Pattern Before Present Interpretation Analysis

1. Health Perception-Health Management

Patient does not want any consultations or even go for check-ups because he thinks that he is healthy and there is nothing wrong with him. He maintains a healthy body by exercising, playing basketball, running, biking and helping in household chores. He easily gets bored when he is not doing anything. He is not allergic to any food or drug. His family does not have any history of hypertension, heart disease, cancer, asthma, diabetes or even tuberculosis.

Patient considered himself as not a healthy person due to his present condition. He is expecting to recover from his present condition with the help of the health care providers attending to his needs All of the medications prescribed to patient R.B are available. Currently he is taking Tramadol, Amoxicillin, Moxifloxacin hydrochloride, Ciprofloxacin, Tranexamic Acid.

Patient R.B cannot function normally like before because of his confinement and his hospital condition. His body image changed due to his accident and surgical procedure done.

“Enucleation refers to the surgical removal of an eye.Removal of an eye is considered a drastic and traumatic measure to most people. Although many patients who require this surgery have no vision in the affected eye, those who do have vision recognize that enucleation will result in instantaneous, permanent, total blindness of that eye. "

2.Nutritional- Metabolic Management

Patient R.B’s life before his pre confinement stage was normal, he can ea whatever he wants. He eats fruits like

During hospitalization, the patient in on Diet As Tolerated. He eats fruits like apples and oranges. He also eat bread

Patient R.B’s nutritional and metabolic status has been changed due to his confinement and his medical health

An individual’s health status greatly affects eating habits and nutritional status (Fundamentals of

apples and bananas, fish and also vegetables most of the time. He rarely eat meats. He drinks alcoholic drinks. He drinks 2 bottles of San Miguel 2-3 times a week.

instead of rice. He said he loss his appitite due to umcomfortable feeling.

condition. His pre-confinement status is totally affected.

Nursing by Kozier p. 1178) The patient was brought to the hospital because of ruptured globe right eye due to accident and burn of facial area including the neck.

3.Elimination Pattern

BowelPatient RB defecates two times a day without experiencing discomforts, usually morning and afternoon. Stool is brown in color and is well-formed.

BladderPatient RB voids usually 6-8 times a day. Urine is yellow in color. No pain when voiding.

BowelPatient defecates once a day but not everyday. Stool is soft, is minimal in amount and is brown in color.

BladderPatient voids 3-4 times a day without pain and discomfort.

BowelThere was a change in the frequency, consistency and amount of stool.

BladderThere was a change in the frequency,and amount

4. Activity, Leisure and Recreation Pattern

In the morning, Patient RB’s daily activities include collection of water for the day’s use. In the afternoon after lunch, Patient RB likes playing basketball and billiards. His leisure activities include playing the basketball and cards, watching television programs and listening to radio music.

Patient RB's activities in the hospitals are ambulation, deep breathing exercise, taking a bath or personal hygiene.

During Patient RB’s confinement in the hospital, there is limitation in his activities of daily living and a disruption in his leisure and recreation pattern.

5. Sleep and Rest Pattern

Patient RB puts himself to sleep by watching primetime television programs. He does not have usual time of sleep. He sleeps for long period of time. He feels rested when sleeping and he thinks that his energy is sufficient for his activities.

Patient RB complained difficulty sleeping and sleeps for short period of time (3-4hours) due to pain and umfamiliarization to the environment. He don't feel rested and comfortable.

Patient RB's sleep and rest pattern was changed when he was admitted due to Ruptured Global OD. His usual routine of watching television programs to put himself to sleep changed because he need not do anything to fall asleep. And Pain also contributes a big factor for disturbances of sleep.

“Illness that causes pain or physical distress can result in sleep problems. People who are ill require more sleep than normal and the normal rhythm and wakefulness is often disturbed.” (Fundamentals of Nursing, 7th ed by Barbara Kozier, et al, p. 1117). There is disruption of the sleep-wake cycle because of the patient’s disease.

6. Cognitive- Perceptual Pattern

Patient is a high school graduate from Camaligan National High School in Bicol. He also takes a Vvocational course of Automative Manpower. He can read and write.He can speak and understood by others.

Because of Patient RB’s present condition, he has difficulty in seeing because his right eye was already blind. He heard presence of pressure in his right ear.Patient is unable to read and write at present. He can speak and is understood by others.

There was a change in cognitive and perceptual pattern in terms of reading, writing, hearing and speaking due Enucleated eye.

7. Self-Perception- Self-Concept Pattern

Patient RB is a friendly person; he loves to socialize with his friends in their neighborhood. He considered himself as a holistic human being as long as his complete, healthy and his family is always there for him. He wants to have good health and live his life to the fullest.

He don't considered himself as a holistic person. He have many regrets in his life. He thinks that he can't function well than before.

Due to his present condition, there is a change to the level of patient self-perception and self-concept because he can't accept that he only got one eye.

“Events or situations may change the level of self concept over time. Illness and trauma can also affect the self-concept.” (Fundamentals of Nursing 7th ed by Barbara Kozier p.959 & 962)

8. Role Relationship

Patient can speak and understand English, Tagalog and Bicolano. He can clearly express himself. He has 11 siblings and they were all close to each other. They all lived in bicol with their parents. Patient is very active and usually socializes with his neighbors.

Patient RB's family does not know what happened to him. he does not want to tell them what happened because he left bicol without permission from his parents.

The patient wants to be independent for a change.

9. Sexuality-Reproductive Pattern

Patient RB is single and has no girlfriend. He is not engaged to sexual activity due to personal reason.

The patient don't perform sexual activity.

Patient RB does not want to talk about it.

10. Coping and Stress Tolerance

When he is anxious, patient RB wants to be alone. He does not show his emotions. When he is stressed, he prefers to drinks liquor like beers or just eats. When it comes to problem, he let himself think immediately for a solution.

The recent hospitalization was a traumatic experience for patient RB, there have been many changes occurred that made it difficult for him to adjust. He cannot communicate effectively. The removal of his right eye affects his well being.

Due to his condition, patient RB does not have any outlet to divert his feelings unlike before he can watch television, or diverting it through drinking liquor and smoking to alleviate his stress.

According to Folkman and Lazaruz, coping is “the cognitive and behavioral effort to manage specific external and/or internal demands that are appraised as taxing or exceeding the resources of the person”(Fundamentals Of Nursing by Kozier P. 1020).

11. Values-Belief Pattern

Patient RB is a Roman Catholic. According to the client, he go to the mass every sunday in bicol with his family. When he went here in Manila, he rarely go to mass.

According to the patient, there are no practices that affect his hospitalization. He follow therapeutic regimen and a strong faith to God accounts for his fast progress.

After what happened, patient RB is now seeking for medical assistance. Religious effort is still a part of patient RB’s life.