Mrs Salimah Abdallah a 44 year woman, wife, mother and devout Muslim has been re – admitted to the hospital with an elevated temperature and productive cough, after having a haemorrhoidectomy one week ago.

You are the admitting nurse and during the admission discover that Mrs Abdallah developed the cough after spending the week after surgery in bed. Mrs Abdallah states that she is finding difficult to walk small distances before becoming breathless and experiencing sharp pain in her lung whilst breathing in. She rates this pain 5/10 and denies taking any analgesia.
You ask Mrs Abdallah about her normal sleep routine and discover that she has not slept properly for days and feels exhausted. She is pale, drawn with dark circles under her eyes and complaining of fatigue.
Due to decreased appetite and energy levels, Mrs Abdallah has been eating very little Halal food. You ask Mrs Abdallah about her toileting habits. After telling her husband to leave the room, you learn that she has not opened her bowels for the entire week as she is frightened it will be painful and that she will bleed a lot.
Mrs Abdallah normally cares for her five children aged 2 – 7 years of age. Her husband works 6 days a week in his own Halal butcher shop.