ACTIVITIES OF DAILY LIVING

ADL 1. Nutrition

Before Hospitalization The clients choice of food is mostly hotdog with rice. He eats three times a day, usually 1-2 cups of rice, hotdog or tocino and drinks 1-2 glasses of water. The father of the patient stated that he drinks at least 6-8 glasses of water everyday.

During Hospitalization The client stated that he started his hemodialysis he now only eats a cup of rice with any food prepared by their kasambahay. He still eats a heavy breakfast everyday. During lunch and dinner, a variety of pork and fish with vegetables are often served to him with 1 cup of rice. The client stated that he drinks a bottle of propel every meal.

Interpretation and Analysis Analysis: Health is a highly individual perception.(Kozier, et al. 2008. Fundamentals of Nursing, 8th Ed. Pearson Prentice Hall, New Jersey, Vol. 2, pp.295) Personal develop likes and dislikes can be based on association with a typical food. Preferences in the tastes, smells, flavors, temperatures, colors, shapes and sizes of food influence the peoples food choices. (Kozier et al., Fundamentals of Nursing., 8th ed., vol.2 p. 1238) An adequate diet for an adolescent is at least 6 11 servings per day as well as 2 -3 serving of meat, 3 -5 serving of vegetables and fruit and 8-10 glasses of water a day(8801100mL).(Fundamentals of Nursing 5th edition by Taylor page 1246) Interpretation:

2. Elimination

The client stated urinates 2-3 times a day. He described his urine as light yellow. According to him, he does not hold his urination. However, he verbalized that he has observed that his urine seems to be only in small amount. On the other hand, when it comes to defecation, he said that he usually defecates once a day. And he described his feces as semi-formed. He stated that does not feel pain in defecation.

The client decides to change his diet, because of his condition. The client said that he urinates Analysis: very small amount and said that The adult bladder typically has he had difficulty in urinating a volume of approximately 400 and sometimes with pain. He ml, and most adults (depending statedkaunti lang ang iniihi ko on their fluid intake) will void eh,pero madami naman akong about five to six times a day. uminom ng tubig,alak pa nga This pattern of urine output can minsan .On the other hand, he be affected by multiple factors, has no problem in regards to including illness, level of defecation. activity and perspiration, and kidney function. (Medical-Surgical Nursing vol. 1 page 663 by Black) Any ingestion of food may stimulate a bowel movement and normally have more than one bowel movement per day. The feces consist of 75% water and 25% solids. The normal color of feces is brown, resulting from the chemical conversion of bilirubin. The feces normally have a soft consistency and a cylindrical form with a characteristic odor. (Craven et al., Fundamentals of Nursing, 4th ed., p.1103) Adult: straw, amber transparent

urine color (Fundamentals of Nursing, Kozier,et al, 8thed, vol.2, p.1293) Interpretation: The data gathered shows that AdVL has a problem in voiding. It was stated that the client only voids a very small amount which is unusual for his age. Analysis: The normal frequency of exercise is three times per week and the duration is 30 minutes.(Fundamentals of Nursing by Kozierpg. 1065) Regular exercise is essential for healthy functioning of major body organs. Most physical conditioning exercises include running, walking, swimming, cycling and other such activities. (Kozier, et al. 2008. Fundamentals of Nursing, 8th Ed. Pearson Prentice Hall, New Jersey, Vol. 2, pp. 1107) Interpretation: From the data gathered AdVL has a sedentary lifestyle, because he performs little or no

3. Exercise

The client is not usually exercising but he is usually in their house playing with his dog and sometimes do some household chores. His typical leisure activity is watching TV.

The client has the same activities as before hospitalization but sometimes he just want to rest because he becomes tired easily now.

4. Hygiene

The client stated that he takes a bath everyday and brushes his teeth twice a day. He often washes his hand especially before eating.

vigorous physical exercise. The client stated that he still Analysis: take care of himself as before. Hygiene is a highly personal matter determined by individual values and practices. It involves care of the skin, hair, nails, teeth, oral and nasal cavities, eyes, ears and perineal-genital areas. (Fundamentals of th Nursing, Kozier,et al, 8 ed, vol.1, p.742) Interpretation: The client maintains his usual routine of hygiene, which shows that he is a well groomed person. Analysis: Substance abuse is a major threat to the health of young adults. Alcohol, marijuana, amphetamines, and cocaine, prolonged use can lead to physical and physiologic dependency and subsequent health problems. Addiction, or physical and psychologic dependence on a substance, is related to properties of the substance, the individual user, and the social network of the individual ( Fundamentals of Nursing, Kozier,et al, 8th ed,

5. Substance Abuse

The client said that he began smoking when he was in elementary. During that time he usually consumes 1-2 pack/day. He kept on smoking for about up to now. And he started drinking when he was also in highschool. He said that he drinks occasionally usually 3-4 bottles. He also stated that hits marijuana since he is highschool up to now. According to him, he has tried these because of peer pressure.

The client stated that the client still smokes but stopped drinking alcohol. He also stated that he does not stop using marijuana.

vol. 1, p.396) Interpretation: From the data gathered the client has been smoking and drinking for a very long time, and this may be one of the leading causes of his illness. Analysis: Sleep quality is a subjective characteristic and is often determined by whether a person wakes up feeling energetic or not. (Kozier, et al. 2008. Fundamentals of Nursing, 8th Ed. Pearson Prentice Hall, New Jersey, Vol. 2, pp. 1172) Most healthy adults need 7 9 hours of sleep a night (National Sleep Foundation,n.d.b.). However, there is individual variation as some adults may be able to function well with 6 hours of sleep and others may need 10 hours to function optimally. (Fundamentals of Nursing, by Kozier and Erbs, 8th edition page 1168) Interpretation:

6. Sleep and Rest

The client sleeps 6-7 hours a day and takes a nap in the afternoon (maximum of 1 hour). His said that his sleeping environment is okay but he can be easily interrupted by noise. He said he can get to sleep fast but also easy to be awaken.

The client stated that his sleeps 5-6 hours a day and usually talks while sleeping. He can be easily interrupted but he said he has no difficulty in sleeping.

The data gathered shows that the client lacks of sleep and easily awaken by noises in the environment.