I.

Biographic Data Name: JD Gender: Male Age: 15 years old Bday: February 8, 2011 Civil Status: Single Nationality: Filipino Religion: Roman Catholic

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Nursing History A. Past Health History The patient had completed all immunization when he was a child. He has no known allergies with anything. He does not have any serious illnesses and inherited disease. There is only a simple cough and colds, sometimes fever. No known accidents happened. He has no history of diabetes mellitus, no history of allergies to food, drugs. B. History of Present Illness Patients condition started when he fell down on stairs and sprained at their school. The associated symptoms such as pain on the sprained foot were felt at the end of their school year. They had a check-up and given a medication. But that check-up was stopped because the pain subsides. When he was diagnosed to have osteosarcoma, he stopped in school and had his oeration last year 2010. After the first operation, he was confined 3 weeks at the hospital. Then he had his second operation last Sept. 26, 2011. C. Family History The patient has no history diabetes, hypertension, thyroid diseases. He does not have any history of allergies, asthma, liver, lung, cardiac disease.

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PATTERNS OF FUNCTIONING HEALTH PERCPETION- HEALTH MANAGEMENT The client perceives a healthy person as one who doesnt get sick. According to the client a person who is said to be healthy when all parts of the body are functioning well. A person becomes healthy when she follows proper diet and exercise. He can tolerate the pain. He verbalized, yung meaning ng malusog sa akin eh yong walang sakit at hindi laging naoospital. He doesnt have his regular medical check-up before but because he was admitted, hes seen by an attending doctor. ANALYSIS: Although some factors not readily modifiable for children were found to contribute to health status, modifiable attitudinal and behavioral variables were also found to be of important: even in cases with genetic predisposition to disease, good health habits, appeared to make a significant difference. INTERPRETATION The client is very much concerned with his health. A child is naturally going under general check-up this is the stage that manifestations of other symptom may occur aside from their present health problem. The SELF-PERCEPTION SELF- CONCEPT PATTERN According to the patient he describes his self as a youngest sibling who doesnt get mad easily and is a happy person. He is always at the calm mood and not easily gets irritated. He is not a showy person and just stays silent if he is not in a good mood/feeling. But now that he is admitted in the hospital, he misses different things that he was doing when he was not admitted yet and thats what makes him feel sad sometimes. ANAYSIS: A healthy self concept enables the person to find happiness in life and to cope with lifes disappointment and changes. Self-concept is based on their experiences in progressing throughout life changes. INTERPRETATION: The clients self concept/perception is good because of his condition; it would help to alleviate the sadness that he feels. This type of person is easy to deal with and is cooperative to those management/ instruction that will be given to him.

NUTRITIONAL-METABOLIC PATTERN The client loves to eat chicken. His family eats 3-4 times a day including meriendas. He drinks an average fluid of 6-7 glasses a day. His mother is the manager of food at their home. He noticed that during his confinement, he eats less than his usual at home. Others would also say that he is losing weight as they notice the change in his built. He always has a good appetite and is not choosy on foods as he described. ANALYSIS: The IOM (Institute of Medicine) recommended that 45% to 65% calorie from complex carbohydrates, 20 to 30% from healthy fats, and 10 to 35% from protein. Total caloric needs can be adjusted to weight, height, gender, and levels to physical activities. They also recommended that men should consume 3liters of beverage a day, and 2.2 liters for women. INTERPRETATION: The client has to increase body weight to. He also needed to increase fluid intake to prevent constipation. The sign of gaining weight should be further studied because it might suggest of the changes in his body metabolism.

ELIMINATION PATTERN: Prior to admission, the client voids 5 times a day which he describes as yellowish and moderate in amount. He defecates every once a day. He does not experience any difficulties in urinating and defecating. He described his stool as brown in color, soft but formed. ANALYSIS: The typical adult bowel movement consists of a moderate amount at formed brown stool that is passed without difficulty. The normal frequency of bowel elimination varies from several stools per day to only two or 5 per week. Most adults experiences bowel elimination every 1 to 2 days. Urine elimination in adults also follows patterns. The typical adult experience the urge to urinate with the bladder contains approximately 300 ml of urine. Most adult voids between 6 to 10 times per day, but this nay vary greatly depending on fluid consumption, personal habits and emotional states. Bladder muscle tone diminishes, causing increase frequency of urination and nocturia. It may lead to residual urine in the bladder after voiding, increasing the risk for bacterial growth and infection.

Urinary in continence may occur. Reduced activity levels, inadequate amount of fluid intake and fiber intake can lead to constipation, INTERPRETATION: The clients voids more frequently than normal which can be explained in the physiologic changes that occur. The client defecates once a day on regular intervals but should be watch for constipation which more likely to offer.