CHAPTER II NURSING HEALTH HISTORY I. Biographic Data This is the case of patient M.D.B. is a 36-year-old.

She is a born Filipino citizen. Born on January 7, 1977 and is affiliated to Roman Catholic. She is presently residing at Ili, Santa Cruz, Ilocos Sur. High school is her highest level of education attained. And she worked as a housekeeper. She belongs to a nuclear type of family with five 5) children. Her husband is a jeepney driver while her eldest son is in grade 7 who is 15 years old. Her second child is a grade 3 pupil,12 years old. Her third child is a second grade girl,10 yrs old, and her fourth child is a 3 yrs old,girl, who is in nursery. And lastly her youngest child is two (2) days old, boy. Her first three children were born via Normal Spontaneous delivery. Meanwhile, her fourth and youngest child were born thru Cesarean Section. II. Reasons for seeking health care Patient M.D.B complained of progressive uterine contraction, abdominal pain and narrowed bloody stool. She has admitting diagnosis of Gravida 5, Parity4, 39-40 weeks, Age of Gestation, Cephalic in labor; Pre- eclampsia severe impending signs of eclampsia. She was referred

and brought to the hospital per stretcher accompanied with her husband. She was admitted last September 4, 2013 at 2: 20 pm with the vital signs of; temperature: 37.4 0C, blood pressure: 200/100 mmHg, pulse rate: 95 bpm, and respiratory rate: 27 breath/minute. III. History of Present Health Concern A day prior to admission, patient M.D.B. had positive signs and symptoms of hypogastric pain associated with vaginal and promptly consulted. IV. Past Health History Patient M.D.B. was born on January 7, 1977 via Normal Spontaneous Delivery in Talisay,Sorsogon,Bicol. She did not experience any serious illnesses during childhood aside from simple colds, cough, and fever. Patient M.D.B. didnt undergo any surgery in her past years. According to the patient, her usual BP is 120/80. V. Lifestyle 1. Description of a Typical Day Patient M.D.B. usually wakes up at 6:00 in the morning, and then she cooks and eats rice with frozen foods for breakfast. At 7:00am she does household then takes a bath. At 9:00am they are having their snack, she usually have biscuits and coffee. She cooks at 10:30am and take their lunch at 12:00 noon. She is having rice, vegetables (eg.pakbet)

,and fish (eg. fried,sinigang and paksiw). She watches television in the afternoon around 1:00 pm, and then sleeps at 2:00pm and wakes up 5:00pm. She takes her dinner at 7:00 in the evening. She watches television after dinner then sleeps at 8:00 in the evening. She has no vices. 2. Nutrition and Waste Management According to her, her diet not composed of red meat, fish, vegetables and rice. She eats at least three times a day. She has a normal bowel movement before (everyday). Their garbage is being segregated and is collected by the garbage collector in their place once in a week. 3. Activity level She considers her task of doing the household chores and walking at the market while buying foods as her daily exercise. 4. Sleep and Rest Patient M.D.Bs sleep pattern is usually from 8:00 pm to 6 am. She can sleep for at least 8-9 hours in a day. During afternoon, she also watches TV and considers it at her rest hour. 5. Medications and Substance Use Patient M.D.B. and her family is staying at rural area where there are many herbal plants used as a medication. As the practice of the

people in their society, they use herbal plants like lagundi and oregano. They also use the counter drugs like Paracetamol for fever and headache, ascorbic acid as Vitamin C supplement to boost immune system, mefenamic acid for pain, amoxicillin for infection. With the presence of illness, they usually consult medical assistance at Santa Cruz Center. 6. Social Activities Patient M.D.B. is active in her social life, especially in her teen age and early adulthood. She enjoys hanging out with her friends and drinking alcoholic beverages but ceased this lifestyle when she started a family. 7. Relationship Patient M.D.B. has a close relationship with her family and friends, according to her and her husband. 8. Education and Work Patient M.D.B. studied at Talisay Elementary School during her elementary days, and studied at Talisay National High School during high school years which her highest educational attainment. She is a housekeeper.

9. House and Environment Patient M.D.B. lives with her husband in their family house which is a bungalow type, located at Ili, Sta. Cruz, Ilocos Sur. The family of patient .M.D.B is living in a semi-concrete house. Their source of water is deep well which is away from their water-sealed toilet. They used woods in cooking their foods. Their garbage are being segregated and sometimes burned. 10. Developmental Task

According to Eriksons Stages of Personal Development, a person aged 25-65 is at the stage of Generativity vs. Stagnation stage. During this stage, adults tend to achieve the life goals established for oneself, while also considering the welfare of future generations. They contribute to the next generation through meaningful work and raising a family. Those who are successful during this phase will feel that they are contributing to the world by being active in their home and community. Those who fail to attain this skill will feel unproductive and uninvolved in the world. Patient M.D.B. is 36 years old and within the period where she is about to be actively involved in raising her child as well as her own family. She, together with her husband, are now basking in the wonder

of their first baby and handle their baby with such care, concern, protection, and love. According to her, she will continue to focus on her family and be active in their home.