Professional Documents
Culture Documents
BIOGRAPHIC DATA
Name: Mrs. X
Address: #03 Masaya Street, Pulong Kendi I, Sta. Ana, Taguig City
Gender: Female
Pastora,
UNKNOWN
70
nakulam
Ariel, 26 Arnel, 24
Andy, 28 Ailen, 22
III. Patterns of Functioning
A. Psychological health
1. Coping Pattern
The client said that she easily loose temper and gets stressed and irritated especially when her husband got drunk. She further added
that she always makes herself busy by watching TV and play tong – its to cope with stress. Sometimes after lunch in the afternoon, she
takes a nap by 2 pm.
Interpretation: The client experience stress with regards to her husband. Based on the interview the client experience stress
because her husband got always drunk that made to loose her temper but she is able to cope with it by making herself busy in washing
clothes. Stress may affect the health and the attitude of a person.
Analysis: Every individual needs a source of recreation to alleviate stress. Sleep and rest are good ways to release pressure. It’s
advised that all angers are negative elements are released so that it could not lead to heart or back problems. (Psychiatric Health
Nursing by Beck. p.87)
2. Interaction Pattern
The client said that her relationship with her siblings is mutual that they are like brothers and sisters. When asked about her
relationship with her husband, she verbalized that, “ lagi kaming nag aaway at nagbabangayan kasi palagi syang lasing. Siya lang
talaga problema ko.”
Interpretation: The client has harmonious relationship with her sons and daughters but with her husband they always have a
conflict and arguments.
Analysis:
The affective and coping function of the family involves providing emotional comfort to family members. It also helps
members to establish an identity and maintain that identity in times of stress.
Illness may precipitate a health crisis in a family.
Fundamentals of Nursing by Taylor, pp.29-30
3. Cognitive Pattern
The client is elementary graduate. She is able to read and write and understand what we tell to her. She is able to speak out her
problems to us.
Interpretation:
The client is able to read and write. She sees herself as a strong person. She is expressive whenever she has problems she was able to
speak it out to her siblings.
Analysis:
Cognitive refers to the manner in which people learn to think reason and use language. It involves a person’s intelligence,
perceptual ability, and ability to process information. Changes the nervous may also affect perceptual capacity.
Self-concept involves all of the self-perceptions, that is, appearance, values, and beliefs, which influence behavior.
Self-concept is a complex idea that influences how one thinks, and acts; how one sees and treats other person; choices they
make, ability to give and receive love; ability to take actions and to change things. Factors that affect self-concept are:
development, family and culture, stressors, resources, history of success and failure and lastly illness.
5. Emotional Pattern
She expressed her feelings, she was crying and overwhelmed during our assessment and interview as we conducted our health
teachings.
Interpretation:
The client has appreciated the health teachings of the nursing students about different interventions that may
help her control and prevent her previous illness.
Analysis:
6. Sexuality
According to her, she is sexually active. They make love with her husband every twice a month only because of their work and
sometimes they’re both busy and tired. She verbalized, “pag di mo naman pinagbigyan baka pag hinalaan ka naman na sa iba mo
binibigay”. They use withdrawal method for she is capable of bearing child but before she used pills but her husband opposed her to
use pills, intrauterine device, etc for their contraceptives.
Interpretation: Our client has a knowledge about contraceptives.
Analysis: Characteristics of Sexual Health
Ability to express one’s full sexual potential, excluding all forms of sexual coercion, exploitation, and abuse
Ability to make autonomous decisions about one’s sexual life within a context of personal and social ethics
Experience of sexual pleasure as a source of physical, psychologic, cognitive, and spiritual well-being
Capability to express sexuality through communication, touch, emotional expression, and love
Ability to access sexual health care for the prevention and treatment of all sexual concerns, problems, and disorders
(Fundamentals of Nursing: Concepts, Process and Practice; 7th Edition; Kozier, Erb, Berman, Snyder; Page 973)
7. Family Coping Pattern
The client stated that they’re having a small conversation within their vicinity when they have problems within their family.
Interpretation:
The fact that the client’s family is approachable; they can easily discuss any situation regarding their family problem.
They are giving suggestions to every problem for it to easily resolve.
Analysis:
The effectiveness of the family communication determines the family’s ability to function as a cooperative, growth-
producing unit. Messages are constantly being communicated among family members, both verbally and nonverbally. The
information transmitted influences how members work together, fulfill their assigned roles in the family, incorporate family
values, and develop skills to function in the society. Intra family communication plays a significant role in the development of
self-esteem, which is necessary for the growth of personality.
B. Socio-cultural
1. Cultural Patterns
Our client doesn’t use any herbal medicines because her family is not used to it. She doesn’t even try to use one.
Our client praised different saints like Saint Anne and Sto. Niño.
Analysis:
Health practices and beliefs are strongly influence by a person’s economic level, family and culture. Family
and culture to which a person belongs influence the person’s pattern of leaving and values about health and illness.
Fundamentals of Nursing by Taylor, page 66
2. Significant Relationships
3. Recreation Patterns
Our client spend her time watching television, playing cards with her friends and chatting with her friends
whenever she doesn’t have customers for her laundry.
4. Environment
Our client’s house is not well- ventilated, insufficient amount inside their house, insufficient space and presence
of health hazards specifically fall, fire and accidents hazards. There was also a presence of polluted river on the
back of their house. They also use NAWASA as their water supply. Sometimes she directly get her drinking
water in the faucet. There is also presence of livestock wastes coming from the animals such as chicken, duck
near their house.
Analysis:
The environment has many influences on health and illness. Housing, sanitation, climate and pollution of
air, food and water are elements in environmental dimension.
The environment of the community in which an individual lives and works might have both helpful and
harmful effects on health. The quality of air and water differ across communities. Large urban areas are often
affected by air pollution, whereas smaller communities may be at risk for water pollution from run-off of chemical
or livestock wastes.
Analysis:
Financial and insurance coverage affects an individual’s access to healthcare services within a community.
As private health insurance costs continue to escalate, fewer citizens have it. Many part-time and unskilled jobs
provide no insurance benefits at all, resulting in a substantial number of citizens who do not have any financial
assistance for healthcare screenings or care for illnesses.
C. Spiritual Patterns
1. Religious Beliefs and Practices
Everytime our client wakes up she usually pray rosary, for her prayers can help her to overcome her illness as well
as her problems. She worships different saints such as Saint Anne and Sto. Niño, she believes that she can conquer
her triumphs regarding health with their guidance.
Analysis:
Spiritual beliefs and practices are associated with all aspects of persons life including health and illness.
Certain practices generally associated with healthcare may have religious significance for a patient.
2. Elimination
3. Exercise
4. Hygiene
5. Substance use
6. Sleep and rest Any illness that causes pain, physical
discomfort, or mood problems, such as
anxiety or depression, can result in sleep
problems. Sleep disorders are conditions
that if untreated generally cause disturbed
night time sleep that result in one of the
three problems: insomnia, abnormal
movements or sensation during sleep or
when awakening at night(Aldrich and
Naylor, 2000)
Fundamentals of Nursing Potter &Perry
6th edition 2005, pp.1202-1203
7. Sexual
activity
V. PHYSICAL ASSESSMENT
ASSESSMENT NORMS AND ACTUAL FINDINGS ANALYSIS
STANDARDS
General Appearance
1. Posture/Gait Relaxed, Erect Posture, Slouch Slouch is the hanging down of the head; a
Coordinated drooping posture; a limp appearance. The
Movement(Kozier 5th common manifestations of bad posture
ed.,p.473) are swayback (a large curve in the back)
and slouching, where everything moves
forward and rolls in.
1. Temperature 59 cpm
180/110 mmHg
3. Respiratory rate
4. Blood Pressure
5. Weight 47 kg
7. BMI 22.38
VIII.
IX. Pathophysiology of Diabetes Mellitus
X. Ecologic Model
A. Hypothesis
B. Predisposing Factors
1. Host
a. Age- 44 years old
b. Behavior- lack of physical activity (sedentary lifestyle), intake of foods high in salt and sugar, fatty foods
2. Environment
a. Socio-economic- housewife and laundry woman
C. Model
D. Analysis
Diabetes Mellitus is not a single disease. It is genetically and clinically heterogeneous group of metabolic disorders
characterized by glucose intolerance with hyperglycemia present at time of diagnosis.
Specific cause depends in the type of diabetes; however, it is easier to think of diabetes as an interaction between two factors:
Genetic Predisposition (diabetogenic genes) and Environment/Lifestyle (obesity, poor nutrition, lack of exercise). (Public Health
Nursing in the Philippines, 2007, p.195)
Modernization of life has dramatically increased the prevalence of Diabetes Mellitus. Most people with Type 2 Diabetes
Mellitus are older and near overweight. There is also a strong susceptibility to clients whose family has genetic predisposition of DM.
Lifestyle also plays an important role in the development of the disease.
In the Philippines, increasing life expectancy, urbanization and lifestyle modification have brought about great change on the
health status of the country. Globalization and social change has influenced the spread of non-communicable or lifestyle/degenerative
diseases by escalating exposure to risk.
The Department of Health suggests activities for prevention and control of Diabetes Mellitus.
• Maintain body weight and prevent obesity through proper nutrition and physical activity/ exercise.
• Eat more dietary fiber, reduce salt and fat intake, avoid simple sugars like cakes and pastries, and avoid junk foods.
• Promote regular physical activity and exercise to enhance insulin action in the body.
The fact that lifestyle plays an important role in the development of Type 2 Diabetes Mellitus has led to increased stress on
prevention. Diet and exercise can significantly delay the onset of the disease.
(Diabetes Mellitus)
Submitted by:
Lorca, Jamil
Magtibay, Jay-ar
Pajarillo, Cherry Lyn
Rico, Alyssa
BSN020- Group 79
Submitted to:
Mrs. Leni C. Domingo
(Clinical Instructor)