ANEXO I
VALORACION SEGUN EL
MODELO DE
VIRGINIA HENDERSON
Escaneado con CamScanner 1, Respirar normalmente
Habitualmente respira por: tanacie taboca 6
sTlenc ificttad para wapicar? = Noo Si
Especificar: Sinusitis
Fumador: Now sia Bx fumador Now sic
Pros:
Cantidad diaria de cigaritls: Pipa:
Cuando to djs?
Posicidn, medicamentos 0 hibitos que mejoran /dificultan su respiracion: Tfaenion
Calidad del aire en el entorno domestica: ‘uA En el laboral__\y 2a
‘Otros davos de interes:
Areals de dependencia:
2 Alimentarse e hidratarse adecuadamente
sDiticutod para masicar? Noo” Six gParatragar? Nog Si Parabeber? ad aa
Especificar:
{Requicre ayuda para comer fbeber? Noy” Sio_—_Especificar:
encase eneluabajo 0 otros © Come: solo.o
{Tiene apetito? Noo Sie” Niimero deingestas/ i: LY Horatio:
Desayuno:___6 £19 gg —_ Medi mafia,
Almuerzo: ACO OM ‘Merienda: ___5:00 pen —___—
Cena: F700 ENN Otros:
Liguidos diarios: Cantidad: _f theo
‘Alimentos que le Gustan:
‘Alimentos que le desagradan / fe sientan mal: Som do Abo, 5.
Importancia de a alimentacibn sana: _Agads 2} extsde de_eine —
Area/s de dependencia:
Habitualmente come: acompaiado 2
Escaneado con CamScanner 13 Elininat por todas tas vias corporates,
Frectensia del clininaidn fel: 2ueceo. Halter: Nod Bia
Carscteristcas de las heces: QOCCAGL _tncontinencls: Now Sia Dares: Now” Sits
Now Siar gaut hace para controlar?
Now sin Tipo/ ttecuencla:
Hine tition
its go nutes Com engage,
Especificar:
delisted
et
Qué hace pra contoato?
Habis qu ayuda ean a mieins OSG SOL
Mensmuacisn: Noo Si Dartibn:_S ACSS_ Frestensas_ ste No
Fiujovaginal Nog” Sic. Parddssintermensinales: Now So
Sudorcién: . Escasna—Nomate/“
tr datos de inter
Area/s de dependencia:
4. Moverse y mantener posturas adecuadas
Sieh Topecifian yo yale eer Koto
{Cree que ha disminuido su movilidad? Noo
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