaterally the same7 colors varies widely7 formlight pin# to dar# rown7 irregular placement ofseaceous glands on the surface of theareola.Montgomery(s tuercles/7 Gound&everted& and equal in si1e7 similar in color7 softand smooth7 oth nipples point at the samedirection7 4o tenderness& masses& nodules ornipple discharge74o tenderness& masses&nodules or nipple discharge

    Eysmenorrheal .painful menstruation/ isprevalent among adolescent females! .0o1ier2 3r(s *undamentals of 4ursing th 3dition$olume 97 p! 6

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    uhay nila at isa pa& hindi mo naman mapi)please ang lahat ng tao sa paligid mo e!

    CPag may failure naman& tinatanggap #o nalang at iniisip #o na lang na sa susunod alam#o na ang gagawin #o sa susunod na malagay

    ulit a#o sa ganung sitwasyon!O>

    %lient(s attitude) -le to follow instructions

    %lient(s affectmood7 appropriateness of theclient(s responses) -ppropriate to the situation

    Iuantity and quality of speech)Jnderstandale& moderate pace& low tone

    Gelevance and organi1ation of thoughts) Has asense of reality& Dogical sequence

    a death in the family& or pressure from peers!.0o1ier 2 3r(s *undamentals of 4ursing th3dition $olume 97 p! 6

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    "he does not perform reastself) e+amination ecauseshe is not familiar of thesteps on how to do it!

    -out the presence ofenvironmental contaminants&the client verali1edthatey naman sa ahay&malinis naman at walanglamo# o #ung anumangmadumi! @un nga lang pagpapunta na a#o sa school&dun madalas mas madamingdumi tulad na lang ng uso#sa sigarilyo at sasa#yan!

    Meron a#ong sugat sa leftleg #o! 'inahi siya& mga 68stitches yun! 4aasagan #asia#o ng ote sa paa #ayaayunC nasugatan a#o! 'heclient said& when she was

    as#ed if there are anyimportant in;uries or illnessesin her life!

    O>

    Perception of changes inpatterns of energy flow& suchasK movement .wave& spi#e&tingling& dense& flowing/&sounds .tone& words/&temperature change

    .warmth& coolness/& visualchanges .image& color/&disruption of the field.deficient& hole& spi#e& ulge&ostruction& congestion&diminished flow in energyfield/!

    Eemonstrated lac# of

    ,neffective healthmaintenance related tounachieved developmentaltas#s

    contamination due to airpollution

    in;ury related to internal ris#factors due to ro#en s#in.physical/

    p!96

    Provide information aoutindividual health care needsusing client(s "(s preferredlearning style .e!g! pictures&words& video& internet/ to

    assist the client inunderstanding own situationand enhance interestinvolvement in meeting ownhealth needs! >4urse(sPoc#et uide 66th 3ditionp!8AF

    Eiscuss protective actions forspecific ad air days .e!g!limiting avoiding outdooractivities/ especially insensitive groups .e!g!&children who are activeoutdoors& adults involved inmoderate or strenuousoutdoor activities& personswith respiratory diseases/!>4urse(s Poc#et uide 66th

    3dition p!964urse(s Poc#et uide66th3dition p!=6:

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    #nowledge regarding asichealth practices!

    PollutionK .Ma;or DocationsKair& water& soil7 ma;or agentsKasestos& radon& toacco

    Qsmo#eR& heavy metal& lead&noise& e+haust!

    3limination

    S>

    "he sometimes hesitates tourinate whenever she(s in themiddle of an e+amination!.hesitancy) 4urse(s Poc#etuide p! :96/

    O>

    Getention

    ,mpaired urinary elimination -scertain client(s previouspattern of elimination forcomparison with currentsituation! -s# aout notereports of prolems .e!g!&frequency& urgency& painfulurination7lea#ingincontinence7changes in si1e force ofurinary stream7 prolemsemptying ladder completely7nocturia enuresis! >4urse(sPoc#et uide p!:98) :9=

    -ctivity)3+ercise

    S>

    C-ctually& #ulang talagaang oras #o o saihin nanating wala na rin a#ong oraspara dun sa e+ercise #asimas madami pang schoolwor# na iniigay ngayongsemester na Oto! "yempre&hindi rin a#o satisfied sa#ung ano mang e+ercise angnagagawa #o sa isang araw#asi #ulang nga yung oras!N

    NMinsan di #o na #ina#ayangmag) engage pa sa iangphysical activities #asistressed at pagod na rin a#ogaling school! .veral reportof fatigue wea#ness)4urse(s Poc#et uide p!:

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    changed is that she sheOsgetting tired everydayecause of school wor#!.changes in ailities physicallimitations) 4urse(s Poc#etuide p!9:A/ n a scale of

    6) 64urse(s Poc#etuide p!9::

    Eiscuss lifestyle changeslimitations imposed y fatiguestate! >4urse(s Poc#etuide p!86

    inaility to concentrate

    "leep deprivation related toinadequate daytime activity!

    Eetermine client(s usualsleep pattern ande+pectations! Providescomparative aseline!>4urse(s Poc#et uide 66th

    3dition p!A89

    %oping "tress 'olerance

    S>

    ,n relation to stress& here iswhat the client has stated!4a#a#a) stress sa#in paghindi #o na alam #ung anoang uunahin #o pag sorangdami na ng gawain!.e+presses difficulty infunctioning prolems withdecision ma#ing) 4urse(sPoc#et uide p!A5F/

    "tress overload ,ncorporate strengths assetsand past coping strategiesthat were successful forclient! Geinforces that clientis ale to deal with difficultsituations!