A.

HEALTH PERCEPTION/ HEALTH MAINTAINANCE PATTERN

The patient perceived herself as independent in terms of medical dependence such
that common ailments are treated independently through resting and adequate fluid
intake “di man kaayo ko ganahan anang mag inom inom ug tambal sir, kuan lang
kasagaran mag inom daghan tubig nya pahuway. Dli sd ko anang mag herbal herbal
kay kuyawan ko” as verbalized by the client. However, she stated that her
vaccination was completed because she was compliant and she claimed no illness
or prognosis about health. In terms of heredofamilial disease, only her grandfather
has osteoarthritis. In socioeconomic factors, she seemed to find herself within the
boundary of poverty due to large family scale.
B. NUTRITION AND METABOLIC PATTERN
The patient claimed to have no history of allergies. All of her babies are breastfed
and in terms of her meal pattern, there are times that she can’t eat due to her post
operation diet and pain when intaking something. No cravings were noted after
delivery. Patient’s baseline vital signs are as follow: Temperature of 36.9 °C, Blood
Pressure of 160/100 mmHg; but blood pressure is fluctuating since she was
diagnosed with severe preeclampsia. Vitamins being taken was B-Complex
(Neurobion).
C. ELIMINATION PATTERN
The patient’s elimination pattern has been disturbed due to reduced gastrointestinal
tract motility post operation. Prior to the operation, the patient could defacate once or
twice a day. “Katong wa pako ma operahi sir makalibang man ko kada adlaw usahay
igka duha pero kasagaran igka usa ra” as verbalized by the patient. Upon
auscultation, Hypoactive bowel sounds were heard. The patient is also complaining
about pain in the abdomen.
D. ACTIVITY/ EXERCISE PATTERN
Poor reflexes were noted at the lower extremities. The patient needs assistance
when sitting down and loses her balance when sitting on her own. The patient is
unable to perform activities of daily living due to her condition. The patient is usually
sleeping while during her convenient time, she likes to chat with other people. Noted
reduced muscle strength both upper and lower extremities.
E. COGNITIVE/ PERCEPTUAL PATTERN
Patient shows no signs of disorientation. Both visual acuity and hearing is not
impaired. Can recognize the time of the day, and where she currently is admitted.
Patient is able to communicate but has short attention span. The patient shows no
alteration in language functioning.
F. SLEEP-REST PATTERN
The patient is usually observed sleeping. No signs of snoring or sleep apnea was
observed and appears to be well rested but complains of inadequate sleeping time
or disturbed pattern “ Mas taas man kog katulog sa amoa. Dli kayko katog ug taas
dri kay saba man” as verbalized by the patient.
G. SELF-PERCEPTION AND SELF-CONCEPT PATTERN
Keeps on asking the result of her Cesarean Section treatment. Patient shows
understanding of current situation and maintains a positive outlook in life.
H. ROLE RELATIONSHIP PATTERN
The patient is a housewife and is currently a mother of 3. Role stress noted. The
patient maintains a good relationship with her family. Due to hospitalization,
relationship with family members are strenghthened.
I. SEXUALITY-REPRODUCTIVE HEALTH PATTERN
Patient does not practice Breast Self Examination; patient can no longer conceive
due to salpinectomy done during cesarean section operation. No known venereal
disease; with regular menstrual cycle pattern. OB score of G3P3
J.COPING-STRESS TOLERANCE HEALTH PATTERN
Most stressful events in her life is when having financial crisis “ay sus ang problema
kana jung walay kwarta” as verbalized by the patient. She usually cleans their house
in order to cope with stress. When having problems, she communicates with her
partner or sometimes with her family members.
K. VALUES-BELIEF PATTERN
Patient’s source of strength and hope is her family, she and her family members are
Roman Catholics but is not really religious. “Usahay raman mi maka simba sir” as
verbalized by the patient