H. ROLE-RELATIONSHIP PATTERN
They are five in the family and they live at Raankipot, Bagumbayan. They own their house and is a nuclear family. The only problem that they encounter is lack of financial support when there are no harvest in the fields. When there is a problem, parents always find a solution and always take time to think and as much as possible, avoid fighting. They depend on mother and father's income. She is not a member of any social groups. At school, the normal activities that she is doing is listening to the lectures and reading. She describes her neighbors as friendly and easy to deal with. She always play with her neighbors when she is permitted by her mom.
December 11, 2010
Gordon G
G. SELF-PERCEPTION AND SELF-CONCEPT PATTERN
When asked to describe herself, she said that she is jolly, friendly, adorable, good in reading, drawing, and likes to play with her sister. She also said that she doesn't feel any pain in her body. According to her, she was told not to play outside anymore because of her fever and cold. She easily gets angry when bullied by other kids and when scolded. She doesn't like toys for male kids like robots and cars. She tells her mother about being bullied and she sometimes cry when other kids tease her.
When asked to describe herself, she said that she is jolly, friendly, adorable, good in reading, drawing, and likes to play with her sister. She also said that she doesn't feel any pain in her body. According to her, she was told not to play outside anymore because of her fever and cold. She easily gets angry when bullied by other kids and when scolded. She doesn't like toys for male kids like robots and cars. She tells her mother about being bullied and she sometimes cry when other kids tease her.
Gordon F
F. COGNITIVE-PERCEPTUAL PATTERN
Our patient has no hearing difficulty. She doesn't wear eyeglasses and doesn't consult an eye doctor because there's no such reason to do so. She easily learn new things on her own by reading books. She doesn't feel any pain except for mild difficulty in breathing because of colds and always feels that her bladder is full but can't void.
Our patient has no hearing difficulty. She doesn't wear eyeglasses and doesn't consult an eye doctor because there's no such reason to do so. She easily learn new things on her own by reading books. She doesn't feel any pain except for mild difficulty in breathing because of colds and always feels that her bladder is full but can't void.
Gordon E
E. SLEEP-REST PATTERN
Time of Sleep
Nov. 25, 2010
8pm
Nov. 26, 2010
8:30pm
Time of Awakening
Nov. 25, 2010
6am
Nov. 26, 2010
6am
Total number of Sleep
Nov. 25, 2010
10hrs
Nov. 26, 2010
9hrs and 30mins
The patient usually gets enough sleep. She gets 9-10 hours of sleep every night. She normally sleeps at 8pm and wakes up at 6am for school. She doesn't experience any difficulty in sleeping and she doesn't take a nap in the afternoon. Playing with her younger sister and reading books is her way of relaxing.
Time of Sleep
Nov. 25, 2010
8pm
Nov. 26, 2010
8:30pm
Time of Awakening
Nov. 25, 2010
6am
Nov. 26, 2010
6am
Total number of Sleep
Nov. 25, 2010
10hrs
Nov. 26, 2010
9hrs and 30mins
The patient usually gets enough sleep. She gets 9-10 hours of sleep every night. She normally sleeps at 8pm and wakes up at 6am for school. She doesn't experience any difficulty in sleeping and she doesn't take a nap in the afternoon. Playing with her younger sister and reading books is her way of relaxing.
Gordon D
D. ACTIVITY AND EXERCISE PATTERN
Exercises only at school and the type of exercise she performs are basic stretching only. She plays with her younger sister, read books and watch t.v during her free time.
_0_ Feeding
_0_ Bathing
_0_ Toileting
_0_ Bed Mobility
_0_ Dressing
_0_ Grooming
_0_ General Mobility
_II_ Home Maintenance
_IV_ Shopping
Level
0- Full Self-Care
I- Requires use of equipment/device
II- Requires assistance/supervision from other person
III- Requires assistance and does not participate
IV- Is dependent and does not participate
Exercises only at school and the type of exercise she performs are basic stretching only. She plays with her younger sister, read books and watch t.v during her free time.
_0_ Feeding
_0_ Bathing
_0_ Toileting
_0_ Bed Mobility
_0_ Dressing
_0_ Grooming
_0_ General Mobility
_II_ Home Maintenance
_IV_ Shopping
Level
0- Full Self-Care
I- Requires use of equipment/device
II- Requires assistance/supervision from other person
III- Requires assistance and does not participate
IV- Is dependent and does not participate
Gordon C
C. ELIMINATION PATTERN
Urine
Frequency
3x a day
Amount
Characteristics
Yellow
Stool
Frequency
2x a day
Amount
Characteristics
Brownish
The client only drinks 4-6 glasses of water and urinates for about 3x a day only. According to her mother, her child's urine is color yellow and the stool is usually brown. She doesn't perspire that much. No foul body odor. (Take note that the patient doesn't void at school)
Urine
Frequency
3x a day
Amount
Characteristics
Yellow
Stool
Frequency
2x a day
Amount
Characteristics
Brownish
The client only drinks 4-6 glasses of water and urinates for about 3x a day only. According to her mother, her child's urine is color yellow and the stool is usually brown. She doesn't perspire that much. No foul body odor. (Take note that the patient doesn't void at school)
Gordon B
B. NUTRITIONAL METABOLIC PATTERN
Breakfast
Nov. 24, 2010
one glass of coffee
one cup of rice
one egg
Nov. 25, 2010
one glass of milo
four slices of loaf bread
Nov. 26, 2010
one glass of milo
one cup of gotto
Lunch
Nov. 24, 2010
Nov. 25, 2010
Dinner
Nov. 24, 2010
Nov. 25, 2010
She stated that she doesn't like to eat meat and when their meal is meat with soup, she only take the soup. She consumes 4-6 glasses of water and 2-3 glasses of calamansi juice. The calamansi juice is her source of Vitamin C. She drinks purified water.
She doesn't experience hard times in eating. She's instructed not to eat salty foods because of her UTI. Whenever she got wounded, she finds it hard and it takes a long time for the wound to heal. For example is her injury on her knee which she got from a scooter accident. She has cavities but other than that, no problems noted.
Breakfast
Nov. 24, 2010
one glass of coffee
one cup of rice
one egg
Nov. 25, 2010
one glass of milo
four slices of loaf bread
Nov. 26, 2010
one glass of milo
one cup of gotto
Lunch
Nov. 24, 2010
Nov. 25, 2010
Dinner
Nov. 24, 2010
Nov. 25, 2010
She stated that she doesn't like to eat meat and when their meal is meat with soup, she only take the soup. She consumes 4-6 glasses of water and 2-3 glasses of calamansi juice. The calamansi juice is her source of Vitamin C. She drinks purified water.
She doesn't experience hard times in eating. She's instructed not to eat salty foods because of her UTI. Whenever she got wounded, she finds it hard and it takes a long time for the wound to heal. For example is her injury on her knee which she got from a scooter accident. She has cavities but other than that, no problems noted.
NHH GORDON A.
GORDON:
A. HEALTH PERCEPTION AND HEALTH MANAGEMENT PATTERN
The patient doesn't feel well because of colds and fever. She drinks calamansi juice daily for relief and takes medication as prescribed by the doctor after her check-up. She was recently diagnosed to have Urinary Tract Infection (UTI) and because of this, she avoid eating salty foods and practiced frequent voiding and drinking more water. She thinks that if she will follow what the doctor and the nurse instruct her, she would have a better progress.
A. HEALTH PERCEPTION AND HEALTH MANAGEMENT PATTERN
The patient doesn't feel well because of colds and fever. She drinks calamansi juice daily for relief and takes medication as prescribed by the doctor after her check-up. She was recently diagnosed to have Urinary Tract Infection (UTI) and because of this, she avoid eating salty foods and practiced frequent voiding and drinking more water. She thinks that if she will follow what the doctor and the nurse instruct her, she would have a better progress.
NHH E
E. FAMILY HISTORY OF ILLNESS
The patient's mother, N. Villegas, 27, have asthma and the father, M. Villegas, 29, is healthy. There are no noted history of arthritis/rheumatic fever, HPN, TB, DM, or any mental illnesses in their family.
The patient's mother, N. Villegas, 27, have asthma and the father, M. Villegas, 29, is healthy. There are no noted history of arthritis/rheumatic fever, HPN, TB, DM, or any mental illnesses in their family.
NHH D
D. PAST HISTORY
The patient suffered from amoebiasis when she was 6 years old. She is a Fully Immunized Child and she has no records of allergies nor accidents and injuries. She was brought to the San Roque Hospital last year because of amoebiasis and took Metronidazole as medication.
The patient suffered from amoebiasis when she was 6 years old. She is a Fully Immunized Child and she has no records of allergies nor accidents and injuries. She was brought to the San Roque Hospital last year because of amoebiasis and took Metronidazole as medication.
NHH C
C. HISTORY OF PRESENT ILLNESS
The patient's cold started on November 22, 2010 up to November 25, 2010 and had a mild fever. Her mother took her to the Brgy. Health Center for check-up. The patient doesn't took any medications before the check-up. She couldn't play outside for a long period of time because her mother told her that her playmates might also catch cold and fever because of her. (But her mother and younger sister also have colds)
The patient's cold started on November 22, 2010 up to November 25, 2010 and had a mild fever. Her mother took her to the Brgy. Health Center for check-up. The patient doesn't took any medications before the check-up. She couldn't play outside for a long period of time because her mother told her that her playmates might also catch cold and fever because of her. (But her mother and younger sister also have colds)
NHH B
B. CHIEF COMPLAINT OR REASON FOR VISIT
The patient's mother told us that her child is experiencing cold for about 2 days starting November 22, 2010 until our day of initial visit, November 25, 2010. K.V also had a mild fever that night of November 25, 2010 until our 2nd day of visit on November 26, 2010.
The patient's mother told us that her child is experiencing cold for about 2 days starting November 22, 2010 until our day of initial visit, November 25, 2010. K.V also had a mild fever that night of November 25, 2010 until our 2nd day of visit on November 26, 2010.
NHH A
Burgos, Yasmin B.
BSN 2D
Group 2
A. BIOGRAPHIC DATA
NAME: Kimberly Villegas
AGE: 7 y/o
SEX: Female
ADDRESS: 232 Raankipot St., Bagumbayan, Bulakan, Bulacan
MARITAL STATUS: Child
OCCUPATION: N/A
RELIGION: Roman Catholic
BIRTHDATE: March 22, 2003
EDUCATIONAL ATTAINMENT: currently on Grade 1 level
POSITION IN THE FAMILY: 2nd among 3 children
HEALTH CARE FINANCING AND USUAL SOURCE OF MEDICAL CARE: Owns a field near their house, help of relatives and father's salary
DATE OF ADMISSION: N/A
TIME: N/A
BSN 2D
Group 2
A. BIOGRAPHIC DATA
NAME: Kimberly Villegas
AGE: 7 y/o
SEX: Female
ADDRESS: 232 Raankipot St., Bagumbayan, Bulakan, Bulacan
MARITAL STATUS: Child
OCCUPATION: N/A
RELIGION: Roman Catholic
BIRTHDATE: March 22, 2003
EDUCATIONAL ATTAINMENT: currently on Grade 1 level
POSITION IN THE FAMILY: 2nd among 3 children
HEALTH CARE FINANCING AND USUAL SOURCE OF MEDICAL CARE: Owns a field near their house, help of relatives and father's salary
DATE OF ADMISSION: N/A
TIME: N/A
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