1. III. PATTERNS OF FUNCTIONING
Patterns Before Hospitalization During Hospitalization Interpretation / Analysis
1.Health Perception / Health Physically speaking, the client She verbalized her feelings The patient undergone Reva
Management claimed that she is healthy about her delivery. Rubin Psychological response
teenager, though she has some to post partum the “taking-in”,
vices. She gave emphasis and became “taking-hold”. “letting-go”
more conscious on her hygiene. phases.
Before getting pregnant, she
started using cigarette a year She was advised to have an An increased in dietary intake
ago, consuming three sticks per additional 500 KCAL intake is necessary for lactating
day. from 2200-2700 KCAL during mother.
hospitalization.
Accordingly, on the same year, Non-pregnant – 2200
she also started using alcohol
though, occasionally. Pregnant – 2500
She became aware of self breast Lactating – 2700
examination when she was 15
years old and started doing self Source:
breast examination on the same Mcn maternity nursing
year. By: Jerome E. Balisnomo
Page 76,138
Before pregnancy, when she is
suffering minor discomforts,
she usually does self
medication.
She eats nutritious food with
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2. exemption to sea food, for
accordingly she has skin
allergies since 7 years old.
The patient claimed that during
pregnancy she is taking Ferrous
Sulfate per advice by the RH
midwife.
She visits the Rural Health unit
regularly.
2. Nutrition and Metabolism Every breakfast the client used She eats what is being served to After the delivery the mother
to eat frozen products, eggs, her by the dietitian of the felt exhausted that she merely
plane rice, or fried rice and hospital; she also eats foods loosed her strength and just
glass of milk. that are being sent to her by her want to be on bed for she felt
family member when she is still the tiredness.
During lunch and supper she in the custody of the hospital.
eats what is served by her
mother either cooked She eats additional foods She wants to sleep and take a
vegetables, such as pinakbet, because she is not satisfied for good variety and amount of
diningdeng, sinigang na baboy, the amount of food that is being food.
sinigang na isda, adobo, and offered by her at the hospital.
other Filipino dishes.
During hospitalization: All pregnant women should be
She consumes 2 cups of rice encouraged to eat a well
every meal and drinks 2 glasses -Height of 5.4 balance diet.
of water. -Weight of 54 kilogram
-Bmi : 21.09 -a weight gain of 12.5-18kg
The client eats in between for underweight women (BMI
meals with a cracker or bread ‹19.8)
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3. and a glass of milk.
-11.5-16kg for women of
She also drinks coke during average BMI 19.8-26.0.
snack time.
-additional 300 calories per
The client consumes all that is day above the pre pregnancy
served to her. daily requirement to maintain
ideal body weight and meet
-Height of 5.4 energy requirement of activity
-W eight of 58 kilogram level
-Bmi : 21.94
Source :
Mcn maternity nursing
By: Jerome E Balisnomo
Page 75.
3. Elimination During pregnancy, she claimed Decreased defecation during Pressure and irritation of the
that she noticed during the first first week of delivery. bladder by the enlarging graved
trimester and last that there is uterus during last trimester is
an increase in urinary Decrease urinary output and responsible urinary frequency
frequency. frequency after delivery for causing urinary frequency.
She voids 6 times a day Decreased in urinary frequency
amounting to 700-800ml. and defecation is caused by
yellowish in color. psychological fear and
physiologic pain felt by the
She perspires normally when mother because of the trauma
activity is being conducted. and strenuous experience she
went through.
Routinely, she defecates twice a
day, one upon waking up and
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4. one before going to bed.
Suffered nocturia, getting up
during night to urinate, thus
interfered the sleep.
4. Activity and Exercise The patient does household During her first day in the To strengthens muscle that will
chores as soon as she wakes up. hospital, patient was not able to be used during the delivery
move around. process; done in moderation
She was able to fed, bath, and must be individualized.
toileting, grooming, dressing When she needs anything, her
with full self care to herself. mother and her partner assist Source:
and help her. Mcn maternity nursing
By: Jerome E. Balisnomo
Page 78
5. Sleep and Rest Before pregnancy, she sleeps 4- She has decreased number of Nocturia is the need to get up
5 hours a day. hours of sleep due to the during the night in order to
change in her environment. urinate, thus interrupting the
Watching Television and sleep
reading her notes served as her She had also episodes of
recreational activity before disrupted sleep to address The need to address the baby’s
going to bed. baby’s needs. need’s, is a psychological
response as the mother
She prefered to sit rather than She takes nap during day time redefines her new roles and
lying on her back, when she usually from 2:00 – 3:00 pm , begins to interact with the baby.
experience tiredness after doing to regain missed hours of sleep
some simple works.
Source :
During pregnancy, first Mcn maternity nursing
trimester, she experienced easy By: Jerome E. Balisnomo
fatigability. Page 48
She experienced disrupted sleep
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5. during the first and last
trimester due to nocturia.
6. Cognitive Perceptual The patient doesn’t have any While in the hospital, she Mother is passive and cannot
hearing and eye problem. participates to the health care make decision, she verbalized
providers and follows the her feelings of recent delivery.
She used to surf the net, read doctor’s order and hospitals
magazines, watch television policies. Focus on nursing care; proper
and easily gain knowledge from hygiene.
it. She ask question regarding
procedure being done to her. Source :
Sometimes she also forgot Mcn maternity nursing
things easily. She views herself as a healthy By: Jerome E. Balisnomo
and well rounded person. Page 138
7. Self Perception and Self She feels worth enough to her Increase self esteem and feels She was able to overcome the
Concept family though she got pregnant more worth to her family as three stages of post-partum
at early age. shown by acceptance and love blues: taking-in, taking-hold
by her family members. and letting-go phases. From
She takes good care of herself dependent to independent to
as manifested by a good and She acknowledged her roles as interdependent
proper hygiene. a beginning mother.
She expresses concerns and She is happy to have her baby Source : reva rubins psychological
worries of her, through unusual as her inspiration to continue response to postpartum
things. her studies. Mcn maternity nursing
Page 138
She wanted to finish her studies Her confidence and self drive
and dreamed to become a nurse has been boosted.
someday.
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6. 8. Role Relationship The client and her live-in The client verbalized they can She still had an intact
partner lived with her family. provide the need of her new relationship with her family
born baby girl. after the pregnancy. She stands
The family she had is classified to be a newly mother for her
as extended family; her parents; Her relationship to her baby is baby, she accepts all the
her sibling; and the couple. in good mold. responsibilities that is being
task to her to give an overall
Whenever she had arguments Mother and her live-in partner care for her new born baby.
with her partner and parents, redefined their new role and She also worked her
they settle things down with a begun interdependence with the relationship with her live-in
small talk. baby as manifested by: partner for them to be able to
-her live in partner spends time lend their hands in caring for
She also goes to her neighbors of taking care of the newly born the infant.
to mingle. baby. Mother redefined her new role
and begun interdependence
Her father usually makes the with the other members of the
decisions in significant events family. May extend as child
that occur in the family. grows.
She has the highest educational Focus on health teaching: care
attainment , reaching first year of the new born and family
college level and she tooks up planning.
nursing in PLTCOLLEGE
Source:
Mcn maternity nursing
By: Jerome E. Balisnomo
Page. 138
9. Sexuality Reproductive Accordingly, she started During the hospitalization the The decreased in sexual drive
menstruating when she was 12 patient has an introduction on during the first and last
years old. family planning that has been trimester is due to body
taught to her by the nurse changes and due to enlarging
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7. She has 32 day cycle and had regarding with the methods that uterus.
her LMP last December 07, might suit her.
2011. Source :
She had a better understanding Mcn maternity nursing
She also claimed that she never on a better and safer sex for she By: Jerome E. Balisnomo
experience menstrual problems, doesn’t want to get pregnant for Page 138
reason for her to rely on now.
withdrawal method as for
means of contraceptives for
family planning, because
according to her she knows her
fertile period.
She has a very satisfactory
sexual relationship with her
live-in partner.
She said that during the first
and last trimesters, she had
decreased sexual desire.
No surgical operation from the
past, involving her reproductive
system.
10. Coping Stress Tolerance Her pregnancy that makes her She had some a bit sort of She was able to overcome the
life changed. asking herself upon the changes three stages of postpartum
she’s been going through but blues: the taking in, the taking
She usually cries to release her she knows that in everything hold and the letting go phases
stress and talked to her family there is such reason why things
when facing such problems. happens un accordingly. S ource:
Mcn maternity nursing
She’s relaxed when she knows By: Jerome E. Balisnomo
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8. that she can handle the problem Page 138
and sometimes talks or shares it
to her grandmother and to her
sisters-in law.
11.Value Belief Pattern The family belongs to Roman Superstitious beliefs are Superstitious beliefs are part of
Catholic Religion. followed. culture which is being handed
down from one generation to
She views her religion as a very Nothing has changed regarding another generation they are
important aspect of living with her beliefs and alternative acceptable norms of society
because it greatly helps them medicines. provided that it does not cause
whatever problem arises. harm to other people or oneself
Her faith in god was
They go to church regularly. strengthened.
Source: sociology, revised
She follows some superstitious edition
beliefs, and it has no effect By: Jerome E. Balisnomo
upon her pregnancy. Page 30
Her family is not using
traditional or alternative
medicines.
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