![]() Make sure you have a digital thermometer to monitor your temperature daily.Di na makaya ang kasakit gyud, mao nga nagpa konsulta ko, mao nga gi iskedyul dayon ko ug opera.We suggest you make a check-list to be certain you have covered some essential things, such as: Dili naman ma ayo ang sakit kung imnan nako ug tambal. Maglisod ko ug barog sa kasakit, gipangutana ko sa Nurse unsa ang kasakit, ngolngol kau, kung ipa rate kos kasakit, 10 pinakasakit, 1 wala- 9 ako tubag, adunay alibyo ang sakit kung matulog ko ug kung naa ang pain reliever, nagsugod ang sakit mi aging bulan pa, abi nko tungod sa akong regla, dili diay. In the interviews conducted with the patient, Juana stated the following: “Gi operahan ko gahapon sa hapon unya di ko kalihok tungod sa kasakit sa akong samad. Heard audible bowel sounds over the abdomen. Cardiac rate of 90 beats per minutes, no wheezing, no stridor noted. Lungs clear upon auscultation in all lobes have normal breath sounds noted. ![]() Capillary refill actively returns to its normal color in less than 3 seconds. She finds it difficult to stand or walk from a distance because of the pain. Lower extremities were inspected, no edema noted, some varicosities noted. She needs assistance to perform self-care activities. The patient has difficulty in ambulating, moving about to perform activities of daily living. Abdomen is round with post-operative incision, presence of drainage in left lower quadrant. Breasts are slightly asymmetrical, striae noted. No nasal drainage and flaring noted, lips are dry. Facial grimace noted because of post-operative incision, with guarding movements, covering post op site. Eyes are clear and bright, eyelashes are evenly distributed and curved outwards. Neck veins are visible, no enlargement noted. The head is round, normocephalic, hair is evenly distributed. PHYSICAL EXAMINATION: Generally, the patient is weak, pale. If she feels discomfort or pain, she takes pain medications. She usually changes her pads 5-8 times a day. Pandemya’s age of menarche is at eleven years old, she had her regular menses lasting for 3-4 days, with 28 days of menstrual cycle. She has no known allergies to food, drug, dyes, and pollens. The patient recalled that her childhood illnesses were cough, colds, and fever. PAST MEDICAL HISTORY: The client has no previous history of hospitalization, has not undergone any surgeries. Bilateral tubal ligation is their choice for family planning method. Her second baby was delivered at 38 weeks, still a home delivery. PREGNANCY HISTORY: Her first pregnancy was delivered at home at 37 weeks of gestation. ![]() They live in a three-bedroom home in San Roque. She sometimes visit the cornfield three times a week. ![]() Husband’s salary is just enough to meet their daily needs and send the kids to school. Their source of income is dependent on the farm’s harvest. FAMILY PROFILE: She is a plain housewife while his husband is a farmer. One month prior to admission, the pain on her left lower quadrant worsen, and is no longer relieved with pain medications. One year prior to admission, she noted pain on left lower quadrant during her menstruation and is relieved with medication and rest. Her reason for seeking health care is due to left lower quadrant pain. She is married and they live at San Roque, Kahapunan, Valencia City, Bukidnon. Juana Pandemya, a 39 -year-old multigravida woman. Case in the Ward: You are taking care of Mrs. ![]()
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