Professional Documents
Culture Documents
Nursing Health History
Nursing Health History
Nursing health history is the first part and one of the most significant aspects in case
studies. It is a systematic collection of subjective and objective data, ordering and a step-
status, functional status and coping pattern. These vital informations provide a conceptual
baseline data utilized in developing nursing diagnosis, subsequent plans for individualized
Patient P was born on December 19, 1992. She was born to parents from Surigao
Del Norte, but she didn’t actually live with them. She was technically abandoned to the
relatives, but those people could not essentially foster her. She stayed at the Department of
Welfare and Social Development or DSWD and spent her 15 years of existence. Her
education was funded mainly by volunteers and charitable foundations. At the same time,
she compensated for it by means of helping in chores and accomplishing tasks in the said
foundation.
She grew up with other abandoned children with questions in her mind. But to that,
she never completely disclosed herself. Patient P is a victim of sexual abuse. She was raped
and was unable to resist because of her innocence. She doesn’t talk that much. Often
times, she paces back and forth inside the ward, sits silently on her bed and sometimes
quietly stares outside the window. When tried to ask about what she knows of her family,
she could only turn silent, and somehow implies to ask the next question to her. But when
chance punched, I grasped it and coiled directly to my point. Unfortunately, hesitancy was
felt from the kind of thing that was wanted to be discussed. The issue was not forced until
her watcher, which has no relation to her, revealed the reason behind her pregnancy.
According to Patient P’s watcher, it was on a cold night in September 2007, when
Patient P came home from school: Upon nearing the center, a man, which she identified as
a newcomer to the center, blocked and harassed her brutally. She struggled to let go from
the ruthless hands of the unaccustomed man. Patient P was threatened that if she’d make
any noise, she’d get killed. Ill-fatedly, she was held powerless to the man, and the crime
had happened. Fortunate enough that she wasn’t killed, she thanked the Lord for sparing
her life. Although alive, she felt very much unfair about her situation. She could only tell,
“Kabata pa kaayo nako nahimong inahan, nganong nahitabo man pud ni..” . Patient P
conceived the baby and bore it for 9 months. For the first trimester, she couldn’t believe
and accept her fate, and sometimes thought of slight curses to the person who did the
crime. But somehow, she felt a jot of excitement of a having a baby unexpectedly. She
even verbalized, “Wa naman koy mabuhat. Nahitabo nato. Basin makasala pa kog ipalaglag