ASSESSMENT PHYSIOLOGICAL NEEDS I.

PHYSICAL DOMAINS BEFORE AFTER/ DURING TREATMENT ORIENTED -ORIENTED ALERT -VERBALIZES POSITIVE COPING MECHANISM EXPRESSES FEELINGS APPROPRIATE TO SITUATION 5 YEARS AGO -LIFESTYLE WERENT CONDUCIVE FOR HIS HEALTH I AM A SMOKER FOR MOST OF MY ADULT LIFE AS VERBALIZE BY MR. X -INDUSTRIAL PAINTER FOR MANY YEARS -COUGH -DYSPNEA USE OF ACCESORY MUSCLE WHEN BREATHING -CHEST X-RAY RESULT DENSITY IN THE UPPER RIGHT LUNG

SYSTEM CNS

RESPIRATION

C-T SCAN RESULT -MASS SIZE OF A GOLF BALL

PET SCAN RESULT STAGE III, INVADED T1 VERTEBRAE AND A RIB

muscuskeletal

Able to do thing/ work without limitation -can walk and run for long; climb to stair tower. -episodes of pain in the upper right back.

Easy fatigability Pain @ the upper right back Numbness at the R hand -tingling and prickling sensation Muscle weakness Muscle coordination problems (I could not walk a flight and a half of stairs without stopping as verbalized by the patient)

INTEGUMENTARY/HAIR/NAILS SKIN ETC -WHITE SKIN -SMOOTH/ -WARM TO TOUCH HAIR -GREYISH IN COLOR -VARY HEMATOLOGY REPORT WBC 7.61 RBC 11.4 HCT 33. 9 PLT 145 NEUTROPHIL 66.1 LYMPHOCYTE 13.3 MONOCYTE 20.2 EOSINOPHILS 0.3 BASOPHIL 0.1 NEUTROPHIL # 5.03 LYMPHOCYTE # 1.01 MONOCYTE # 1.54 EOSINOPHILS # 0.02 BASOPHILS # 0.01

-LOSS OF HAIR (ALOPECIA) WBC2.36 RBC 9.2 HCT 27.2 PLT 113 NEUTROPHIL 32.2 LYMPHOCYTE 33.9 MONOCYTE 32.6 EOSINOPHILS 0.8 BASOPHIL 0.4 NEUTROPHIL # 0.76 LYMPHOCYTE # 0.80 MONOCYTE # 0.77 EOSINOPHILS # 0.02 BASOPHILS # 0.01

B. FOODS

HE WAS ABLE TO EAT - FRESH GOODS --VEGESTABLES ----CABBAGE ----VEG.SALAD ----CABBAGE ----MEAT DISHES ----FRESH FRUITS ----APPLES,GRAPES,PEACH, BANANA,ORANGE ETC

LIMIT FOOD INTAKE OF FRESHLY GOODS -NO BACTERIA DIET Shelf stable bottled or canned drinks (such as juices, flavored waters, sports drinks) Freshly made ice from acceptable water source Steaming hot coffee (at least 175F) All but those that contain uncooked dried fruits (raisin bread is OK but not cereal with raisins) Freshly prepared rice or pasta canned or prepackaged meat, fish, or poultry Prepackaged deli meat (such as Lunchables) Roasted or cooked nuts Canned or cooked Pasteurized juice Fresh bananas, oranges, melons or other thick skinned fruits that have been washed before cutting or peeling All cooked or canned vegetables Vegetables that can be washed and peeled (carrot, cucumber) - HE TEMPORARILY STAYED IN THE HOSPITAL DURING HIS TREATMENT -

C. SHELTER

E.PSYCHOLOGICAL

HE LIVE IN A -CONDUCIVE -GOOD PLACE TO ORGANIZE -WELL BUILT CONCRETE HOUSE - I didnt want to hear it Its hard to describe my reaction to the news. I have to say I felt nothing. It was like a void of emotion, just blank. Secure your home. Close and lock all windows and doors Ensure all personal and home insurance policies are up-to-date and that your coverage is adequate -Industrial painter -obtained health insurance -contributing money to a savings account -Smoker

-DETERMINE , LOOKING FORWARD TO positive OUTCOME and focused on HIS fight AND INSPIRED BY THE support and encouragement THAT HE received from the many people THAT HE met -FEAR THAT THE CANCER WILL COME BACK - kept HIS head up and envisioned the future the way HE wanted to be.

SAFETY AND SECURITY PERSONAL SECURITY

FINANCIAL SECURITY

RETIREMENT FEE INSURANCE FEE help him to cover his hospitalization and treatment

HEALTH AND WELL BEING

-undergone for diagnostic procedure, medical

SECURITY Safety net against accidents/illness and their adverse impacts

-has a family Physician -wearing mask, gear, protected equipment during working hour -using seatbelt when driving He is married for 40 years and no children. Hes wife is the one who accompanied him in his every

management and taking medications -avoidance fresh goods -

Love and belongingness

His wife continuously supports and inspired him and never left him throughout his treatment and illness.

Self esteem

Self-actualization

The medical team of the hospital -help him to ally his fear to ca. - help and offer every possible method for him to get through from the disease and it give him hope to look forward for a positive outcome They work hard and give mr X determination to complete his treatment plan. -support him and gave him encouragement and guidance I do live with fear the cancer will come back, but I try to think positively. I intend to put cancer out of my life and move on. Theres every reason to be optimistic. As verbalized by the patient I am fortunate my career was long and fruitful and I am able to enjoy my pension, retirement and life with Susan. Were coming up on our 40th anniversary, and were going to make it to our 50th. We have a happy house. Weve been to Arizona, Illinois, Florida and Washington. But no matter where we go, we always cant wait to get to home. We cherish it. We have projects around the house and every spring we look forward to planting our next garden. All of those little things fill our lives. As verbalized by the patient