DOMINGUEZ, KATHLEEN SHAYNE A.

COGNITIVE-PERCEPTUAL PATTERN DATA: The client stated that: “Yes, I’m still studying and 1st year college ako. Nag-eexcel ako ng konti ng school. Wala naman akong difficulties in learning or studying, except sa mahihirap na subjects. Nako-comprehend ko naman yung mga nakasulat sa board; blurred nga lang ‘pag walang salamin. Yes, meron akong eye problem. Malabo yung mata ko, near-sighted, since high school; mga year 2005. I wear eyeglasses since 4th year high school hanggang ngayon, pero kapag nasa school lang at nanunuod ng T.V. Mas lumilinaw yung vision ko kapag naka-eyeglass. The easiest way for me to learn/study is to concentrate or focus; for example, ‘pag may discussion kailangan kong makinig mabuti. Kapag sa bahay naman, magbabasa or aaraling mabuti yung lessons. Nahihirapan akong mag-concentrate or magisip ng mga bagay-bagay lalo na kapag mahirap talaga intindihin. Example, yung mga Physics problems, ang hirap intindihin nun. Mahirap din magconcentrate ‘pag maingay yung kapitbahay. Pero ‘pag simple things naman ‘di ako nahihirapan. Syempre difficult yung paggawa ng important decisions, kasi depende if maganda yun or hindi para sa akin at ibang tao. Fluent akong mag-Tagalog, pero medyo lang sa English at Ilokano. I don’t have a family history of mental illness and I didn’t experience anything traumatic in my life. Si Dean Victor Quimen ang Dean ng CON ngayon at sa Sierra Beach naman ginanap yung finals at graduation namin sa NSTP-PNRC. April 22, 2010 ngayon (3:01 in the afternoon), nasa school ako at ako si “(client’s name)”. INTERPRETATION: The client is well-oriented about the time, place and person based on her answers on the series of questions that was asked to her. Also, her recent and remote memory is still intact. She has no learning difficulties and can comprehend; yet she said “except sa mahihirap na subjects”. The client stated that: “Yes, meron akong eye problem. Malabo yung mata ko, nearsighted, since high school; mga year 2005.” She corrected her vision by wearing eyeglasses but doesn’t use it all of the time. The client has no problem in concentrating/ focusing to learn things, especially simple things, yet stated that she can’t concentrate if it’s really hard to understand and/or if there are distractions. Client speaks in Tagalog, English and Ilokano. She recalls having no family history of mental illness and traumatic experience. ANALYSIS: According to Kozier & Erb’s Fundamentals of Nursing (8th edition, p.982,642-643), the client’s mental status and state of awareness is normal, because she is oriented to time, place, person and understands verbal and written words (language). Hence, she is in the state of full consciousness. Yet, the client stated that sometimes she can’t concentrate if it’s really hard to understand and/or if there are distractions, and can be experiencing Sensory Deprivation and/or Sensory Overload. According to Kozier & Erb, Sensory deprivation is generally thought of as a decrease in or lack of meaningful stimuli. Its clinical manifestations include difficulty concentrating and

both relating to what the client had said. p.decreased problem solving while Sensory Overload generally occurs when a person is unable to process or manage the amount or intensity of sensory stimuli. the client should wear eyeglasses or contact lenses to correct common refractive errors of the lens of the eye such as nearsightedness. . farsightedness and loss of elasticity of the lens/ loss of ability to see close objects. According to Kozier & Erb’s Fundamentals of Nursing (8th edition.586).

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