PATTERNS OF FUNCTIONING A. PSYCHOLOGICAL HEALTH A. Coping Patterns The patient is perceived as a happy and adventurous person.

She usually goes to her friends whenever she had problems. On that way, she diverts her attention from thinking about her problems. Ang ginagawa ko na lang, ay kinakausap ko ang mga friends ko na dumadalaw sa aken, para kahit paano ay makalimutan ko yung problema. The patient stated that she does not allow herself to be overwhelmed by stress. Instead, she overwhelms stress. As the patient verbalized, Maikli lang ang buhay, ngayong may sakit ako, andito na ito. Ienjoy ko na lang ang mga darating pang mga taon.

B. Interaction Patterns The patient stated that she is easy to get along with. In relation to this, the patient has no any problem when it comes to her friends. She shared that she is very much thankful for having such friends who are very caring. Eh wala ng ibang tutulong sa akin kundi iyong mga kaibigan ko lang na nagmamalasakit at lalo na yung pamilya ko. C. Cognitive Patterns Ms. GC is a 33 years old and lupus patient, who is an Accountant. Prior to admission and during hospitalization, client does not have any difficulty in the ability to read and write. She does not have hearing deficits.

D. Emotional Patterns The patient expresses her emotions in a light way. She does not invest too much emotion to problems that does not call for it. It is because, according to the patient, she does not take problems very seriously. Instead, she looks at them in a positive perspective by sharing it to her family and friends. In this way, she becomes happy, as she verbalized. She also stated that in this point of her life, there is no room for sadness because it would only make her situation worse. Gusto ko laging masaya lang ang lahat ng tao sa paligid ko para masaya pati ako. the client shared.

E. Sexuality The patient usually wears shorts and T shirt at home according to her brother. Patients brother verbalized, Usually mga pambabae naman na damet ang suot niya, pero wala siyang karelasyon na lalake ngayon. She verbalized that she prefers more going with her female friends rather than with male. She describes her relationship with the opposite sex as Makulit ako sa mga lalaking kaibigan ko, kase mga barkada ang turing ko sa kanila. She also added that she is not sexually active.

F. Family Coping Patterns The client stated that she lives with her family when she is still here in the Philippines. She has a younger brother with a three years gap. She described his relationship with his family as a good one. She verbalized Simula ng namatay si mommy, mas naging close ako sa kapatid ko at sa daddy ko kase kami na lang tatlo ang natira. Pero hinde pa ren nawala ung sibling rivalry kase dalawa lang kaming magkapatid. Based on the client, she has harmonious relationship with her family especially to her daddy. She gets along well with her friends but hes much comfortable dealing with her female friends. She doesnt have any conflict with her family.

Interpretation: The client has a good relationship with her family and friends. She positively looks to life since she has those people with her along. She is an optimistic person, so she easily deals with any problems that get along her way. Analysis: Psychologic homeostasis is maintained by a variety of

mechanisms. Each person has certain psycological needs, such as need for love, security, and well self esteem , which must be met to maintain psychologic homeostasis. When one or more of these needs is not met or is threatened certain coping mechanisms are activated to protect the person and provide psychologic homeostasis. It is acquired or learned through experience of living and interacting with others. In addition societal norms and culture influence behavior. (Reference: Fundamentals of Nursing by Kozier volume 2, unit 4 page:272)

B. SOCIO-CULTURAL PATTERNS A. Cultural Patterns Pag ako naman ay may nararamdaman, hindi naman ako agad pumupunta sa doktor dahil gumagaling naman ako sa mga paraang tinuro sa akin ng mga matatanda. Katulad nung mga herbal herbal na yan.as verbalized by the client. Client does not belong in any minority group. The client had stated that she had no cultural practices that she thinks can significantly affect her health. She said that shes particular on many superstitious beliefs but shes not following any of them.

B. Significant Relationships

She claimed that she has no problem with most of her relatives, and that they get along well. She verbalized that the significant relationship that she considers now is her relationship with her family and with God. She was brought up with values by her parents. She added, Nagpapasalamat ako ng marami kay God kasi binigyan niya ako pamilya ng talagang mahal ako. C. Environment She lives in Baliuag, Bulacan. She claimed that their community is peaceful and has clean surroundings.

D. Economic The patient said that shes working as an accountant in Dubai and she doesnt have any financial problems. Interpretation: The patient was molded well by the beliefs passed to her by her parents in terms of health management. Also, she take into consider the advices she gets from elders. In terms of people whom she had a chance to interact with, they gave her major contribution to what kind of life she has right now in a positive or negative way. Also, she shows contentment in the place she is living at despite what kind of place or what kind of environment she has around her. She is also financially independent to herself at this time. Analysis: Socio-cultural forces, such as politics, economics, geography, religion, and the predominant health care system, influence the clients health status and health care behavior. Culture and social interactions also influence how a person perceives, experiences, and copes with

health and illness. Each culture has ideas about health, and this are often transmitted from parents to children. A climate of open communication, sharing, and love fosters the fulfillment of persons optimum potential. (Reference:Fundamentals of Nursing by Kozier, volume 1 Page 318, 302)

C. SPIRITUAL PATTERNS A. Religious Beliefs and Practices The client stated that her religion is important to her because she believes that God is the most powerful of all. She believed that only God can save us from any problems we are having right now as long as we have faith on him. She verbalized, Sa tuwing nagdadasal ako, gumagaan pakiramdam ko, yun ang pagkakataon para makapagpasalamat ako ng marami kay God kasi binigyan niya ako pamilya ng talagang mahal ako. Nalulungkot ako kase minsan na lang ako makapunta sa Church para makapagsimba. B. Values and Valuing She said that the significant persons in her life are her family. She was brought up with values by her parents. She stated, Ang isa sa maipagmamalaki kong ugali na itinuro sa akin ng mga magulang ko ay yung dapat matapat lang dapat ako sa lahat ng oras kasi kahit hindi man daw ako nakikita ng ibang tao kasi may Diyos pa din na nagbabantay sa bawat galaw natin.

Interpretation:

The patient practices religious acts by praying to God. She always makes sure that she prays. It is because of the reason that whenever she prays to God, she finds a companion. Also, this is where she gets his

strength to face everydays trial. She feels that God is with her when she prays.Moreover, the kind of attitude the patient shows gave her values that made her strong despite of what situation she is into right now. Analysis: Just as everybody has a spiritual dimension, all clients have needs that reflect their spirituality. These needs are often accentuated by an illness or other health crisis. Clients who have well defined spiritual beliefs may find that their beliefs as challenge by their health situation, or may cling to their beliefs more firmly and appreciatively. Clients who have no defined beliefs may suddenly come face to face with challenging questions such as why me? and others related to the meaning and purpose of life. Nurses need to be sensitive to indications of the clients spiritual needs and respond appropriately.(Ref. fundamentals of nursing by kozier volume 2, chapter 41/spirituality page 1043)