Nursing Assessment According to Doenges (1999: 476-485) are:
a. Activity and Rest.
Symptoms: weakness, fatigue, malaise, feeling anxious and anxiety, restriction of activities / work in relation to the disease process.
b. circulation
Signs: Tachycardia (fever response, the inflammatory process and pain), relative bradycardia, hypotension including postural, skin / mucous membranes poor turgor, dry, dirty tongue.
c. Ego integrity
Symptoms: Anxiety, emotional, upset eg feelings of helplessness / no hope.
Signs: Refuse, narrowed attention.
d. elimination
Symptoms: Diarrhea / constipation.
Signs: Decreased bowel / no peristalsis increased in constipated / a peristaltic.
e. Food / fluid
Symptoms: Anorexia, nausea and vomiting.
Signs: Decreased subcutaneous fat, weakness, muscle tone and poor skin turgor, mucous membranes pale.
f. Hygiene
Signs: The inability to maintain self-care, body odor.
g. Pain / comfort
Symptoms: Hepatomegaly, Spenomegali, epigastric pain.
Symptoms: Tenderness in the right hipokondilium or epigastrium.
h. security
Symptoms: Increased body temperature of 38 C - 40 C, blurred vision, mental delirium / psychosis.
i. Social interaction
Symptoms: Decreased relationships with others, relating to conditions in nature.
j. Counseling / Learning
Symptoms: A family history of inflammatory bowel diseased.
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a. Activity and Rest.
Symptoms: weakness, fatigue, malaise, feeling anxious and anxiety, restriction of activities / work in relation to the disease process.
b. circulation
Signs: Tachycardia (fever response, the inflammatory process and pain), relative bradycardia, hypotension including postural, skin / mucous membranes poor turgor, dry, dirty tongue.
c. Ego integrity
Symptoms: Anxiety, emotional, upset eg feelings of helplessness / no hope.
Signs: Refuse, narrowed attention.
d. elimination
Symptoms: Diarrhea / constipation.
Signs: Decreased bowel / no peristalsis increased in constipated / a peristaltic.
e. Food / fluid
Symptoms: Anorexia, nausea and vomiting.
Signs: Decreased subcutaneous fat, weakness, muscle tone and poor skin turgor, mucous membranes pale.
f. Hygiene
Signs: The inability to maintain self-care, body odor.
g. Pain / comfort
Symptoms: Hepatomegaly, Spenomegali, epigastric pain.
Symptoms: Tenderness in the right hipokondilium or epigastrium.
h. security
Symptoms: Increased body temperature of 38 C - 40 C, blurred vision, mental delirium / psychosis.
i. Social interaction
Symptoms: Decreased relationships with others, relating to conditions in nature.
j. Counseling / Learning
Symptoms: A family history of inflammatory bowel diseased.
