ma I&O’s q shiftClient understands the need for adequate fluid intake.No emotional relationship seen with regard to fluid balance.Understands importance of adequate fluid intake in health maintenance.EliminationLoss of muscle tone in bladder & bowel changes elimination patterns, that vary with diet, lifestyle, & medications. B&W p 1136Continent of bowel & bladder. Uses toilet with assistance. Bowel sounds present X4. Urine clear & yellowClient recognizes the need for regular bowel schedule.Non-verbalized discomfort with having to go to the bathroom while in bed.Client verbalizes no concerns.OxygenationSome loss of lung elasticity; pO2 decreased, especially if smoked. B&W p 1227Resp. rate 18-24/min. lung sounds slightly diminished Understands the need for O2 and reason for SOB.Does not like the idea of needing O2 & inhalers to control SOB.Client admits to periods of SOB, and pain with coughing.Sleep-RestPatterns/PainIncr. Time to get to sleep, incr.# times awaken, decrease total sleep time. Daytime naps may compensate. B&W p 1321Client naps several times during day, sleep-rest poor at night. Being turned q2hrs and pain from chest tube wakes up.Verbalized that being turned q 2 hrs interrupted his sleep & causes pain in chest tube site.Client does express some anxiety R/T SOB and pain that wakes him up sometimes.Client aware of problems. Accepts situationNeurosensory IntegrationLess blood flow to brain causes low O2 supply, neuro. function, reduced senses, equilibrium, gait, depression. Diminished sight, hearing, taste, smell, & sensation. B&W p 1360No psych problems were evident. Memory good. Wears glasses.Uses glasses consistently.Client displays some con-cern of neurosensory integration R/T pain.As he has no apparent neurosensory loss, there is no apparent impact on his self control.MobilityVoluntarily controlled, muscles strength declines, joint changes Card./resp. fitness declines. B&W p 1426AROM all extremities.Verbalized u...
