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1. Health Perception-Health Management
Patient A.T. does not want any consultations or even go for checkups because he thinks that he is healthy and there is nothing wrong with him. He maintains a healthy body by exercising, playing basketball, billiards and helping in household chores. He easily gets bored when he is not doing anything. He has started smoking and drinking liquor (San Miguel beer and Marlboro Green) since he was 19 years old up to present. He is not allergic to any food or drug. His family does not have any history of hypertension, heart disease, cancer, asthma, diabetes or even tuberculosis.
Patient A.T. considered himself not a healthy person due to present condition. He was diagnosed "Ruptured Globe OD" and had undergone Emergency Enucleation OD under General Anesthesia last July 15, 2013. He is expecting to recover from his present condition with the help of the health care providers attending to his needs. All of the medications prescribed to patient A.T. are available. Currently he is taking Tramadol, Amoxicillin, Moxifloxacin hydrochloride, Ciprofloxacin, Tranexamic Acid.
Patient A.T. cannot function normally like before because of his confinement and his hospital condition. His body image changed due to his accident and surgical procedure done.
“Enucleation refers to the surgical removal of an eye. Removal of an eye is considered a drastic and traumatic measure to most people. Although many patients who require this surgery have no vision in the affected eye, those who do have vision recognize that enucleation will result in instantaneous, permanent, total blindness of that eye. "
fish and also vegetables most of the time.’s life before his pre confinement stage was normal. 1178) The patient was brought to the hospital because of ruptured globe right eye due to accident and burn of facial area including the neck.T. He eats fruits like apples and bananas. he can eat whatever he wants. He eats fruits like apples and oranges.’s nutritional and metabolic status has been changed due to his confinement and his medical health condition.2. He drinks alcoholic drinks. Patient A. He said he loses his appetite due to uncomfortable feeling.T. During hospitalization. He drinks 2 bottles of San Miguel 2-3 times a week. . An individual’s health status greatly affects eating habits and nutritional status (Fundamentals of Nursing by Kozier p. He rarely eat meats. the patient is on Diet As Tolerated. His preconfinement status is totally affected. He also eats bread instead of rice.NutritionalMetabolic Management Patient A.
Bladder There was a change in the frequency. usually morning and afternoon. is minimal in amount and is brown in color. Bladder Patient A. and amount.T. Bowel Patient defecates once a day but not every day. consistency and amount of stool.Elimination Pattern Bowel Patient A. voids usually 6-8 times a day. Stool is soft. Bowel There was a change in the frequency. defecates two times a day without experiencing discomforts. Urine is yellow in color.T. . No pain when voiding. Bladder Patient voids 3-4 times a day without pain and discomfort. Stool is brown in color and is well-formed.3.
T.T. Patient A. likes playing basketball and billiards.T. In the afternoon after lunch. . Activity.'s activities in the hospitals are ambulation. there is limitation in his activities of daily living and a disruption in his leisure and recreation pattern. taking a bath or personal hygiene. Leisure and Recreation Pattern In the morning. Patient A. His leisure activities include playing the basketball and cards. During confinement in the hospital. watching television programs and listening to radio music. deep breathing exercise. Patient A.4.’s daily activities include collection of water for the day’s use.
He sleeps for long period of time.T. He heard presence of pressure in his right ear. hearing and speaking due Enucleated eye. His usual routine of watching television programs to put himself to sleep changed because he need not do anything to fall asleep. et al.T. People who are ill require more sleep than normal and the normal rhythm and wakefulness is often disturbed. He also takes a Vocational course of Automative Manpower. p.5. There was a change in cognitive and perceptual pattern in terms of reading. Patient A. “Illness that causes pain or physical distress can result in sleep problems. 1117). He can read and write. he has difficulty in seeing because his right eye was already blind. And pain is also a big factor for disturbances of sleep. Because of Patient A. complained difficulty sleeping and sleeps for short period of time (3-4hours) due to pain and unfamiliar to the environment. CognitivePerceptual Pattern Patient is a high school graduate from Batangas Province Science High School in Batangas.T.T.” (Fundamentals of Nursing. He does not have usual time of sleep. writing.’s present condition. Sleep and Rest Pattern Patient A. Patient is unable to read and write at present. Patient A. He feels rested when sleeping and he thinks that his energy is sufficient for his activities. 7th ed by Barbara Kozier. There is disruption of the sleepwake cycle because of the patient’s disease. puts himself to sleep by watching primetime television programs. He can speak and is understood by others. .'s sleep and rest pattern was changed when he was admitted due to Ruptured Global OD. 6. He don't feel rested and comfortable. He can speak and understood by others.
is a friendly person. . He has 11 siblings and they were all close to each other. there is a change to the level of patient self-perception and self-concept because he can't accept that he only got one eye. he loves to socialize with his friends in their neighborhood. He don't considered himself as a holistic person.'s family does not know what happened to him.959 & 962) 8. He can clearly express himself. Tagalog and Batangan. Self-PerceptionSelf-Concept Pattern Patient A. Patient A. He have many regrets in his life.T. Illness and trauma can also affect the selfconcept.” (Fundamentals of Nursing 7th ed by Barbara Kozier p. He considered himself as a holistic human being as long as his complete. Role Relationship Patient can speak and understand English.7.T. He thinks that he can't function well than before. he does not want to tell them what happened because he left Batangas without permission from his parents. They all lived in Batangas with their parents. Patient is very active and usually socializes with his neighbors. The patient wants to be independent for a change. Due to his present condition. He wants to have good health and live his life to the fullest. healthy and his family is always there for him. “Events or situations may change the level of self-concept over time.
is single and has no girlfriend. Patient A.T.T. When it comes to problem. 1020). Coping and Stress Tolerance When he is anxious. . he prefers to drinks liquor like beers or just eats. 10. The patient don't perform sexual activity. patient A. He is not engaged to sexual activity due to personal reason. He cannot communicate effectively. The removal of his right eye affects his well-being.T.. When he is stressed.9. wants to be alone. there have been many changes occurred that made it difficult for him to adjust. coping is “the cognitive and behavioral effort to manage specific external and/or internal demands that are appraised as taxing or exceeding the resources of the person”(Fundamentals Of Nursing by Kozier P.T. he let himself think immediately for a solution. He does not show his emotions. does not want to talk about it. does not have any outlet to divert his feelings unlike before he can watch television.T. The recent hospitalization was a traumatic experience for patient A. or diverting it through drinking liquor and smoking to alleviate his stress. patient A. According to Folkman and Lazaruz. Due to his condition. SexualityReproductive Pattern Patient A.
he rarely goes to mass. is now seeking for medical assistance.’s life. After what happened. When he went here in Manila.T.T. According to the patient.11. According to the client. Religious effort is still a part of patient A. Values-Belief Pattern Patient A. patient A. is a Roman Catholic. He follow therapeutic regimen and a strong faith to God accounts for his fast progress. he goes to the mass every Sunday in Pangasinan with his family. . there are no practices that affect his hospitalization.T.