X.

SYNTHESIS OF CLIENTS CONDITIONS/STATUS FROM ADMISSION TO

PRESENT
A. Prognosis
Criteria Poor
1
Fair
2
Good
3
Justification
Duration of
Ilness


Two days PTA
patient complaint
of RLQ pain also
with vomits
condition
persists which
made his family
decide of
confining him to
the hospital.
Onset of Ilness

The patient early
detected
presence of
signs and
symptoms and
immediately
seek for medical
advice.
Age



Appendicitis is
most common
between ages 10
and 30.
Willingness to
take medication


The patient
manifested
willingness to
cooperate to
every therapeutic
regimen
conducted by the
health team.
Lifestyle

Patient eats
nutritious food
but failed to eat
on time.
Family Support

The family
member shows
support to the
patient in many
aspects including
financial,
emotional and
social support.
They complied
with the orders of
the physicians.
Environment

We assured that
as a student
nurse we could
give the most of
our care and
service. During
our duty we gave
the patient a
comfortable
environment
conducive for
rest and sleep.

Computation:
Poor 1x 1 = 1
Fair 2 x 2 = 4 1+4+12= 17 17 7 = 2.43 Fair Prognosis
Good 3 x 4 = 12


B. Conclusion
The overall prognosis of our client with regards to his condition is
fair, He was being hospitalized for 2 days and discharged due to improved
condition in compliance with the treatment given but the client needs more
assistance from his family at home.
Therefore, the patient suffered from acute appendicitis due to
related factors contributed to the development of the disease. His age and
lifestyle were some of the factors that lead into the disease process. The
family support and the significant others physically, emotionally and
financially was also good since they provided the client the medications
needed and other diagnostic examinations. Our patient also has the
willingness to take the medications. Furthermore, the patient also
verbalized the need to change his lifestyle especially his eating habits.
C. Recommendation
Health is very important, that every individual must take care of. An
individual must promote healthy lifestyle and he must make changes in the old
ways they are in their nutrition, good and clean environment and stress reduction
strategies etc. For our patient, he should be aware of what are the proper things
to do since he already experienced acute appendicitis. It is important to discard
those factors that contribute the development of the condition.
With this, we recommend that the future researches will exert more effort
in discovering means of helping a client of the same situation. In addition, a
thorough assessment is recommended to be able to come up with a more
precise care plan. Health teaching can also help the improvement of the every
patient with the same situation.

XI. Evaluation of the Objectives of the Study
Goal Met- Within our one day of duty, we focused on the case of our patient who
is admitted to our care for one day after we have drawn together the important and
relevant information that serve as the base line of our study, we were able to gather
essential facts in all aspect recorded to assessing the clients health status. As well as
defining his complete diagnosis, performed cephalocaudal physical assessment of the
patient. Moreover we discussed firmly the anatomy and physiology of the
gastrointestinal system and have illustrated the pathophysiology of the disease process
of Acute Appendicitis. We have obtained the healthy discussion of the actual laboratory
results of the patient including its clinical significance. We have enumerated the drugs
used in management of the patient and discussed its pharmacology together with the
nursing responsibility.
The patient was allowed to go home on with further instruction given by
the physician with a discharged plan explained and inculcated to patient.






XII.BIBLIOGRAPHY
BOOKS
1. Lippincott Williams & Wilkins,Nursing Student Drug Handbook 2009
2. Doenges, Moorhouse, Geissler-Murr Nurses Pocket Guide 9
th
edition
3. J.Deglin, et al., (F.A. Davis, 2009) Daviss Drug Guide for Nurses 12
th

ed
4. Understanding Medical Surgical Nursing by Williams and Hopper
5. Medical Nursing Incredibly Easy, Pellico, L.H.,
6. Medical-Surgical Nursing 12
th
edition Brunner&Suddarth
7. Carol Mattson Porth (2005. Pathophysiology, Seventh edition )
8. Ross and Wilson Anatomy and Physiology in Health and Illness.Tenth
Edition.



Internet & Electronics application
1. (http://www.globalhelp.org/publications/books/help_pedsurgeryafrica74
.pdf)
2. http://www.md-health.com/Low-Lymphocytes.html
3. http://www.nurseslearning.com/courses/nrp/labtest/course/section4/
4. (http://www.freeed.net/sweethaven/science/biology/anatomyphysiol/Hu
man01_LessonMain.asp?iNum=1008)
5. (http://en.wikipedia.org/wiki/McBurney's_point)
6. (Microsoft Encarta 2009. 1993-2008 Microsoft Corporation. All rights
reserved.