CARE OF OLDER ADULT

A.Cllent's Prefle
Name: JI.C.
Address:Zamhoanga City
Age:61 yearsold
Irihdate:August 40,1960
Nes: Female
Ntatus: Marned
Oecupation:Housemife
Educational Attalament: Elementarylvel
Ethaic Ciroup: Tausup
Dialect/Language Spohem: Tausug
Rellgion: blam

HEALTH ASSESMENT
A.General Itealth Habits:
·Waking up at 5am
·Eating J meals a day with no dict plans
·Doesa'tesercise

B. Current Hcalth:
·Asthma and Arthritus

C.Past Health:
·Asthma and Cionter

D.Famlly Hlealth Ilistery

·Asthma

E.Medicatiess
·Salhutamal and Caltrate

JOURNAL
On Auguat 21.2021.I wend to my client's house near us.Before I stared ry interview.l explained
firsi to the client and aluo for her to have a heter understanding and can respund actively to the
interview session. Though I'm not new to her sunce she's une of my mother's best friend, I still manage
to esdtablished rapport for us to cocumumicate well in this way I can kearn how to identify the nature
of the peoblem and bora to oftan de relevant indormation from t client in osler to reach a putential
solution
 And by the time the client as ready I started asking for the chent's protile. I steer the interview
by listening astively and focusel on specific areas that are relevant I need to lv respestful aid maintain
a hulanced amount of eye contast. Iasked questions relsted to ber health and there are terms that I
nevded to translate to her dialest (Tausug) I muil always beat in mind not to used jargon wueds for ts
not ho have dificulties in out sewion I like she percelsved aging and how she enpoys it For ber aging is
enjoying the rest of your lie. by living lie to the fullent

The overall interview sessin went well l even tild bet that every now and then I will be hack to
check on het. She's smilngly respond "No prublem,I would be happy that there in some I can talk wuh

D.Nursing Histery (il Fuactional Iicalth Patterns)

1) licalth Pereeption-IIcalth Management Pattera
·The client stated that het general condition is not really pond.She takes medicatins to enhance
ber hcalth.
·She was dugned with Gioiter before.
·My antintis alwo made me difficult to walk for long distance.
·The claent verhalined that regular eating ardd snking water wuald Leep us heakhy
She ws happy with bet lite now.

2) Nutrilenal-Mietabolic Pattern

·She stated that she eats three times a day plus inacks
Ilet typical meal intake comsists of rice,fish beef chacken,vepetablcs somdtimes and fruits but nut
often.
·The client stated for her snacks,she loves to cal cracters
She's not conscious of the food that she eat,whatever is avaiLable thar's o.But she refrain to cat
foods that can trigget her illness
·The client reported that ber flukd intake comsists of juice,tea, coffee and watet.
·She takes medication like salhutamol and caltrate

The clisnt stated that she has a regular appetate

The clent deun't have allergy on any kind of foads
·Does not have any eating anad swallow ing discomforts
·The clent is chubby and the weigha is above normal

·The client roperted that she has no dental prublems

 3) Elimination Pattern
·The client docin'l find any discomfort dunng bowel eliminatin and elaminates every other day. Usually
sliminale every moming
·She urinates about 5 to 7 times every day. The color of ber urine is ysllowuh
·The chent persparcs moderately and docan't have any odor problems
·The chent dassn't have any discharges.
·The client doesa't une any device in esutetion of any and in bowel efimunation,hut needs scone to to
help het be at confortable position

4)Activity·Etercise Fatterw
·The slient stated that she has diffisuhy in eserising due to bet weight that male het difficult to move
and also bet coditintasthmu)
During leisure tume she ta sith her grankids watching TV togother

Perceived abllity for

Bathing-0
Bed Mobility -0
Cooking-0
Dress-2
Feoding·0
General Mobilaty-2
Grueming-0
Hlome Maintenance-D
·Shopping-2
Toleting-2
Tunctesal Level Codes:
Level O full ssff-care
·Levell requres ae of equipment of device
·LevelII:requites assistance of supersiton froens another porun
·Level Ill: nequires assistance of supersion tros anocher person and equipaient of device
·Level IV:is dependent and does not purticipate

5) Sleep·Rest Paterm
Inadequate slecps.Sbe verbalized that ahe rarcly have a straght slecp and often woe up in the muddie
of the righa due to her famaly member are stull awake and noisy
·Usually sleeps at arvund 9 00 pm and at 5.00 AM she wakes up and begns ber day
·No complaints of having nightmares of sleep unset problems
·Drink milk and praying hefore sicepang helps ham have a pod night sleep

n)Cognltive·Perceptual Pattera
·She has no diffisuly in tsaring and no wse of hearing ahd
 ·The chent stated that his vison is getting hlurry due to old age and she wears glasses as it is
nevded
·According to the chient,she did not have any memory changes lately.
·Client stated that it is casy for het to make importand desiices

7) Sell-Pererptiea-Nelf-Concept Pattern
·She describes hetwelf as a cating and loving mother
·Chient stated her body is physically weaker now than it used be and she can'l work as hand as
she used to, but she stated that she's alright with that as it ss purt of aping

·She due't usually get angry and irritated,she is really kind and even theragh there are a lot of Lids
in their house she refrain from getting mad at them and be atress she usually poke around with
her son,daughter and grandhide
·Stated that she ta contented with what she is and whal she haa now

#) Role-Relationship Patterm
Extended type of family. She lives with het hushand, 4 out of her 10 chaldrea already Ine
sepurately frvrm her. The remaining 7 still live with het and 3 cut of 7 already have famulics.There
are a sotal of 4 families living in one roof
·The chent's famulies are very close to cach other They are using Tausug as thet means of
communcaton.
·The chent currently lives happalywith her famuly.She uually honds with her granfkids and they
dn have a hng happy family
·The men of the farily are famuly's hread winner They vend om places like terminal,sca ports and
etc.The client also has Sari-Sari store, which can also bep in their income
·Assunding ho her,the farily total income is just enough for them,but there are also times that
shertage occur but she is still grateful that God has not foesalen them that they can still make a
way to suvive
The chent stated that whenever there is a problem the family mraber always run to her In
handling peohlers she always let her hushand know and ask for his advce
·The chient loves chaldren and docun'l have any dfficultes handling them
·The client doesni belong to any socual groups but does have close fnend and doesn't feel lonely.
·The client lives in a pcaccful neighbthood and stated that they are very close to cach other in
their negh
9) Sesuallty-Repreductive Fatterm
-Currently,the is inactive in hs seual relationship with his hushand
-She thunksthat whe's lo ofd for that thang
-Giender Sesuality:the chient is a female.

10) Ceping-Nrrw Telrrance Fatterm

 According to her,the faraly ttal inceme ts just cnough for them,but there are also times that shurtage accur but she is
still gratcful that Gioud has not forsaken them that they can still make a way to survive.
·The client stated that whenever there is a problem the famaly member always run to het.In handling peblems she
always let her hushand know and ask for his advice
·The client loves children and doesn'l have any difficulties handling them
·The chient dsa't bekng to any social groupe but does have chme frend and doesn't feel lonely
·The client livesin a praceful neighhorhood and stated that they are very cloe to wuch other in their neighbd
9) Sesuality-Repreductive Patterm
-Currently,she is inactive in his sexual relationship with his hushand
-She thanks that she's too old for that thing.
·Gender Sesuality: the client is a female.

10)Coplng·Stress Tolcrance Patterm

·The slient and her family sope up in times of crisis by talking about and coming out with a solution
·The chient dues not have hag changes in has life in the last yeur of two
·The client stated thut she munages major problemis by being optmistic and figuring out wne sofutios,and that when
she has dhee what she can, she would leave the test to Cad

(1) Value-Bellef Pattern

·The stient espressed"satisfaction"with her hfe. Living peacefully with his family haw made her very prateful
·The chent claimed that she is a Muslam and that his religaon is very important in her life
because it provides her purpose, bope,and strength every day
·She believes that evenhing happons in ber life is by the will of Cied.