FAMILY HISTORY:

Ms. A claimed that she has no family history of heart disease, hypertension nor diabetes. Her
mother, who is already 66 years old, has bronchial asthma as well as her father who is 70 years old. They
are both undergraduate, and they have a small store which serves as source of their income. The
patients grandparents are all deceased not knowing their age. Her grandfather in her mothers since has
an asthma while her grandmother had unknown cause of death.

DEVELOPMENTAL DATA

The young adult (20 to 40 years old) is in the genital stage in which energy is directed towards
attaining a mature relationship according to Freud’s theory. It is in the intimacy versus isolation phase of
Erickson’s stage of development and has the following developmental tasks, according to Havighurst.

 Selecting a mate
  Learning to live with a partner
 Starting a family
 Rearing children
 Managing a home
 Getting started in a occupation
 Taking on civic responsibility
 Finding a congenital social group

ERIK ERICKSON

Erickson believes that the greater task achievement, the healthier the personality of the patient;
failure to achieve a task influences the person’s ability to achieve the next task. In his view, no stage in
personality development can be passed but people can sometimes be fixated at one stage or regress to
a previous stage under stressful conditions.

DEVELOPMENT BEFORE AFTER ANALYSIS

HOSPITALIZATION HOSPITALIZATION
PHYSICAL She is not that fat with She can’t even work Her physical activity is
DEVELOPMENT fair complexion. She has because of her temporarily not
no time to exercise but illness.”Hindi ako productive enough such
she has a lot of nakakapagtrabaho as working due to her
activities that dito.” illness.
strengthen her body
such as walking. “Hindi
ako nkakapag exercise
pero pag pumupunta
ako ng office???”

Ms. A works for 11

hours as a secretary.
She works 8 hours a day
and 5 days in week.
“Masyadong busy sa
work minsan hanggang
sa bahay nadadala ko
ang trabaho.”
PSYCHOSOCIAL She has an active social She still communicates This is a slight
DEVELOPMENT lifestyle through with her family but temporary decrease
bonding with her family mostly to her husband. with her social
and friends but she “Madalas asawa ko lang interaction due to
claims that she’d rather ang nkakausap ko kasi limited visitors.
stay at home than go to siya ang kasama ko dito.
malls or parks. Minsan nkakausap ko
“Nakakpagbonding pa din ang mga kpatid at
 din kami kami kahit kamaganak ko.”
busy ako pero madalas
dito lang sa bahay.”
COGNITIVE Ms. A has a good The patient still decides There are no changes
DEVELOPMENT memory. Being a with her husband in with regards to her
graduate with a course terms of family matters. cognitive development.
of Education and “..lalo na ngayon, wala
working as a secretary, ako sa bahay, mas
She can read and write pinaguusapan naming
legibly. In terms of her ng asawa ko ang lahat
decision making, she bago pagdesisyunan.”
decides with her
husband. They always
put first the sake of
their children. “Kaming
dalawa ng asawa ko ang
magdedecide at inuuna
naming ang kapakanan
ng mga bata.”
MORAL DEVELOPMENT Ms. A is also a positive She has a positive There are no changes
thinker. She respects thought regarding her with her moral
her family, friends and illness.”Makakalabas development.
other people. She was din naman ako agd sa
raised well as a good ospital.”
individual. “Iniisip ko na
lang na gagaling ako
agad.”
SPIRITUAL The patient’s whole Faith became more Faith is more
DEVELOPMENT family goes to church intense because of her internalized that
every Sunday. They situation. “ Mas evolves from
hav4e a strong faith. tumibay ang experience.
“Lagi kaming pananampalatay ko
nagsisimba tuwing ngayon.”
linggo.”
EMOTIONAL Ms. A demonstrates During her Illness changes the
DEVELOPMENT and expresses her hospitalization, the mood of a person. She
feelings towards others patient became more became more
especially to her concerned & focused to expressive and
husband. “Lagi kong her illness. She concerned about
sinasabi lahat sa asawa expressed her fear and herself.
ko.” doubt when talking to
her husband. “Syempre
natatakot ako lalo na sa
kalagayan ko ngayon at
alam iyon ng asawa ko.”
AREA OF RESOLUTION Ms. A is in the young She has already Since the patient is
adulthood of Erik established a family. already married, she
 Erickson’s Psychosocial achieved the intimacy.
developmental task.
Ms. A has established a
family already and is
happily married for 9
nine years now.

Narrative Rationalization:

Ms. A is a 32 year old married woman for 9 years with two sons who are the fruits of their
intimate relationship. She had worked for 11 years as a secretary together with her husband who is a
driver of a company car. They already own a house which secures their family. They are intimately loving
each other which where they belong in Erik Erickson’s eighth stage of development, he stage of intimacy
vs. isolation in the early adulthood.

ROBERT HAVIGHURST

Robert Havighurst believed that learning is basic to life and that people continue to learn
throughout life. Havighurst promoted the concept of developmental tasks in the 1950s. A
developmental task is “a task which arises at or about a certain period in life of an individual, successful
achievement of which leads to his happiness and to success with later tasks, while failure, on the other
hand, leads to unhappiness of individual, disapproval by society, and difficulty with later tasks.”

TASK MS. A ANALYSIS

Selecting a mate. Ms. A is married to a 34 year old
who works as a driver of the
same company where she works.
“Sa trabaho kami nagkakilala ng
asawa ko. Company driver siya
doon. Company driver siya at
may high blood..”
Learning to live with a partner. The patient is married for 9 years
now. “9 years na kaming kasal,
23 years old ako nung
nagpakasal kami.”
Starting a family. Ms. A has a family for 9 years
and has two sons. “Dalawa na
ang anak namin. Parehas lalake
at parehas na nasa grade school
pa. ” The couple works for their
family.
Rearing children. Ms. A has two children who are
both male. “Dalawa na ang anak
naming. Parehas lalake at
Task is achieved because she has
selected her mate.
Task is achieved because Ms. A
had chosen to live with her
partner.
Task achieved because Ms. A and
her husband established their
own family. As a parent, she was
able to do her responsibilities in
keeping her family.
Task achieved because Ms. A
was able to bear children, Direct
and guide them as they grow up.

Managing a home.
Getting started in a occupation.
Taking on civic responsibilities.
Finding a congenial social group.
parehas na nasa gradeschool.”
Being the only woman in the Task is achieved because Ms. A
family, she takes good care of could manage her family even if
every member of the family. She she is working.
also manages every activity in
their home despite being busy
with her work. “Syempre ako
ang ilaw ng tahanan, ako ang
nagaalaga sa pamilya ko.”
Ms. A works for her 11 years Task is achieved because she
now as secretary, 8 hours a day already got a job.
and 5 days in a week. “Parehas
kami ng bunso nateacher pero
nagtratrabaho ako bilang
secretary sa isang company.”
Ms. A is responsible for her Task is achieved because she
family. Syempre ako ang ilaw ng took responsibility as the wife to
tahanan, ako ang nagaalaga sa her husband and as a mother to
pamilya ko.” her two children.
Ms. A is a member of Couples for Task is achieved because she is a
Christ. “Couples for Christ kami member of a social group.
ng asawa ko.”

Narrative Rationalization:

The task that Ms. A achieved according to her developmental stage of Havighurst were fulfilled.
Eventhough the patient was hospitalized , those tasks were affected, but the patient must maintain the
achievement to move to the next developmental tasks that she must fulfill.

PATTERNS OF FUINCTIONING

PATTERN BEFORE ILLNESS DURING ILLNESS DURING AJNALYSIS

HOSPITALIZATION
Eating Pattern She likes soup, Eats a piece of The patient was She has decreased
meat, vegetables bread and ate on NPO before the appetite since her
but she dislikes all noodles. operation. After illness started. She
spicy foods. the operation, she felt pain on her
was on general right upper
She eats 3-4 times Ate twice only. liquid diet to soft abdomen. Her diet
a day. diet till she was on was decreased
full diet. because of her
“Gusto ko sabaw, “..tapos nung abdominal pain.
karne, gulay basta nagsuimula ang
hindi gaanong sakit ko mga
maanghang. dalawang beses na
 Madlas 3-4 times lang akong
akong kumain.” kumakain, tapos
tinapay at noodles
na lang.”
Drinking Pattern She drinks about 8 She drinks at She drinks about 1 glass of any
glass a day. about 5-6 glasses a 3-4 glass a day. liquid is equal to
“Walong baso ng day. “Ngayon mga 210cc.
tubig nag iniinom 3-4 na lang pero
ko.” noong unang Due to the pain
nagkasakit ako she felt, she
mga 5-6.” lessened the glass
of water she
drinks.
Bathing Pattern She takes a bath There is no change She doesn’t take a There was change
twice a day. with her usual bath. in her breathing
“Dati naliligo ako bathing pattern. pattern. Her illness
dalawang beses sa didn’t affect her
isang araw. Tapos that much but her
nug nagkasakit hospitalization
ako, ganun pa din affected the
pero ngayong bathing pattern.
naospital ako,
hindi pa ulit ako
nkakaligo. Punas
lang.”
Sleeping Pattern Sleeps at 10pm She goes to bed at Cannot sleep There is a sleep
and wakes up at 10pm but wakes because of pattern
5am. Total hours up every 2 hours radiating pain. disturbance during
of sleep equal to 8 because of pain. illness. The patient
hours. “10 pa din pero wakes up every
nagigising ako two hours due to
every two hours. pain.
Tapos noong
nandito na ako
hindi na kao
makatulog dahil
sobrang sakit.”
Elimination The patient is not The patient is The patient is The patient
Pattern constipated. constipated. having difficulty in become
“hindi naman ako “Medyo mahirap her bowel. constipated during
nahihrapan dumumi.” hospitalization
dumumi dati.. that begins in the
nagging onset of her
constipated lang illness.
ako noog”