2.

Significant Relationships

The client lives with her family in one compound with her in-
laws. She is close to her family, relatives and her husband’s family. She has a
good relationship with her husband. She said, Maayos ang samahan namim
mg aking asawa, sa tagal na namin ay alam na naming ang ugali ng isa’t isa.
Kung may hindi man pagkakaintindihan ay naaayos naman naming
magsawa, pinaguusapan naming iyon ng maayos. She was very happy and
feels secured. According to the client, “Ang role ko sa ngayon eh yung
maging matapang harapin ang pagsubok ng buhay para sa pamilya ko.” He
doesn’t have any problems with her family. They handle their problems by
discussing it together and offering better solutions. They listen to one’s side
before giving their own opinion. She is dependent to her family because there
are things she can’t handle alone. Aside from her family she has friends in
their neighbours and in his work that she used to talk whenever she has
problems.

Analysis:

“Social relationships have an important influence on mental health.

Close personal relationships with friends and relatives provides opportunities
for communication, sharing and emotional growth. Such relationships also
can provide strength and support for dealing with challenging situations or
personal problems.” – Jerome, Ph.D Professor of psychology, Harvard
University.

Source: Fundamentals of Nursing by Kozier; page 354

Interpretation:

The client has a good social relationship with his family, in-laws and
also with others like his neighbours, friends.

3. Recreation Pattern

According to my client, “Kain, tulog, pasyal, trabaho din, ‘tapos

kung minsan lumalabas kami ng pamilya ko , Pag linggo nagsisimba kami.”
She wakes up at 4:00 in the morning before she is capable of doing the
household chores before going to work, like cleaning the house and cooking
but in the past three months she was not able to do his normal activities.
According to the clients sometimes they go to mall with their child if they
have free time she said “ Pinapasyal namin yung anak namin, kumakain
kame sa labas at pumupunta sa mall.” There are recent changes in his family
economically and even role changing after she was diagnosed. He said,
“Open kami sa isa’t- isa. Sinasabi namin ang nararamdaman at naiisip namin
at binibigyan naming ng respeto ang mga ito.” She invites and initiates them
to eat together every meal. She doesn’t feel alone because she has her
family with her. She expresses her feelings by talking and taking care of his
loved ones. She handles her problem by solving it with the help of her family.
She always prays to God whenever she has a problem and cries sometimes.
She is fine at home. She doesn’t have any problems regarding his condition
which affects her health.

Analysis:

Every individual needs a source of recreation to alleviate stress.

Sleep and rest are good ways to release pressure. It’s advised that all
angers are negative elements are released so that it could not lead to
heart or back problems.

Source: (Psychiatric Health Nursing by Beck; page 87)

Interpretation: The client has a good means to alleviate his stress.

She has recreational activities that can make her feel relaxed and rested.

4. Environment

The client said that her sleeping environment is comfortable.

According to her, their house is well- ventilated. “Maaliwalas sa bahay at
mahangin sa amin, nakatira lang kami sa isang bahay kasama ang biyanan
ko, sa 2nd floor kame.” They have 2 windows in their room. Their house is
made of cement and woods. The client stated that they live in two storey
house in one compound. Every area of the house has a window to secure that
there is proper ventilation. Their house is properly lighted every room has its
own fluorescent bulb according to the client. Their family uses a flush type
toilet which requires a pale to flush, and the water supply is NAWASA. She
said that there are flies; mosquitoes as well as rats found at home that is why
they use baygon, katol and bed net at night. For their food preparations, food
is usually cooked fried and meat is commonly included in their meat “Hindi
kami madalas nagluluto ng gulay at isda hindi kasi mahilig ang anak ko. The
food storage and cooking facilities are at good working condition (able to
function well) and are in proper maintenance. The family always ensures the
cleanliness of the food storage facilities and cooking facilities for these was
very important. She said that they place their food in the refrigerator for
storage. They have electronic appliances such as television, DVD player,
washing machine and gas stove. They have an open canal at the back of their
house but according to her, she cleans it everyday. According to her their
house has enough space for them. He said, “ Sakto lamang samin ang amin
bahay, tatlo lang nman kame sa kwarto ang asawa ko at ang anak ko,
maluwag pa nga kami dun.” Their garbage was collected regularly every
morning and they do follow proper waste segregation. “Sinasako lang namin
ang mga basura tapos yung kolektor na lang ang naghihiwa- hiwalay.” The
client verbalizes that she doesn’t have any routine exercise.

Analysis:

Our environment affects our health. Proper environmental

management is the key to avoiding the quarter of all preventable illnesses
which are directly caused by environmental factors. The environment
influences our health in many ways — through exposures to physical,
chemical and biological risk factors, and through related changes in our
behaviour in response to those factors.

Source: World heath organization, http://www.who.int/phe/en/

Interpretation:

The client’s environment is suitable for the whole family and they know
how to make sure that the environment is safe to live and well secured
against vectors or any diseases

5. Economic

The client said that their income is 20000php per month. They have
fish port in navotas and has rent house. The client verbalized that it was
enough for them but sometimes they experienced lacking because of some
circumstances. “Sapat naman samin un income, kasi lumalaki na ang anak
namin, nasa nursery na siya, kaya minsan nagkukulang na rin samen yun kita
dahil marami pang ibang pinagkakagastusan .” The hospital bills,
medications and laboratory tests were paid by her husband. They are helping
each other to pay for their hospital bills.

Analysis:

Though most need less money for clothing, entertainment and work
and although some own their homes outright, costs continue to rise, making
it difficult for some to manage. Food and medical costs alone are often a
financial burden.

Source: Fundamentals of Nursing by Kozier; page 407

Interpretation:

Not all the time their income is enough for their financial needs
because of their growing family.
 C. Spiritual Pattern

1. Religious Beliefs and Practices

The patient’s family is a typical practicing almost all the Filipino

cultures and beliefs. They also believe in superstitions, they sometimes
participate in Sunday masses. The client as well as his family is Roman
Catholic. The client verbalized “Hindi kami madalas nagsisimba dahil sa
trabaho at minsan pagod na.. pag nagsisimba naman kami laging hindi namin
natatapos pero syempre lagi naman kaming nagdarasal ” She also added
“Yung sa mga pamahiin naman Natural na sa mga Pilipino ang mapamahiin,
kahit pa sabi nila, bagong panahon na, wala din naming mawawala kaya
sinusunod pa din.”

Analysis:

Many cultures and beliefs are still practicing by many Filipinos. Filipinos
basically reflect the customs, traditions, and mores of a group, which may be
based on religious beliefs, opinions, old or popular practices. They also tell of
how a people view the unknown and the means to appease the gods that
control the future.

Source:
http://www.seasite.niu.edu/Tagalog/Folk_Beliefs/filipino_folk_beliefs.htmInterp
retation:

Interpretation:

The client don’t have problem in the religious and beliefs pattern
although sometimes they seldom go to church because of her work, still they
do pray.

2. Values and Valuing

According to my client, her family are the most significant

people in her life but she added “pero syempre wala ng ibang mas mahalaga
kundi si God at ang paniniwala natin sa kanya” . She believes that giving your
best can make things life into fuller. She handles stressful events by asking
her family’s advices and at times she feels he can control the situation.
Respect and honesty are the some of the social norms she learned.

Analysis:

Public support from peers and relatives at young age show relevance
to provide inculcation of values which are transmitted to individuals, thus,
practiced until adolescence to adulthood.
 Source: Encyclopedia of Public Health, 30-33, 2002 edition by
Kok, Gerjo

Interpretation:

The client has indepth value for respect and relationship with peers
and family members such as that she continues to be in good terms with her
relatives and friends as such.