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BEFORE HOSPITALIZATION DURING HOSPITALIZATION ANALYSIS

HEALTH PERCEPTION

/ HEALTH

MANAGEMENT

Health is a gift from god

although patient admits that

he neglects to take good care

of his health. Pt. only seeks

health care when condition

worsens.

Patient says that god has

plans for him and says that

he religiously comply with his

treatment and medications.

Adherence to treatment usually

requires that a person make on

or more lifestyle changes to car

out specific activities that

promote and maintain health.

(MS Brunner p.41)

NUTRITION /

METABOLIC

Patient normal diet has

shellfishes, fish and

sometimes meat, patient

stated that he likes grilled

foods and fried foods. He

seldom drinks water 3 glasses

/day more of soda such as

“sparkle” 3 bottles per day. 

Patient is on NPO and only

has TPN and IVF of PNSS

regulated at  

Pt wt?? gained or loss? 

Most patients with cancer

experience some wt. loss during

their illness. Impaired nutritiona

status may contribute to both

physical and psychological

consequences.

Most IV fluids do not provide

sufficient calories or protein to

meet the body’s daily

requirements. PN solutions can

provide enough calories andnitrogen to meet the pt daily

nutritional needs. (MS Brunner

1034)

ELIMINATION Patient stated that he

defecates every other day.

Urinates for about 7 to 8 times

a day and does not experience

any discomfort or pain.

Patient states that he has had

having different defecating

usually 3 times per week, he

also experience discomfort

and compares his stool as

that of chicken food, also he

states that it is somehow

watery. Patient states that heurinates with less volume

and with a color of yellowish

to orange.

ACTIVITY Patient states that his usual

activity were doing carpenter

and fixing houses, his usual

exercise was walking and

stated that he seldom do

strenuous exercise.

Patient state that he no

longer performs exercise and

states that his activity was

limited to listening to radio

because of pain and due to

his condition.

SLEEP Patient states that his hours of 

sleep ranges from 8-10

hours/day periods of nap in

the afternoon.

Patient verbalized that he

was having different sleeping

pattern because of the

environment and because of 

his pain and frequent taking

of VS. Patient stated that the

longest sleep he had was 1

hour.

Pt. more likely to awaken

because of factors such as

frequent taking vital signs, pain

and noise. Having inadequate

sleep can affect pt. health. The

lack of quality sleep at night

often creates the need for

napping during the day. (MS

Brunner p. 207)

COGNITIVE Patient stated that he uses Patient realized that he no

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reading glasses before. He

also stated that he was having

difficult in hearing things.

longer was uses his reading

glass and still have some

hearing difficulties.

ROLE Patient stated that he was

able to provide his 2 kids

when he was still doing

carpentry. He got separated

from his wife and after his

separation he no longer sees

his kids.

Patient verbalize that he feels

sad because he cannot

provide for his 2 kids and that

he is not being visited by

them. His only companion

was his nephew.

SEXUALITY Patient has 2 kids and the

separation he no longer have

sexual activities.

Patient stated that up to now

he has no sex activity.

COPING/STRESS Patient verbalized that

whenever he has problem he

seldom thinks about them and

prefers to just forget about it.

Sometimes when the problem

became worst he prays to

god.

Patient verbalized that his

only stress is hos condition

and not seeing his loved

ones. He says that he copes

with this by praying and

listening to the radio.

Patient typically experience

distress related to alterations in

his physical and emotional heal

status, change in his level of dai

functioning, and decreased soci

support or the loss of significan

others. Isolation, loneliness,

sensory changes, financial

problems and disability increase

a person’s anxiety level and like

to cause ineffective coping.

Social support has been

demonstrated to be an effectiv

moderator of life stress (MS

Brunner p. 80)

VALUE and BELIEF Patient states that he is aChristian born again. He also

stated that he seldom goes to

church and only prays

spontaneously.

Patient stated that he praysmore after and states that

god is his only hope and that

he has plans for him.

Ideas, goals, perception andspiritual beliefs influence one’s 

choices and decisions, enhance

feeling of connectedness to God

and promote total health of 

mind, body, and spirit.

(MS Brunner p.39)