Area Initial Pattern Ongoing assessment

Usual Pattern (November 16, 2021)

Health Perception – Health

Management Pattern

• Client claims that general • Patient verbalized’’ Okay ra akong

health has been good for
the past years.
• Client claims that she had
colds in the past years but
tends to work unless she
becomes very ill.
kaon’’
• No allergies
• No medications
• No present illness
• Didn’t have any experience of
surgery
Or blood transfusion
 Don’t use cigarettes , occasionally
drinks alcohol but stops when she
was pregnant. Never used drugs

Nutritional-Metabolic
Pattern
 Eats 2-3x meals a day
 Client claims that
 No vitamins and supplements
her typical food intake
taken
during breakfast, lunch and
 Weight gain during pregnancy
dinner may be similar either
about 1-2 kg
salted dried fish, meat, fish
 No problems with swallowing
and some vegetables.
 Patient usually eats fish, rice,
 Significant other
soup.
verbalized “gana raman
iyang kaon’’
 Client claims that
she drink milk in the
morning and water for every
meal approximately 2
glasses.
 Client claims to lose
weight
 Client claims no
food restriction
 Client claims no
discomfort in swallowing.
 Claims that wounds
heal well
 Client has no skin
problems and dryness.

Elimination Pattern  Bowel elimination: twice a day;

brown; wet
 Client claims that she
 Urinary elimination frequency:
defecates once every day
every 2 hours. Amount: about a
and its formed. No
glass (240ml) as claimed: yellow
discomfort unless
in color; Discomfort: none;
constipated. No use of
 Problem in control: None
laxatives.
 Does sponge bath daily or every
 Client claims to urinate
other day.
frequently like every 2 to
3 hours. Slightly
yellowish in color. No
problem in controlling.
 No odor problems. Not a
heavy perspirant

Activity-Exercise Pattern
 Client verbalized “magsige rako
 Client works as a cashier
higda dri hospital.”
in ice factory.
 Client’s husband is there to assist
 Client claims to have
to move .
energy to do desired
 Perceived ability for:
activities.
o Feeding: 0
 Claims walking daily as
 her form of exercise. o Dressing: 0
 Client sleeps during his o Cooking: N/A
leisure time. o Bathing: 0
 Perceived ability for: o grooming: 0
o Feeding: 0 o shopping: N/A
o Dressing: 0 o toileting: 0
o Cooking: 0 o general mobility: 0
o Bathing: 0 o bed mobility: 2
o grooming: 0 o home maintenance: N/A
o shopping: 0
o toileting: 0
o general mobility:
0
o bed mobility: 0
o home
maintenance: 0

Sleep-Rest Pattern  Took long naps.

 Sleeps for 8 hrs then wakes up.
 Client claims she
 Claims no sleep problems in the
generally rested and
hospital
ready for activities after
 Client claims she is well rested
sleep
always
 Claims no sleep onset
problems though he
wakes up in between to
urinate.
 Usually sleeps during
leisure time
 Usual onset of sleep=
9pm
 Usual waking up= 5am
 Doesn’t experience
nightmares or bad
dreams

Cognitive-Perceptual Pattern  No eyeglasses used

 Can easily answer if she can hear
 No using of glasses
well the questions during the
 No change in memory
interview
 Uses Visayan dialect to
 No change in memory
communicate
 Uses Visayan dialect to
communicate

Self-Perception – Self-  Claims to be happy.

Concept Pattern

 Client describe
herself as a happy
individual no matter what
she feels good about herself.
 Client claims she can
do anything on his own.
 Client claims she
doesn’t get angry or
annoyed easily.
 When she gets
frustrated, she usually walks
and cool off himself.
Role Relationship Pattern  Client’s husband is always with
her catering her needs
 Client lives with her
 Client relies everything to the
husband and kids.
doctor and nurses
 Client claims that there’s
no family problems .
 Client doesn’t feel lonely
since they are together in
 one home.
 Client feels comfortable
walking and talking to
neighbors since his
neighbors are close by.

Sexuality-Reproductive  No pain and difficulty

 Satisfied with sexual

relationship
 No changes lately and no
problem
Coping-Stress Tolerance

 Client claims that her

neighbor is helpful.
 Client claims that he is
relax most of the time.
 If ever problems arise in
her life, she talk it out
with her husband
 So far talking it out has
been successful for her.
Value-Belief Pattern