Pattern Before Present Interpretation Analysis

1. Health Patient R.B does not Patient R.B considered Patient R.B cannot “Enucleation refers to
Perception-Health want any consultations himself a not healthy function normally like the surgical removal of
Management or even go for check- person due to present before because of his an eye.Removal of an
ups because he thinks condition. He was confinement and his eye is considered a
that he is healthy and diagnosed "Ruptured hospital condition. His drastic and traumatic
there is nothing wrong Globe OD" and had body image changed measure to most
with him. He maintains undergone Emergency due to his accident and people. Although many
a healthy body by Enucleation OD under surgical procedure patients who require this
exercising, playing General Anesthesia last done. surgery have no vision
basketball, billiards and Dec. 21, 2007. he is in the affected eye,
helping in household expecting to recover those who do have
chores. He easily gets from his present vision recognize that
bored when he is not condition with the help of enucleation will result in
doing anything. He has the health care providers instantaneous,
started smoking and attending to his needs. permanent, total
drinking liquor (San All of the medications blindness of that eye. "
Miguel beer and prescribed to patient R.B
Marlboro Green) since are available. Currently
he was 19 years old up he is taking Tramadol,
to present. He is not Amoxicillin, Moxifloxacin
allergic to any food or hydrochloride,
drug. His family does Ciprofloxacin,
not have any history of Tranexamic Acid.
hypertension, heart
disease, cancer,
asthma, diabetes or
even tuberculosis.
2.Nutritional- Patient R.B’s life before During hospitalization, Patient R.B’s nutritional An individual’s health
Metabolic his pre confinement the patient in on Diet As and metabolic status status greatly affects
Management stage was normal, he Tolerated. He eats fruits has been changed due eating habits and
can ea whatever he like apples and oranges. to his confinement and nutritional status
wants. He eats fruits like He also eat bread his medical health (Fundamentals of
apples and bananas, instead of rice. He said condition. His pre- Nursing by Kozier p.
fish and also vegetables he loss his appitite due confinement status is 1178) The patient was
most of the time. He to umcomfortable feeling. totally affected. brought to the hospital
rarely eat meats. He because of ruptured
drinks alcoholic drinks. globe right eye due to
He drinks 2 bottles of accident and burn of
San Miguel 2-3 times a facial area including the
week. neck.
3.Elimination Bowel Bowel Bowel
Pattern Patient RB defecates Patient defecates once a There was a change in
two times a day without day but not everyday. the frequency,
experiencing Stool is soft, is minimal in consistency and amount
discomforts, usually amount and is brown in of stool.
morning and afternoon. color.
Stool is brown in color
and is well-formed.

Bladder
Bladder Bladder
Patient voids 3-4 times a
Patient RB voids usually There was a change in
day without pain and
6-8 times a day. Urine is the frequency,and
discomfort.
yellow in color. No pain amount
when voiding.
4. Activity, Leisure In the morning, Patient Patient RB's activities in During Patient RB’s
and Recreation RB’s daily activities the hospitals are confinement in the
Pattern include collection of ambulation, deep hospital, there is
water for the day’s use. breathing exercise, limitation in his activities
In the afternoon after taking a bath or personal of daily living and a
lunch, Patient RB likes hygiene. disruption in his leisure
playing basketball and and recreation pattern.
billiards. His leisure
activities include playing
the basketball and
cards, watching
television programs and
listening to radio music.
5. Sleep and Rest Patient RB puts himself Patient RB complained Patient RB's sleep and “Illness that causes pain
Pattern to sleep by watching difficulty sleeping and rest pattern was or physical distress can
primetime television sleeps for short period of changed when he was result in sleep problems.
programs. He does not time (3-4hours) due to admitted due to People who are ill
have usual time of pain and Ruptured Global OD. require more sleep than
sleep. He sleeps for umfamiliarization to the His usual routine of normal and the normal
long period of time. He environment. He don't watching television rhythm and wakefulness
feels rested when feel rested and programs to put himself is often disturbed.”
sleeping and he thinks comfortable. to sleep changed (Fundamentals of
that his energy is because he need not do Nursing, 7th ed by
sufficient for his anything to fall asleep. Barbara Kozier, et al, p.
activities. And Pain also 1117). There is
contributes a big factor disruption of the sleep-
for disturbances of wake cycle because of
sleep. the patient’s disease.

6. Cognitive- Patient is a high school Because of Patient RB’s There was a change in
Perceptual Pattern graduate from present condition, he has cognitive and perceptual
Camaligan National difficulty in seeing pattern in terms of
High School in Bicol. He because his right eye reading, writing, hearing
also takes a Vvocational was already blind. He and speaking due
course of Automative heard presence of Enucleated eye.
Manpower. He can pressure in his right ear.
read and write. Patient is unable to read
He can speak and and write at present. He
understood by others. can speak and is
understood by others.
7. Self-Perception- Patient RB is a friendly
Self-Concept person; he loves to
Pattern 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 Due to his present
himself as a holistic condition, there is a “Events or situations
person. He have many change to the level of may change the level of
regrets in his life. He patient self-perception self concept over time.
thinks that he can't and self-concept Illness and trauma can
function well than before. because he can't accept also affect the self-
that he only got one concept.”
eye. (Fundamentals of
Nursing 7th ed by
Barbara Kozier p.959 &
962)
8. Role Patient can speak and Patient RB's family does The patient wants to be
Relationship understand English, not know what happened independent for a
Tagalog and Bicolano. to him. he does not want change.
He can clearly express to tell them what
himself. He has 11 happened because he
siblings and they were left bicol without
all close to each other. permission from his
They all lived in bicol parents.
with their parents.
Patient is very active
and usually socializes
with his neighbors.

9. Sexuality- Patient RB is single and The patient don't perform Patient RB does not
Reproductive has no girlfriend. He is sexual activity. want to talk about it.
Pattern not engaged to sexual
activity due to personal
reason.
10. Coping and When he is anxious, The recent Due to his condition, According to Folkman
Stress Tolerance patient RB wants to be hospitalization was a patient RB does not and Lazaruz, coping is
alone. He does not traumatic experience for have any outlet to divert “the cognitive and
show his emotions. patient RB, there have his feelings unlike behavioral effort to
When he is stressed, he been many changes before he can watch manage specific
prefers to drinks liquor occurred that made it television, or diverting it external and/or internal
like beers or just eats. difficult for him to adjust. through drinking liquor demands that are
When it comes to He cannot communicate and smoking to alleviate appraised as taxing or
problem, he let himself effectively. The removal his stress. exceeding the
think immediately for a of his right eye affects resources of the
solution. his well being. person”(Fundamentals
Of Nursing by Kozier P.
1020).

11. Values-Belief Patient RB is a Roman According to the patient, After what happened,
Pattern Catholic. According to there are no practices patient RB is now
the client, he go to the that affect his seeking for medical
mass every sunday in hospitalization. He assistance. Religious
bicol with his family. follow therapeutic effort is still a part of
When he went here in regimen and a strong patient RB’s life.
Manila, he rarely go to faith to God accounts for
mass. his fast progress.