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Before Illness
According to our patient, being healthy is important. A person is healthy when she is strong; she can do what she wants and does not experience any pain. A person has a disease when she feels intolerable pain and can only do limited activities. Health for her is important for proper functioning. Patient said she has had immunizations but not sure if it was complete. She has been hospitalized before due to diabetes, heart attack and UGIB. No known allergies to any foods and drugs. Latest accident that she experienced was when she fell and fractured her left hip and knee. When she feels sick or ill, she takes over the counter drugs like Alaxan. If she cant tolerate the pain anymore, she goes to the hospital to seek medical attention.

During Illness
She is not able to do her daily hygiene routines because of her inability to move and walk. She takes medications given to her. She feels that her hygienic practices inside the hospital are inadequate. She uses alcohol to clean her hands.

There are significant changes to her health perception and health management.

* Illness and hospitalizations generally require modifications in hygiene practice. Conventional way of keeping the body healthy is altered because of lack of facilities and privacy to do personal hygiene practices. Her inability to move freely is also a hindrance.

Health Perception Health Management

She does not have any regular medical and dental check-ups. She considers walking around and doing some household chores as her exercise. She takes a bath once a day and observes proper mouth hygiene. She does use lotion, shampoo and soap. She washes her hands regularly and always uses soap. Whenever she is sick, she gets money from her children especially to her daughter who works abroad. She wears slippers while inside their house. She feels that her hygienic practices are adequate, and she feels clean and neat. The patient is non-smoker and she does not drink any alcoholic beverages and use any illicit drugs. Nutritional Metabolic Pattern

She loves to eat white meat and vegetables. She is not choosy when it comes to any cook and kind of food. She eats 3x a day

Inside the hospital, she is on diet as tolerated with strict aspiration precaution. She sometimes eats food given by the hospital if it comes with soup. If not, she

* There is a significant change in her nutritional-metabolic pattern.

* The change in her metabolic pattern is due to her UGIB condition. There has been restrictions and alterations to what she can consume inside the hospital.

She does not eat any junk foods. She drinks 5 glasses of water a day. For her, the amount of food she consumes is adequate. She takes food supplement such as vitamin B and C She defecates twice a week before her hospitalization. According to her the characteristic of her stool is hard, dry and colored dark brown. She urinates 7x a day and does not feel any pain and difficulty. She feels pain at her abdomen on the epigastric area.

asks her daughter to buy her soup from the hospital canteen. She drinks a lot of water as instructed and advised by health professionals.

Elimination She uses diapers and she asks for assistance to change it once she feels it is wet. She does not feel any pain when urinating. She has problems defecating. According to the patient her last defecation was September 2, 2010. * There is a significant change in her elimination pattern. * The change in her elimination pattern is due to her lack of activity, diet and her UGIB.

Activity and Exercise Patient considers walking around and doing household chores as her exercise. She sometimes watch TV shows while looking after her sari-sari store. She likes to converse with her friends and neighborhood. When she cleans, it is usually for 1 hour because she gets easily tired. When after all the chores Patient is not able to move because she feels intolerable pain when she moves. She cant do any activity inside the hospital. She participates when health care professionals assist her to do passive ROM exercises. She converse with her daughter most of the time. She is aware that less * There is a significant change in her activity and exercise pattern. * Patient lacks activity and exercise because she is immobile due to her injury. She also feels pain on her fractured body part when she tries to move.

are done she will rest and watch television. She does not involve her self in any vigorous activities. However, she is aware that her activity is not enough, and she recognizes the importance of having regular exercise.

exercise and activity is bad for anyone.

Cognitive-perceptual She is aware to different people around her. She has no problems communicating with people around her. According to her she is sensitive to the feelings of the people around her. She can express her feelings appropriately. She has no problems with her memory. She was able to maintain and keep her focus during the interview. During the interview, her voice is soft and weak. Her thought process is appropriate to her age and situation. Patient has a good memory. She can still recall her previous medications and hospitalizations. * No significant changes were noted.

Sleep and Rest She is experiencing intermittent sleep disturbance. She has problems with obtaining adequate rest or sleep. Her normal number of sleep is 4-5 hours. She takes a nap in the Her sleep pattern is still not normal. She is not able to have adequate amount of rest because of her condition in the hospital. No significant changes noted.

afternoon whenever she feels sleepy. She feels that her sleep and rest is inadequate. Self-perception

According to her there is something wrong in her health and body. She sometimes feels sad because after she fractured her left hip and knee, she wasnt able to do a lot of things anymore. According to her daughter she is a good mother and grandmother. Her strength is her family, when there are any circumstances that involving any family member she is concerned and make some moves. She is simple. She was the eldest in her family. She is widowed and has 10 offspring, 4 daughters and 6 sons. She is performing the typical responsibilities of a plain housewife and grandmother. Her children have a good relationship to her.

Patient is concerned if she will still be able to move and walk normally. Patient is not satisfied with her health status.

* There is a significant change in her sel-perception.

* The change In her self-perception is due to her fracture. She worries that she might not be able to function like before. Her body image changed because she worries that will be dependent on other people.

Role-relationship Patient feels that she cannot fill her role as a grandmother and mother anymore because of her condition. She worries that her condition might have a negative impact on her relationship with her family * There is a significant change in her role-relationship pattern. * Patient feels that she is inadequate to fulfill and share her self to the people around her because she is incapacitated and cant do things like before. Her attachment to her family might be affected as well.

She lives with her youngest daughter and her husband, and also with her 2 grandchildren. She can form a healthy relationship with others. She is the person who chooses her friends. She is a very quite person. She does not have any enemies. Her primary source of financial help is her daughter who works abroad.

since she needs more financial support and care due to her condition.

Sexuality-reproductive She is no longer engaged in sexual activity. She did not have any history of sexually transmitted diseases (STDs) She is menopause. She dresses appropriately, based on her gender. She is also able to express her feminine attitudes. No significant changes were noted. No significant changes were noted.

Coping and stress tolerance Whenever she has problem, she asks guidance from our Lord She watches television as her stress management. Talking to her neighbor and friends is also one of her way to relieve herself from She still prays to ask for guidance when she feels sad and stressed about her condition. Communicating with her daughter who looks after her in the hospital is one of her coping mechanisms. No significant changes were noted in her coping and stress tolerance.

stress. She tries not to get mad as much as possible because she has hypertension and history of heart attack. When she experiences difficulty of breathing she just relaxes and breathes deeply. Value-belief

She is a Roman Catholic She attends mass occasionally. She always ask the guidance of our Lord Whenever there are Christian events, like Holy week, she participates in the activities like fasting.

Prays more often to ask for guidance.

There is a significant change in her value-belief pattern.

The change in her value belief is due to her condition. She feels that she needs more spiritual guidance to give her strength in dealing with her current situation.