BIOGRAPHIC DATA

PAST HEALTH HISTORY

PRESENT HISTORY
FAMILY HISTORY OF ILLNESS
HEALTH PERCEPTION and HEALTH MANAGEMENT
NUTRITION

The client stated “para sa akin ang tamang nutrisyon ay ang pagkain ng
gulay, prutas at ang pagkain ng 3 beses sa isang araw, pagkain ng isda at
paginom ng sapat na tubig”. The client said that her favorite foods are rice, fish,
vegetables, and bread. She does not like eating fatty foods during her
pregnancy. The client verbalized “pag nagluluto ako puro prito at ginisa lang ang
ginagawa ko, tapos madalas sa bahay lang kami kumakain. Minsan pag
sumasama ako sa asawa ko sa pag- pasad niya, kung saan lang kami abutan”.
Their food allowance per day is P200.
The client said “noong nabuntis ako, tumaas yung timbang ko pero sabi
nung nurse normal lang ang pagtaas ng timbang pag buntis”. She also
verbalized that “hindi naman nagbago ang gana ko sa pagkain, hindi din naman
ako nagdadiet, at hindi ko din nililimitahan ang pagkain ko”. She stated that she
seldom exposed to hot environment and she does not have any dental records
nor goes to the dentist because she doesn’t have any cavities. The client does
not have any skin problems, lesions or scars.

7 Day’s Diet Recall

Wednesday Thursday Friday Saturday Sunday Monday Tuesday
BREAKFAS BREAKFA BREAKFA BREAKFA BREAKFA BREAKFA BREAKFA
T ST ST ST ST ST ST
2 medium 2 pandesal 2 pandesal 2 pandesal 2 pandesal 2 2
sized of 2 Glasses 2 Glasses 2 Glasses 2 Glasses pandesal pandesal
pandesal of water of water of water of water 2 Glasses 2 Glasses
2 Glasses of of water of water
water
LUNCH LUNCH LUNCH LUNCH LUNCH LUNCH LUNCH
1 cup of rice 1 cup of 1 cup of 1 cup of 1 cup of 1 cup of 1 cup of
1 bowl of rice rice rice rice rice rice
noodles 2pcs tuyo 1 bowl of 1 pritong 1 bowl of 1 pritong 1 bowl of
2 glasses of 2 glasses kalabasan isda monggo isda noodles
water of water g may gata 2 glasses 2 glasses 2 glasses 2 glasses
2 glasses of water of water of water of water
of water
PM SNACK PM PM PM PM PM PM
1 bowl of SNACK SNACK SNACK SNACK SNACK SNACK
lugaw 2 pcs 1 bowl of 2 pcs 1 bowl of 1 bowl of 2 pcs
1 glasses of tinapay lugaw tinapay lugaw lugaw tinapay
water 1 glasses 1 glasses 1 glasses 1 glasses 1 glasses 1 glasses
of water of water of water of water of water of water
DINNER DINNER DINNER DINNER DINNER DINNER DINNER
1 cup of rice 1 cup of 1 cup of 1 cup of 1 cup of 1 cup of 1 cup of
Bowl of rice rice rice rice rice rice
monggo 2 I cup of Pritong Pcs of 1 Cup of 1 Cup of
2 glasses of galunggon noodles isda tuyo monggo kalabasan
water g g may
gata.

ELIMINATION

The client said that she defecates at least 3 times a week. She describes her
stool as brown, semi- solid and has an aromatic odor. There are no changes in
the characteristics of her feces, no discomforts or pain and there is no change in
pattern. The client verbalized “hindi na katulad ng dati yung pagdumi ko, ngayon
madalang na dati kasi araw araw eh. Sa tingin ko dahil sa pagbubuntis ko kaya
madalang na ko dumumi”.
The client said “hindi siya ganun ka-dilaw, yung amoy niya ayos lang, at yung
dami niya tama lang mga isang bote ng coke yung 1 .5 (1500)”. She also said
that she urinates at least 8 times a day. She doesn’t feel any pain or discomforts
and there is no blood present in the urine.
EXERCISE
Time Monday Tuesda Wednesd Thursda Frida Saturda Sund
y ay y y y ay
7am Wake Wake Wake up Wake Wake Wake Wake
up up up up up up
7- Clean Clean Clean the Clean Clea Clean Clean
730am the the house the n the the the
house house house hous house house
e
730- Take a Take a Take a Take a Take Take a Take
8am bath bath bath bath a bath a
bath bath
8am- Cook Cook Cook Cook Cook Cook Cook
830 breakfa breakfa breakfast breakfa break breakfa break
st st st fast st fast
830- Eat Eat Eat Eat Eat Eat Eat
9am
9-905 nap Nap nap nap nap nap nap
905- Watch Watch Watch tv Watch Watc Watch Watc
1130 tv tv tv h tv tv h tv
1130- Cook Cook Cook Cook Cook Cook Cook
12noo lunch lunch lunch lunch lunch lunch lunch
n
12- Eat Eat Eat lunch Eat Eat Eat Eat
1230 lunch lunch lunch lunch lunch lunch
1230- Watch Watch Watch tv Watch Watc Watch Watc
4pm tv tv tv h tv tv h tv
4-5pm Ride Ride Ride the Ride the Ride Ride Ride
the the tricycle tricycle the the the
tricycle tricycle tricycl tricycle tricycl
e e
5- Eat Eat Eat Eat Eat Eat Eat
530pm meriend merien merienda meriend merie merien merie
a da a nda da nda
530- Ride Ride Ride the Ride the Ride Ride Ride
920 the the tricycle tricycle the the the
tricycle tricycle tricycl tricycle tricycl
e e
920- Cook Cook Cook Cook Cook Cook Cook
940 dinner dinner dinner dinner dinne dinner dinne
r r
940- Eat Eat Eat dinner Eat Eat Eat Eat
10pm dinner dinner dinner dinne dinner dinne
r r

The client stated, “Wala naman akong masyadong exercise, naglalakad

lang sa labas minsan, naglilinis ng bahay saka sumasama sa pasada ng asawa
ko minsan pag wala akong ginagawa at nakikinood ng TV sa kapit bahay. Ok na
un sa akin hindi naman ako masyadong mahilig mag-exercise minsan, tinatamad
ako kaya pamasyal masyal lang sa tabi tabi.” The client said that she has
sufficient energy to do housework and that there are no recent changes in her
exercise pattern. The client verbalized that she does not drink any medications
and that there are no movement disorders or discomfort when moving.
The client stated that her only leisure activities are watching TV and riding
with her husband in their tricycle.
SLEEP and REST:
When we asked her about her sleeping pattern, she verbalized "Okay
naman. Sa tingin ko sapat naman ang oras ng pagtulog ko." According to her she
goes to bed at 9pm and by 10pm she already fell asleep then her usual time of
waking up is around 7 in the morning. She claimed, "Sa tanghali minsan
nakakaidlip pa ko lalo na kapag wala talaga akong ginagawa. Tunamatagal yun
ng mga 30 mins. minsan nga inaabot pa ko ng isang oras." She always
breastfeed her eldest son at night and it puts her to fall asleep. According to our
client she doesn't have a morning sickness except on her 1st three months. (1st
trimester) she stated, "nung unang tatlong buwan kong pagbubuntis talagang sa
umaga irritable ako, nagliliyo talaga ako. Sa gabi naman nun putol-putol ang
tulog ko at dun talaga medyo mahirap. Pero nung nagtagal na okay naman na.
Sabi nga ng mister ko ganun daw talaga dahil naglilihi pa ako nun". Her husband
doesn't wants her to do the house chores now that she's already at 7 months as
she verbalized, "Kapag nakikita niya ko na laging nakatayo pauupuin niya agad
ako, kaya minsan ang nagagawa ko lang talaga mag-walis at mag-hugas ng
pinggan dahil siya na gumagawa ng iba. Sabi niya nga malaki na daw masyado
ang tiyan niya kaya natatakot siya na magkikilos ako kaya ayun palagi akong
relax at palakad lakad na lang sa hapon." As the final question, we asked her to
rate her body status, if she's relaxed or stress during her pregnancy (1 as the
lowest and 10 being the highest). She claimed, "8 kasi wala naman talagang
problema pagdating sa bagay na to, nakakatulog na ako ng maayos at
nakakapagpahinga ako ng sapat feeling ko nga naging tamad na ako."

COGNITIVE and PERCEPTUAL

SELF- PERCEPTION and SELF- CONCEPT

The client said that she is happy with regards to her family because she
and her husband don’t encounter any problems yet. When we asked her as to
her feelings about her pregnancy she told us that she has mixed emotions, she
verbalized, “Masaya ako saka excited kasi magkaka-anak ulit ako pero siyempre
kinakabahan din kasi mahirap manganak at mag-alaga ng bata.” She experience
happiness whenever she felt that her baby is kicking inside her womb. She
believed that she is ready for her second child and to be a good mother to both of
her kids. About her body image, she said that the changes in her body while she
is pregnant will not be permanent and will soon be gone if she gave birth and all
of the difficulty that she went through will be worth it when the baby is delivered.
According to her she is content with her life because she is pleased with her
husband and their family.
ROLE-RELATIONSHOP PATTERN
The client is living with her live-in partner for three (3) years and with their 2 year
old son (Nuclear family). She said that she depends on her husband for the living
and decision making. The client said that they don’t fight easily. Whenever they
experiences some problems, both of them immediately talk about it thus
according to the client they doesn’t seem to have any problem at all because
they could resolve it right away. The client stated, “Effective naman, kasi
napaguusapan namin agad para hindi na ito lumaki pa.”
SEXUALITY and REPRODUCTION
Marlin Tano is currently bears her second child and on her 39 th week as of
January 3, 2010 according to her last menstrual period last April 5, 2009. She
has a GTPAL of G2T1P0A0L1. She does not have a history of stillbirth. She also
mentioned that “normal naman lahat ang nararamdaman ko, kagaya nung una
kong pagbubuntis”. She does not experience any signs of bleeding during her
pregnancy, and further said “hindi naman ako nakakaranas nang pagdudugo sa
pwerta ko pero minsan feeling ko meron pero wala naman”. She is having her
regular monthly check-up in the health center to monitor the status of the baby.
According to the client, her menarche started when she was 15 years old.
She is having her menstrual flow every month and she considered it to be regular
and she also uses 2 pad a day saying that, “Pag nagkakaroon ako, nagpapalit
ako pagpuno na ung napkin ko”. Her menstrual period last for 4 to 5 days
depending of the stress she had. “Minsan kasi maigsi lamang yung araw na
meron ako lalo na pagmaraming problema sa buhay at saka pag lage akong
puyat sa gabe”. She does not experience pain or dysmenorrhea during menses.
When she and her partner decided to live together, they are having sexual
intercourse once a week. Moreover, by the time they knew that she was pregnant
they already stop having sex and started to cherish the baby.
COPING- STRESS
VALUES - BELIEF PATTERN
 Ms. Marlin verbalized “A person becomes healthy when he knows how to
implement proper lifestyle habits”. Health is important for the client because
according to her one need to be healthy in order for him to carry out task and
perform his/her duties. Ms. Marlin and her family is a Catholic. She says that
religion is important for her. But faith in God is the most important. Ms. Marlin
together with her family goes to church every Sunday to pray and thank God for
all the blessing, she verbalized “Ang Diyos ang nagbibigay ng grasya at biyaya
sa atin.