J. Self-Perception Pattern The client describes herself as an irritable person.

Madali akong naiirita sa mga bagay-bagay siguro dahil sa katandaan ko na rin. , as verbalized by the client. When asked about the changes in her body or any problems about her, she stated, Ito mabilis mapagod at nanghihina. The client said that she is contented about herself. Ok, naman ako pero syempre tumatanda na kaya parang nawawalan na ng pakinabang, as verbalized by the client. When asked about her relationship to other people, she uttered, Maayos naman, pero mabilis na ko makalimot kaya hindi ko na rin kilala yong iba kahit na kilala nila ako. She usually expresses her thoughts and feelings by reaching out to her family. When asked about her goals in the next five years, she stated, Ako,expect for the worst na, matanda na ko kung ano man mangyari sa akin handa na ko dun. Her usual moods are irritable and quiet. Nagsusungit ako kapag hindi ko gusto yong ginagawa ng anak ko o sinasabi at pag wala akong pera kaya gusto ko na umuwi ng probinsya kasi nandun yong mga ari-arian ko., as stated by the client. During her mood changes, she just expresses herself and talk with her daughter. She uttered, Gusto ko na gumaling pero kung ano man ang mangyari bahala na ang Diyos. Interpretation: The clients self-perception appears to be well because according to her she was not fond of comparing herself to others because she believes in the uniqueness of every person. This statement of hers showed that she has self acceptance. However, she verbalized difficulty in breathing. Analysis: A persons body image develops partly from others attitude and responses tot that persons body and partly from the individuals own exploration of the body. Cultural and social values also influence a persons body image. A person with a healthy body image will normally show concern for both health and appearance. The individual who has a body image disturbance may hide or not look at or touch a body part that is significantly change in structure by illness or trauma. (Kozier, 2008)

K. Role-Relationship Pattern The client lives with her family. Nakikitira ako sa anak ko kasama naming yong asawa nya at mga apo ko, as the client stated. Her family is extended in structure, and is patriarchal in authority. She uttered, Hindi na ko nakikialam sa desisyon ng pamilya nila, matatanda na sila, pero lahat naman importante. Everyone in their family is significant to her because they play significant roles in the clients life. Ok naman kami naguusap-usap pag may problema. Masaya naman ako kapag kasama ko sila at comfortable ako kasi andyan sila na sumosuporta sa akin. The client is a senior citizen. Magbigay lang siguro ng payo ang magagawa ko at magdasal para sa pamilya ko. She said that sometimes, they do have problems but they handle it well. Importante naman sa problema kung paano mo hinaharap binigay ng Diyos yan. Kami naguusap-usap na lang pag may problema., as verbalize by the client. She also said that they have an open communication. Whenever there is a problem, they solve it together. Usually, her daughter initiates their family activities because her daughter is the one who really take care of her. Anak ko ang madalas nagdedesisyon pagdating sa amin pag kasama ako. They usually stay home and talk to each other, talk about the past and play with the kids. When asked about her social group,

she uttered, May mga kaibigan naman akong mga matatanda sa kapitbahay naguusap kami, pero madalas nasa bahay lang ako. She easily expresses her thoughts and feelings to others, by means of communication like kwentuhan. Her activities in home are usually household chores and having fun with the kids. Kung kaya ko naman tumulong sa bahay tutulong ako pero kadalasan nanghihina ako at nakikipaglaro na lang ako sa mga bata, as stated by the client. She believes that her activity in the house doesnt affect her overall health. They usually dont have any financial problem in the family as stated by the client. Nakakakain naman kami ng 3 beses sa isang araw kaya wala naman problema pagdating sa pera kaso nagagalit lang ako pag wala ako pera kasi nanghihingi ako sa anak ko,feelng ko pabigat ako, kaya gusto ko na umuwi ng probinsya sana, as verbalized by the client. Interpretation: The clients family does not have any conflict in their relationship. The client verbalized ways on how well she and her family perform their roles very well in terms of coping and supporting each other. Analysis: Family roles are especially important to people because family relationships are particularly close. Relationships can be supportive and growth producing or, at the opposite extreme, highly stressful if there is violence or abuse. (Kozier, 2008)

M. Coping-Stress Tolerance Pattern The client stated, Ito nakakastress dito sa hospital, nakakastress magkasakit. The client usually handles stress or pressures by praying. The client said that, Moody ako, wala akong magagawa matanda na tayo. Kapag may problema man nakikipagusap ako sa anak ko o minsan nagiisip na lang ako sa isang tabi. God and family are the most helpful for the client in talking things over. She stated, Kapag may problema ako, Nagdadasal na lang ako o nakikipagusap sa kanila. When asked about the big changes in her life in the past two years, she stated, Wala naman,tumanda lang ako at masakitin. The client, when having problems, handles them depending how big the problems are. Diyos na lang makakaalam ng lahat kaya ako dinadaan ko na lang talaga sa dasal. as stated by the client. Interpretation: The client was able to enumerate ways on how to handle problems well. She does not isolate herself in solving problems which means that she was able to tolerate stress with the help of her family, friends and all her loved ones. Analysis: Coping strategies vary among individuals and are often related to the individuals perception of the stressful event. Three approaches to coping with stress are to alter the stressor, adapt to the stressor, or avoid the stressor. A persons coping strategies often change with a reappraisal of a situation. There is never only one way to cope. Some people choose avoidance; others confront a situation as means of coping. Still others seek information or rely on religious beliefs. (Kozier, 2008)

N. Value-Belief Pattern When asked about what makes a person healthy for her, Kapag nagagawa mo yong gusto mo gawin at hindi ka nagkakasakit. She said that health is very important to her because being healthy makes her happy and contented. When asked about any spiritual or religious activity, Nagdadasal ako at nagsisimba, kailangan ko humingi ng patawad at pagpapasalamat sa Diyos, siya lang naman ang talagang masasandalan mo at naniniwala ako na hindi niya papabayaan yong mga taong nananalig sa kanya. She said that she believes in God. She said that she does not usually get the things she wants. Importanteng bagay sa akin ngayon ay ang aking pamilya kasi sila ang nagpapatatag sa akin at sumosuporta sa akin at tumutulong., as stated by the client. When asked about how important religion is, importante ang religion sa akin kasi naniniwala ako sa Diyos na lahat sa kanya possible kasi siya ang may hawak ng buhay natin, siya yung nagbibigay ng lakas ng loob sa akin at alam ko na ginagabayan nya ako at ang pamilya ko Interpretation: The client was able to express her values and belief upon the interview. She possessed common characteristics among adolescents by which she experiences the world beyond the family unit and spiritual beliefs. Analysis: People nurture or enhance their spirituality in many ways. Some focus on development of the inner self; others focus on the expression of their spiritual energy with others or the outer world. Relating to ones inner self or soul may be achieved by conducting an inner dialogue with a higher power or with oneself through prayer or meditation, by analyzing dreams, by communing with nature, or by experiencing the inspiration of art. Religious development of an individual refers to the acceptance of specific beliefs, values, rules of conduct and rituals. Religious development may or may not parallel spiritual development. Adolescents characteristics of spiritual development include experience of the world now beyond the family unit and spiritual beliefs can aid understanding of extended environment. Generally conform to the beliefs of those around them; begin to examine beliefs objectively, especially in late adolescence. (Kozier, 2008)