B.

Bio-Psycho-Social-Spiritual History
1. Respiration Pattern
a. Before getting sick
The patient says he can breathe normally and there are no complaints on his
breathing.
b. When sick
Patients say they can breathe normally, there is no interference with breathing.

2. Nutrition Pattern
a. Before getting sick
Patients say they eat 3 times a day with an adult portion and always run out. Patients
say they drink 6-7 glasses a day. Patients say they like to eat foods that contain salt.
b. When sick
Patients say they eat 3 times a day with the portion provided by the hospital and run
out 1/4 because they always feel nauseous. Patients say they drink 4-5 glasses of water a
day.

3. Activity and training patterns

a. Before getting sick
Patients say being able to move independently without the help of others can work as
usual.
b. When sick
Patients say they cannot move as usual, it is difficult to get up and walk because they
always feel dizzy. The patient said he was helped by the family when he went to the
bathroom.
4. Personal hygiene pattern
a. Before getting sick
Patients say bathing 2 times a day, brushing teeth 3 times a day, shampooing once
in 2 days, cutting the nails once a week without the help of others.
b. When sick
The patient said that his family only wiped it twice a day in the morning and
evening. The patient said brushing his teeth 3 times a day assisted by the family.
5. Pattern of sleep rest
a. Before getting sick
Patients say they sleep 6-8 hours a day, sleep well and never wake up at night.
b. When sick
Patients say they never take a nap because of pain in the head, patients say they
sleep 4-5 hours a day and often wake up.
6. Pattern of elimination
a. Before getting sick
The patient said that BAK was approximately 2 times a day and had a small urine
discharge with yellow urine and no complaints when removing urine. The patient said
CHAPTER 2x a day with solid concessions and no complaints when defecating.
b. When sick
Patients say BAK is 4 times a day with yellow urine and the amount of urine
coming out is small and there is no complaint of pain when removing urine. Patients say
BAB 1 time a day with a solid consistency, typical feces smell.

7. Cognitive pattern
a. Before getting sick
The patient said there were no disturbances in the hearing, sight, smell,
palpability, and taste systems.
b. When sick
The patient said there were no disturbances in the hearing, sight, smell,
palpability, and taste systems.

8. Social pattern
a. Before getting sick
Patients say they can communicate and interact with their families and
surrounding communities.
b. When sick
Patients say they can only interact with families who visit and health workers at
the hospital.
9. Self-concept patterns
a. Before getting sick
Patients' families say patients are confident in carrying out daily activities.
b. When sick
The patient's family says the patient can only accept the situation and is
grateful that the family always accompanies and supports for his recovery.

10. The pattern of belief / spiritual values

a. Before getiing sick
Patients say they always perform 5 daily prayers on time and always pray.
b. When sick
Patients say they remain intent on praying even though sometimes they are not
done. Patients say they believe that all diseases must have a cure.
11. Comfortable pattern of pain
a. Before getting sick
The patient said he did not experience pain in any part of the body.
b. When sick
The patient says pain in the head.
P: patients say they are often dizzy if they consume too much salt-containing
food
Q: The patient says pain is like being stabbed.
R: The patient says pain is felt in the head area at the front and at the nape of the
neck,
S: The pain scale is in number 5 (from a scale of 1-10),
T: The patient said the pain was gone.