October 30, 2014 Dr. Rosanna M. Halum M.D.

Medical Directress Orthopedic Traumatologist Resident Physician Bulusan Family Clinic Central Bulusan, Sorsogon Dear Madam: I take pleasure in exploring the possibility of offering my services to your esteemed institution as a staff Nurse. I received a degree in Bachelor of Science in Nursing from one of the respected catholic school in Tagum City, Davao del Norte, Philippines, St. Marys College of Tagum, Inc.. I was able to complete the required Related Learning Experiences. I took the Nurse Licensure Examination last May 2014 in Davao City and passed the said examination. I am energetic and hardworking with the ability to adapt to the environment easily, have excellent communication and demonstration skills. You will find my additional qualifications in my resume. I would like to develop and enhance more of my skills as a professional nurse in your institution madam. It has come to my realization that it would prove more helpful in my career if Ill try to explore other challenging work opportunities, where I could be better able to utilize my skills and abilities, and at the same time welcome a novel learning process. This will be possible if I will enter in your prestigious institution. I am hoping that my experiences with your institution will shape me to a more responsible and service- oriented professional. I have attached a copy of my resume for your kind perusal. Looking forward to being of service to your esteemed institution, I would be glad to hear from you. Ill be willing to come for a personal interview if necessary; you can contact me in this number {09223180351} Respectfully yours, MELODY B. RELLON, BSN, R.N

January 01,2017

Melody B. Rellon Prk. Waling-waling Mangga, Visayan Village, Tagum city, Davao del Norte, Philippines +639223180351 chixxme94r@yahoo.com January 20, 2016 Dr. Rosanna M. Halum M.D. Medical Directress Orthopedic Traumatologist Resident Physician Bulusan Hospital Central Bulusan, Sorsogon Dear Madam, I would like to inform you that I am resigning from my position as staff nurse my last day of work will be on January 18, 2017. Thank you for the opportunities for professional and personal development that you have provided me during the last two years. I have enjoyed working for your hospital and appreciate the support provided me during my tenure with the company. If I can be of any help during this transition, please let me know. Sincerely, MELODY B. RELLON, BSN, R.N

Nursing Diagnosis for Diabetes Mellitus

Nursing Diagnosis that may appear on the client with Diabetes Mellitus by Carpenitto, Doengoes, Sorensen and Brunner and Suddart include: 1) Imbalanced Nutrition Less Than Body Requirements related to reduction ofcarbohydrate metabolism due to insulin deficiency, inadequate intake due to nausea and vomiting. 2) Fluid Volume Deficit related to osmotic diuresis from hyperglycemia, polyuria, decreased fluid intake. 3) Impaired Skin Integrity related to decreased sensory sensation, impaired circulation, decreased activity / mobilization, lack of knowledge of skin care. 4) Activity Intolerance related to weakness due to decreased energy production. 5) High risk of injury associated with decreased sensation sensory (visual), weakness, and hypoglycemia. 6) Anxiety related to a lack of knowledge (diabetes management), the ability to remember the less, diagnosis or treatment of a new way, cognitive limitations. 7) Risk for ineffective management of therapeutic rules at home due to a lack of knowledge about the condition of the therapeutic management, inadequatesupport systems.