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C. Elimination
Prior:
She voids 4-5 times a day
Her urine color is yellow which is dark
most of the times
There is no burning sensation/ pain felt
during urination
She usually moves her bowel every
morning
With brown and formed stools. But
recently, she is having difficulty in
defecating
The impression to the result of the
ultrasound of her whole abdomen is to
consider ileus; partial obstruction and
fecal stasis
During:
No pain or burning sensation during
urination
Before operation, she experienced
vomiting with yellowish vomitus and
hasnt move her bowel all throughout
the 8 hour shift
After undergoing the surgical
procedure, a nasogastric tube is used
which is attached to a drainage bottle;
a colostomy is present attached to a
colostomy bag
After operation, a foley catheter was
used which is attached to the uro bag
draining well with dark yellow urine
with an output of 175 cc was taken
after the shift
D. Activity/Exercise
Prior:
The patient ambulates within the
house
She does household chores
She takes a walk at their
subdivision to visit the neighbors
and buy at the store
She does simple exercises on the
upper and lower extremities by
means of shaking and stretching
Able to bathe herself
During:
Reaction to stimuli are slower
Decreased strength; becomes weak
in prolonged activities
E. Sexuality/ Reproductive
Married
A mother of 4 children
Menarche was on the year 1938 when she
was 11 years old
On her menopausal stage
She has no history of Sexually Transmitted
Disease or any disease affecting her
genitals
F. Cognitive/Perceptual
Prior:
No sensory deficits but functions are
diminished due to age
Oriented to people, time, and place
Responds to stimuli verbally and
physically
Pain felt radiating on the abdomen
During:
Pre-operative Phase
Before operation, she verbalized, Sakit
kaayo akong tiyan tapos butod ko.
Magbalik-balik ang sakit.
She rated pain as 8, from a pain scale of
1-10, 10 as the highest possible pain
perceived
She claimed that pain starts at the right
upper quadrant and radiates all
throughout the abdomen
Claimed pain to be intermittent
In normal thought process
Post-operative Phase
Akong tahi, nagasakit pa., as verbalized
Felt pain around the surgical site
Slight facial grimacing
Can respond to stimuli verbally and
physically with weakness noted
Believes that pain felt is due to postoperative experience
G. Sleep/Rest
Prior:
Prior:
Copes up with stress by doing household
chores and by taking a nap or sleep
Copes up with problems by talking about it
with the family and finds ways to resolve it
together
No traumatic events experienced before
Reason for admission is to alleviate the
pain and correct her bowel
Went to hospital and sought for medical
assistance after experiencing inability of
defecating
During:
Takes a nap and rests when tired
Verbalizes desires to recover
Able to accept situation by cooperating
with the medical advices and procedures
K. Value/Belief
Prior:
A Roman Catholic
Have strong faith in God
She always brings with her the rosary and
always prays at night
She goes to the church with her youngest
child and her grandchildren to attend the
mass every Sunday
During:
No restrictions in the procedure brought
by religion
The admission and surgery dont interfere
with spiritual practices