Thomyou Panthong, 82 years_3_1

Thomyou Panthong, 82 years_3_1

1. health information

   • Family hx: no problem
   • Past medical hx: amlodipine 5mg , 1 tab;ets , before meal
   • past illness hx: hypertension
   • Hx of present illness: 5 months before admit ; hurt when urinating, urinary alot at night , fatigue
   • chiff complain: hurt when urinating, urinary a lot at night

2. Demorgraphic

   • education
   • occupation: retired
   • address/ housing
   • family member: 1 son and 1 daughter
   • income: his daughter support his enough for his life
   • Live s with : live alone at his house

3. health assacment

   • 11 godon
     • Health Perception/ Health Management Pattern: old Thai Male, good consciousness, understand his prblem, have a good attitude, live alone
     • Nutritional/ Metabolic: 1.6 m, Weight: 52kg (BMI ), the diet from hospital, no have any problem with swallowing, chewing, saliveting, ? teeth, tongue is white on the top layer , dry lip and skin, drink about 1.5l /day
     • Elimination Pattern
       • Bowel elimination Pattern: one or two bowel moverments per week (soft, no muscus, blood or tarry stool)
       • Urinary elimination pattern: urinary catheter on the pulic bone bladder, volume: 1.2l/day (light yellow, no bllod)
     • Activity Exercise Pattern: Elimitation on doing daily activity (stay at hospital a long time, go by wheelchair, Dependent ADLs = ?/20)
     • Sleep-Rest Pattern: sleep mỏe during the day, waking up several times at nigh
     • Cognitive-Perceptual Pattern: his memory is not good at all, visual impairment, no problem with hearing, smell, touch and taste communicate very well, SMMSE: ?/30
     • Self-Perception-Self-concept Pattern: satisfied self-perception and self-concept (stay a long time at the hospital, his care giver by nurse but satisfied about his life )
     • Roles-Relationships Pattern: have problem with wife and son, daughter live far and support his money. live alone at hospital and feel alonely, have many friend but old. cannot visit him.
     • Sexuality-Reproductive Pattern: have promlem with second wife, BPH 1 year, no problem with sexuality - reproductive pattern
     • Coping-Stress Tolerance Pattern: have problem with second wife and son, be sad, feel alonely, Loneliness scale:
     • Values-Beliefs Pattern: belief on Buddha
   • concept
   • General pgysical survey: hight: 1.6m, Weight: 52kg, Temperature: 37 C, Pulse: 74 times/min, Rt: 20 times/min, BP: 110/70 mmHg
   • Laboratary:

4. Nursing phenonina

   • Increase risk of loneliness
     • Supportive data:
       • Subjective data: have problem with second wife and his son. His daughter lives far from him, admit hospital 5 months but only visiting one time, no friend visit hom, care giver by nurse, fear of loneliness
       • Objective data: fatigue and sadness on his face and two eyes
     • phenomina analysis:
       • Many factors that contributed for loneliness: age, status married: Have probllem with wife and his son (first wife: divorce, and have problem with second wife and his son ), stay at hospital along time, his daughter live far, only one time visit him, care giver by nurse, the cause of the low self-perceived health, and impaired cognitive function (Karen &Kaasa, 1998), no gender difference in loneliness (Tornstam, 1992).
     • Objective: reduce fatigue, sadness, feel happy with his life, get to sleep more easily, reduce time awake during night.
   • phenomina 1
     • objective
       • evaluation creiteria
     • phenomina analysis
     • nursing intervention
     • nursing evaluation
   • Nursing intervention: - enhance care givers support by nurse: talk, read book, new paaper and telephone call from his daughter (Cattan, 2005: Pettigrew & Roberts, 2008). - Watching television create a link beween elderly and the external world, especially at night (Lampinene et al, 2006; Pettigrew & Roberts, 2008). - Apply "proggestion relaxation" technique which is suggested from Miller, 2009& Millsap, 2007 to improve sleep:

5. References: Karen, Kaasa & RN .(1998). Loneliness in old age: psychosocial and health predictors, 8(2), 195-201. Tornstam, L. (1992).