Pattern

1. Health Perception-Health Management

Before
Patient R.B does not want any consultations or even go for checkups because he thinks that he is healthy and there is nothing wrong with him. He maintains a healthy body by exercising, playing basketball, billiards and helping in household chores. He easily gets bored when he is not doing anything. He has started smoking and drinking liquor (San Miguel beer and Marlboro Green) since he was 19 years old up to present. He is not allergic to any food or drug. His family does not have any history of hypertension, heart disease, cancer, asthma, diabetes or even tuberculosis.

Present
Patient R.B considered himself a not healthy person due to present condition. He was diagnosed "Ruptured Globe OD" and had undergone Emergency Enucleation OD under General Anesthesia last Dec. 21, 2007. he is expecting to recover from his present condition with the help of the health care providers attending to his needs. All of the medications prescribed to patient R.B are available. Currently he is taking Tramadol, Amoxicillin, Moxifloxacin hydrochloride, Ciprofloxacin, Tranexamic Acid.

Interpretation
Patient R.B cannot function normally like before because of his confinement and his hospital condition. His body image changed due to his accident and surgical procedure done.

Analysis
Enucleation refers to the surgical removal of an eye.Removal of an eye is considered a drastic and traumatic measure to most people. Although many patients who require this surgery have no vision in the affected eye, those who do have vision recognize that enucleation will result in instantaneous, permanent, total blindness of that eye. "

(hala ang haba neto haha sayo na to bes! Hahaha)

2.NutritionalMetabolic Management

Patient K.Vs life before her pre confinement stage was normal, she can eat whatever she wants. She eats fruits like apples and bananas, fish and also vegetables most of the time. She drinks alcoholic drinks. She usually drinks once a month but stopped in 2010.

During hospitalization, the patient was on a liquid diet for 16-18 hours after the operation then was changed to a soft diet the day after.

Patient K.Vs nutritional and metabolic status has been changed due to his confinement and her medical health condition. *actually binawasan ko lang

An individuals health status greatly affects eating habits and nutritional status (Fundamentals of Nursing by Kozier p. 1178) The patient was brought to the hospital because of ruptured globe right eye due to accident and burn of facial area including the neck. *eto d ko n iniba

3.Elimination Pattern

Bowel Patient RB defecates two times a day without experiencing discomforts, usually morning and afternoon. Stool is brown in color and is well-formed.

Bowel Patient has no bowel movement since the operation.

Bowel *???? Eh wala ngang poop. Haha amp

**cge imbentuhan mo d2 ahahah Bladder Patient RB voids usually 6-8 times a day. Urine is yellow in color. No pain when voiding.

Bladder Patient voided once in the morning.

Bladder There was a change in the frequency,and amount. **d ko na iniba haha

4. Activity, Leisure and Recreation Pattern

Patient stays almost the whole day at work; she starts at 8am and goes home at around 7pm. At home, she eats dinner then takes a quick shower before going to bed.

Patient KV's activities in the hospital are ambulation or deep breathing exercise.

During Patient KVs confinement in the hospital, there is limitation in his activities of daily living.

5. Sleep and Rest Pattern

Patient KV does not have difficulties in falling asleep because she comes home tired from work. *hula ko lang yan hahaha

Patient KV did not complain about sleeping and often slept while waiting for her operation.

Patient KV's sleep and rest pattern was not changed when she was admitted, instead, she was able to rest more.

Illness that causes pain or physical distress can result in sleep problems. People who are ill require more sleep than normal and the normal rhythm and wakefulness is often disturbed. (Fundamentals of Nursing, 7th ed by Barbara Kozier, et al, p. 1117). There is disruption of the sleepwake cycle because of the patients disease.

6. CognitivePerceptual Pattern **Kaya mo na to. Malaki ka na hahaha

Patient is a high school graduate from Camaligan National High School in Bicol. He also takes a Vvocational course of Automative Manpower. He can read and write. He can speak and understood by others.

Because of Patient RBs present condition, he has difficulty in seeing because his right eye was already blind. He heard presence of pressure in his right ear. Patient is unable to read and write at present. He can speak and is understood by others.

There was a change in cognitive and perceptual pattern in terms of reading, writing, hearing and speaking due Enucleated eye.

7. Self-PerceptionSelf-Concept Pattern

Patient RB is a friendly person; he loves to socialize with his friends in their neighborhood. He considered himself as a holistic human being as long as his complete, healthy and his family is always there for him. He wants to have good health and live his life to the fullest.

He don't considered himself as a holistic person. He have many regrets in his life. He thinks that he can't function well than before.

Due to his present condition, there is a change to the level of patient self-perception and self-concept because he can't accept that he only got one eye.

Events or situations may change the level of self concept over time. Illness and trauma can also affect the selfconcept. (Fundamentals of Nursing 7th ed by Barbara Kozier p.959 & 962)

8. Role Relationship

Patient can speak and understand English, Tagalog and Bicolano. He can clearly express himself. He has 11 siblings and they were all close to each other. They all lived in bicol with their parents. Patient is very active and usually socializes with his neighbors.

Patient RB's family does not know what happened to him. he does not want to tell them what happened because he left bicol without permission from his parents.

The patient wants to be independent for a change.

9. SexualityReproductive Pattern

Patient KV is married and got pregnant thrice.

The patient performs sexual activity quite often; she got pregnan with another child in a span of less than a year. **ano daw???

Patient RB does not want to talk about it.

10. Coping and Stress Tolerance

When he is anxious, patient RB wants to be alone. He does not show his emotions. When he is stressed, he prefers to drinks liquor like beers or just eats. When it comes to problem, he let himself think immediately for a solution.

The recent hospitalization was a traumatic experience for patient RB, there have been many changes occurred that made it difficult for him to adjust. He cannot communicate effectively. The removal of his right eye affects his well being.

Due to his condition, patient RB does not have any outlet to divert his feelings unlike before he can watch television, or diverting it through drinking liquor and smoking to alleviate his stress.

According to Folkman and Lazaruz, coping is the cognitive and behavioral effort to manage specific external and/or internal demands that are appraised as taxing or exceeding the resources of the person(Fundamentals Of Nursing by Kozier P. 1020).

11. Values-Belief Pattern

Patient KV is a Roman Catholic. According to the client, she goes to the mass every sunday with her family. **ok d ko alam kng totoo yan hahaha

According to the patient, there are no practices that affect her hospitalization. She follow therapeutic regimen and a strong faith to God accounts for his fast progress.

After what happened, patient KV is now seeking for medical assistance. Religious effort is still a part of patient KVs life.