utrition, lack of appetite.C.S. must make adjustments that will allow him to interact socially in order to encourage good nutrition.Nutrition has influence over energy levels required for sex.Meals are offered 3X daily, supplements in between, and TPN q 12 hrs.Nutrition altered, less than body requirements R/TMalnutrition/infection/ AEB poor food intake, weight loss.(Actual)NutritionClient does not drink, even socially.Needs to incorporate adequate fluid intake as part of his daily routine.No noted effect of fluid balance on clients sexuality.Fluids must be offered to client frequently since he is bed ridden. Risk for fluid volume deficit R/T insufficient intake AEB low intake of PO fluids.(Potential)Fluid BalanceClient states it is very uncomfortable to use bathroom while in bed. Bed rest does limit clients privacy & affects bowel motility.N/A.Meds, bed rest, & hospital environment may affect bowel motility.High risk for diarrhea R/T meds AEB loose stools.(Potential)EliminationChange in activities due to SOB, use of O2, chest tube. Cannot go for walks as used to.If wishes, client could participate in activities with use of O2. Lack of adequate oxygenation could interfere with sexuality.General hospital environment not affecting oxygenation. Client on wall O2.Ineffective breathing pattern related to decreased lung expansion secondary to pus in the pleural space AEB asymmetrical chest expansion and decreased breath sounds over affected area.(Actual)OxygenationMen should not show signs of pain. Social believe.Pain and being turned q 2 hrs disturbs sleep/rest patterns which affects his nocturnal rhythms.Lack of sleep and pain may affect sex life.Hospital environment, pain, & SOB disrupt sleep-rest patterns.Sleep pattern disturbance R/T pain and hospital routine AEB clients c/o being awakened q 2 hrs. (Actual)Sleep-RestPatterns/ PainMental alertness & ability to function are important for any culture / gender.Bed rest, use of O2, SOB, a...
