nder-standing of limitat-ions & how he will compensate for them upon D/C. Intends to walk as soon as chest tube is outFrustrated with the need to be in bed due to his chest tube.He does not allow his physical disabilities to negatively affect his concept of self, there is concern about improvement in future. Berger, 1992Manifestation CategoriesSpiritualIdentifiedSocial-CulturalLife-StructuralSexualEnvironmentalNursingDiagnosisFunctional DimensionsIndependence is important. Involved with wife & adult childrenRole as husband & father still intact. Increased dependent role. Retired railroad worker.Monogamous- married with 2 adult children. Excellent relationship with wife.Client wants to go home, but worries how he is going to his health.Self care deficit R/T physical limitations, and frustration over loss of independence AEB in ability to maintain cleanliness of tube insertion site( right posterior chest), changing clothes (Potential)Wellness & Well-being His inability to sustain prolonged activity is forcing a change in type of recreational activities. He used to walk around the neighborhood.Role as a member of society has changed due to poor health, and it concerns him.Is happy with his marriage.Taking active part in therapy. Trying to improve food intake & increase mobility.Impaired social inter-action R/T inability to sustain prolonged activity AEB SOB, and use of continual O2. (Actual)Self-ExpressionClient has been bed ridden for 115 days & has not been outsideMust change position q 2 hrs & apply silvadene to coccyx to prevent decubiti; wear sunscreen when outside & continue good hygiene.Skin in genital area is intact. There is sensation.Necessity of being in bed or W/C encourages decubitis development. Must change position q 2 hrs.Risk for impaired skin integrity R/T immobility, mechanical pressure & sheer, NIDDM. AEB reddened area on coccyx. (Potential)Skin & Tissue IntegrityLack of social interaction maybe contributing to maln...
