NAME: Liza Manangkila
XI. APPENDICES
PAST MEDICAL HISTORY
General health status:
Untidy appearance, able to answer
questions appropriately, noted poor hygiene
and grooming.
Past medical problems: Admitted due to
labor pains.
Hospitalization and surgery: During her
pregnancy. No past medical surgeries.
Immunizations: Complete
General survey
Physical appearance (height and weight
appropriate for body build, grooming, and
hygiene): Noted poor hygiene and grooming.
Height and weight appropriate for age.
Appeared calm and alert during assessment.
Mental status (affect, mood, orientation, recall):
Calm, conscious and coherent during
assessment.
NAME: Cecelia Manangkila
28
PAST MEDICAL HISTORY
General health status:
Untidy appearance, noted poor hygiene and
grooming, able to answer question
appropriately with moderate paced and
clear tone.
Past medical problems: None
Hospitalization and surgery: None
Immunizations: Complete
General survey
Physical appearance (height and weight
appropriate for body build, grooming, hygiene):
Untidy in appearance, poor hygiene and
grooming.
Mental status (affect, mood, orientation, recall):
Calm, conscious and coherent during
assessment.
 NAME:Charity
NAME:
NAME: JR
Gerlie
Jerry
Manangkila
Manangkila
Santiago NAME:Jonald
NAME:
NAME: Adrian
Jecel
RadezaMae
Santiago
Manangkila
Manangkila
Santiago

PAST
PAST
PASTMEDICAL
MEDICAL
MEDICALHISTORY
HISTORY
HISTORY PAST
PAST
PASTMEDICAL
MEDICAL
MEDICAL HISTORY
HISTORY
HISTORY 29
General
Generalhealth
healthstatus:
status:Visible
Untidypoor
in hygiene
and
appearance,
groomingnoted
noted.poor hygiene and
General
Generalhealth
healthstatus:
status:Visibly
Noted lesions
poor hygiene
on his General
General
Generalhealth
health
healthstatus:
status:
status:AVisible
Poor
Untidy
premature
hygiene
poor
appearance,
hygiene
baby.
and
grooming.
and
hair,
grooming,
poor hygiene
able and
to help
grooming
in doing
noted. Practiced
and
grooming.
noted
grooming
poor
mixed
Untidy
hygiene
noted
feeding
inand
appearance.
and
grooming,
has a low
ablebirth
to
households
Past
Suffers
medical
fromchores
colds
problems:
appeared
during
Cough
assessment.
untidy,
fever and
alert weight.
answer questions.
and
colds
friendly.
Past medical problems: Cough, cold and Past medical problems: Cough
None fever and
fevermedical problems: None
Past Past
colds
Pastmedical
medicalproblems:
problems:None
Admitted due to
Past
Hospitalization
medical problems:
and surgery:
None None. labor pains.
Hospitalization and surgery: None
Hospitalization
Hospitalization and
and surgery:
surgery: None
None Hospitalization
Hospitalization and
and surgery:
surgery: None
None
Hospitalization
Immunizations:andIncomplete
surgery: None Hospitalization and surgery: During her
Immunizations: Complete
pregnancy. No past medical surgeries.
Immunizations: Complete Immunizations:
Immunizations: On-going
Incomplete
immunization.
Immunizations:Complete
Complete
Immunizations:
Immunizations: Incomplete

General
Generalsurvey
survey
General survey General survey
Physical
Physicalappearance
appearance(height
(heightand
andweight
weight General survey
Physical appearance (height and weight General appearance
Physical survey (height and weight
appropriate
appropriate for
forbody
bodybuild,
Physical appearance build,
(heightgrooming,
grooming,
and weighthygiene):
hygiene):
appropriate for body build, grooming, appropriate
Physical surveyfor body build,
appearance (heightgrooming,
and weight hygiene):
Inappropriate
Poor hygiene,for
appropriate weight
dirty nails,
body and height
build,scaly skin,
for age,
grooming, dryuntidy,
hair General
hygiene): Not on proper hygiene and Poor hygiene,
appropriate fordirty
bodynails, wounds
build, on his
grooming, lower
hygiene):
dirty
with long
dandruff
hygiene): nails
Dirtynoted.
and
longdirty
nails,hair with dandruff
unclean ears, poor Physical appearance (height and weight
grooming. Appeared calm and relax during extremities,
Appropriate and
weightscaly
and skin
height
note.
oral hygiene, untidy in appearance, skin appropriate
Physical for body
appearance build,
(height andfor age, untidy,
grooming,
weight
assessment. dirty long Poor
nails, hair build,
with
lesion on her lower extremities noted. hygiene):
appropriate for hygiene
body anddandruff,
groomingscaly
grooming, lower
hygiene):
extremities
Weight is notand skin lesions
appropriate for noted.
age.
Mentalstatus
Mental status( (affect, mood, orientation,
affect, mood, orientation, recall):
recall):
Mental status (affect, mood, orientation, recall):
Able to answer
Smiling, not ablesome questions.
to recall recent Shy and like
memory Shy type, doesnt answer questions and able to
sometimes
Mental
Mental
what doesnt
wasstatus
status
their answer
(affect,
(affect,
breakfast in to
mood,
mood, questions.
morning.Flat
orientation,
theorientation, Mental status (affect, mood, orientation,
 30

NNUTRITIONAL ASSESSMENT (especially for vulnerable or at-risk members)

Name of Anthropometric data Quantity Eating/feedin

the family Heigh Weigh Circumference & quality g practices
member t (cm) t (kg) of food
intake/da
y
Ches Abdome Lower Upper
t n (cm) extremitie extremitie
(cm) s (cm) s (cm)
Liza 162 41 34 30 20 10 Cooked Usually once
Manangkil vegetable, a day
a salt, dried
fish,
uyap,
ginamos
Cecilia 164 51 28 27 16 9 Cooked Usually once
 31

Manangkil vegetable, a day

a salt, dried
fish,
uyap,
ginamos
JR 142 35 73 69 40 21 Cooked Usually once
Manangkil vegetable, a day
a salt, dried
fish,
uyap,
ginamos
Adrian 120 21 53 56 30 17 Cooked Usually once
Manangkil vegetable, a day
a salt, dried
fish,
uyap,
ginamos
Gerlie 111 16 56 49 2 16 Cooked Usually once
Manangkil vegetable, a day
a salt, dried
fish,
uyap,
Usually
once a day
ginamos
Jecel Mae 100 12.5 51 50 11 15 Cooked Usually once
Santiago vegetable, a day
 32

salt, dried
fish,
uyap,
ginamos
Charity 93 9.8 50 45 25 16 Cooked Usually once
Santiago vegetable, a day
salt, dried
fish,
uyap,
ginamos
Jonald 59 2.16 36 35 16 13 Formula Two to three
Santiago milk and times a day
breast
milk
Jerry 159 46 78 65 42 22 Cooked Usually once
Santiago vegetable, day
salt, dried
fish,
uyap,
ginamos
Radeza 155 41 83 78 37 21 Cooked Two to three
Manangkil vegetable, times a day
a salt, dried
fish,
uyap,
ginamos
33
 34

Name: Liza Manangkila Name: Cecilia Manangkila

Weight: 41kg Weight: 51kg
Weight gain: no noticeable weight gain Weight gain: no noticeable weight gain
Appetite description: Appetite description:
Good ( /) Good ( /)
Fair ( ) Fair ( )
Poor ( ) Poor ( )
Food intolerance: none Food intolerance: none
Dietary restriction: none Dietary restriction: none
Usual food intake: corn rice, salt, sugar, noodles, Usual food intake: corn rice, salt, sugar, noodles,
ginamos, vegetable and dried fish ginamos, vegetable and dried fish
Fluid intake: water Fluid intake: water
Food dislike: durian Food dislike: frog
Problems: Problems:
Nausea: none Nausea: none
Vomiting: none Vomiting: none
Swallowing: none Swallowing: none
Chewing: none Chewing: none
Digestion: none Digestion: none

REMARKS AND VERBALIZATION FROM REMARKS AND VERBALIZATION FROM

THECLIENT: THECLIENT:
 35

Name: JR Manangkila Name: Adrian Manangkila

Weight: 35kg Weight: 21kg
Weight gain: no noticeable weight gain Weight gain: no noticeable weight gain
Appetite description: Appetite description:
Good ( ) Good ( /)
Fair ( ) Fair ( )
Poor ( /) Poor ( )
Food intolerance: none Food intolerance: none
Dietary restriction: none Dietary restriction: none
Usual food intake: corn rice, salt, sugar, noodles, Usual food intake: corn rice, salt, sugar, noodles,
ginamos, vegetable and dried fish ginamos, vegetable and dried fish
Fluid intake: water Fluid intake: water
Food dislike: durian Food dislike: durian
Problems: Problems:
Nausea: none Nausea: none
Vomiting: none Vomiting: none
Swallowing: none Swallowing: none
Chewing: none Chewing: none
Digestion: none Digestion: none

REMARKS AND VERBALIZATION FROM REMARKS AND VERBALIZATION FROM

THECLIENT: THECLIENT:
 36

Name: Gerlie Manangkila Name: Jecel Mae Santiago

Weight: 16kg Weight: 12.5kg
Weight gain: no noticeable weight gain Weight gain: no noticeable weight gain
Appetite description: Appetite description:
Good ( /) Good ( /)
Fair ( ) Fair ( )
Poor ( ) Poor ( )
Food intolerance: none Food intolerance: none
Dietary restriction: none Dietary restriction: none
Usual food intake: corn rice, salt, sugar, noodles, Usual food intake: corn rice, salt, sugar, noodles,
ginamos, vegetable and dried fish ginamos, vegetable and dried fish
Fluid intake: water Fluid intake: water
Food dislike: durian Food dislike: durian, santol
Problems: Problems:
Nausea: none Nausea: none
Vomiting: none Vomiting: none
Swallowing: none Swallowing: none
Chewing: none Chewing: none
Digestion: none Digestion: none

REMARKS AND VERBALIZATION FROM REMARKS AND VERBALIZATION FROM

THECLIENT: THECLIENT:
 37

Name: Charity Santiago Name: Jonald Santiago

Weight: 9.8kg Weight: 2.16kg
Weight gain: no noticeable weight gain Weight gain: no noticeable weight gain
Appetite description: Appetite description:
Good ( /) Good ( /)
Fair ( ) Fair ( )
Poor ( ) Poor ( )
Food intolerance: none Food intolerance: none
Dietary restriction: none Dietary restriction: none
Usual food intake: corn rice, salt, sugar, noodles, Usual food intake: breast milk and formula milk
ginamos, vegetable and dried fish Fluid intake: breast milk and formula milk
Fluid intake: water Food dislike: none
Food dislike: durian Problems:
Problems: Nausea: none
Nausea: none Vomiting: none
Vomiting: none Swallowing: none
Swallowing: none Chewing: none
Chewing: none Digestion: none
Digestion: none

REMARKS AND VERBALIZATION FROM

REMARKS AND VERBALIZATION FROM THECLIENT:
THECLIENT:
 38

Name: Jerry Santiago Name: Radeza Manangkila

Weight: Weight:
Weight gain: no noticeable weight gain Weight gain: no noticeable weight gain
Appetite description: Appetite description:
Good ( ) Good (/)
Fair (/) Fair ( )
Poor ( ) Poor ( )
Food intolerance: none Food intolerance: none
Dietary restriction: none Dietary restriction: none
Usual food intake: vegetables and fish Usual food intake: dried fish and vegetables
Fluid intake: water Fluid intake: water
Food dislike: none Food dislike: none
Problems: Problems:
Nausea: none Nausea: none
Vomiting: none Vomiting: none
Swallowing: none Swallowing: none
Chewing: none Chewing: none
Digestion: none Digestion: none

REMARKS AND VERBALIZATION FROM REMARKS AND VERBALIZATION FROM

THECLIENT: THECLIENT:
 39

VALUES, HABITS, PRACTICES ON HEALTH PROMOTION, MAINTENANCE AND DISEASE PREVENTION

NAME IMMUNIZATI HEALTHY REST EXERCIS USE OF STRESS USE OF

ON OF LIFESTYL AND E PROTECTI MANAGEME PROMOTIV
FAMILY E SLEEP ACTIVITI VE NT E-
MEMBER PRACTICE ES MEASURE ACTIVITIES PREVENTI
S VE
HELATH
SERVICES
Liza COMPLETE Usually Sleeps at Goes to Uses Chit chatting Use of
Manangki eats 9pm and work by katol as with herba;
la vegetables wakes up walking mosquito neighbors medicines
and dried at 5am killer and and over
fish uses the counter
slippers drugs
Cecilia COMPLETE Usually Sleeps at Only Uses Chit chatting Use of
Manangki eats 8pm and takes katol as with herba;
la vegetables wakes up small mosquito neighbors medicines
and dried at 4am distance killer and and over
fish walks uses the counter
slippers drugs
Jerry COMPLETE Usually Sleeps at Goes to Uses Drinks Use of
Santiago eats 9pm and work by katol as alcohol herba;
vegetables wakes up walking mosquito medicines
and dried at 5am killer and and over
fish uses the counter
slippers drugs
 40

Radeza INCOMPLET Usually Sleeps at Goes to Uses Chit chatting Dependent

Manangki E eats 8pm and work by katol as with from
la vegetables wakes up walking mosquito neighbors parents
and dried at 5am killer and
fish uses
slippers
Jr INCOMPLET Usually Sleeps at Takes Uses Playing with Dependent
Manangki E eats 9pm and small katol as their from
la vegetables wakes up distance mosquito neighbors parents
and dried at 5am walk killer and siblings
fish
Adrian INCOMPLET Usually Sleeps at Takes Uses Playing with Dependent
Manangki E eats 9pm and small katol as their from
la vegetables wakes up distance mosquito neighbors parents
and dried at 5am walk killer and siblings
fish
Gerlie COMPLETE Usually Sleeps at Takes Uses Playing with Dependent
Manangki eats 9pm and small katol as their from
la vegetables wakes up distance mosquito neighbors parents
and dried at 7am walk killer and siblings
fish
Jecel Mae COMPLETE Usually Sleeps at Takes Uses Playing with Dependent
Santiago eats 9pm and small katol as their from
vegetables wakes up distance mosquito neighbors parents
and dried at 6am walk killer and siblings
fish
Charity COMPLETE Usually Sleeps at Takes Uses Playing with Dependent
 41

Santiago eats 9pm and small katol as their from

vegetables wakes up distance mosquito neighbors parents
and dried at 6am walk killer and siblings
fish
Jonald ONGOING On Usually n/a Uses n/a Dependent
Santiago breastfeedi sleeps at bonet, from
ng 8pm but gloves and parents
wakes up socks
at
12midnig
ht or
3am and
continue
s to go
back to
sleep
until 7am

GORDONS FUNCTIONAL HEALTH PATTERN
Liza Manangkila
Health perception and health
management
Nutrition and metabolism
Elimination pattern
Activity and exercise
Description
Perceived level of health and well
being, and practices for
maintaining health. Habits that
may be detrimental to health are
also evaluated, including smoking
and use of alcohol or other drugs.
Pattern of food and fluid intake
relative to metabolic needs. The
adequacy of local nutrients
supplies is evaluated.
Excretory pattern (GI, GU and
Skin). Incontinence, constipation,
diarrhea, and urinary retention
may be identified.
Activities of Daily Living (ADLs)
requiring energy expenditure
including self-care activities.
Assess major body system involved
with the activity and exercise
42
Assessment
She doesnt smoke nor drink
alcoholic beverages, and she said
shes able to complete her
immunization. Doesnt perform
regular self breast examination.
No allergies to food, likes to eat
meat and dish. No discomfort felt
during swallowing, chewing or
digestion. Good skin turgor noted
drinks 6-8 glass/day with fair
complexion.
She has no difficulties in urinating
and removing her bowel. No usual
pattern in voiding and defecating.
Usually void 3-5 times a day, no
blood noted in the stool and uine.
Goes to work by walking. She
emphasized that she has no time
for exercise, does daily households
chores. No use of any assistive
device.

Cognitive and perception
Sleep and rest
Self-perception and self-concept
Roles and relation
Sexuality and reproduction
Coping and stress tolerance
including respiratory,
cardiovascular, and
musculoskeletal systems.
Ability to comprehend and use
information. Assess sensory
functions. Sensory experience
such as pain and altered sensory
input may be identified and
evaluated.
Sleep, rest and relaxation
practices. Dysfunctional sleep
patterns and fatigue may be
identified.
Attitudes towards self, including
identity, body image, and sense of
self worth. Level of self-esteem and
response to threats of self-concept.
Roles in the world and other
relationships. Satisfaction with
roles, role strain, or dysfunctional
relationship may be further
evaluated.
Satisfaction/dissatisfaction with
sexual patterns and reproductive
functions. Concerns with sexuality
may be identified.
Perception of stress and coping
43
Achieved elementary level of
education. No recent change in
memory.
She is able to sleep uninterrupted
with no problems in sleeping.
Sleeps 6-8 hours a day.
Calm and very responsive during
the interview.
She is living with her family. She
goes to work to provide the needs
of her family. Problems especially
financially was one of the thing
that seen difficult to handle.
She is satisfied with her sexual
partner. No history of vaginal
discharges, bleeding or lesions.
No stressful or traumatic events in

Values and belief
Cecilia Manangkila
Health perception and health
management
Nutrition and metabolism
Elimination pattern
strategies. Support systems are
evaluated, and symptoms of stress
are noted. Effectiveness of coping
strategies in terms of stress
tolerance may be evaluated.
Values, belief, and goals that may
be guide choices or decisions.
Description
Perceived level of health and well
being, and practices for
maintaining health. Habits that
may be detrimental to health are
also evaluated, including smoking
and use of alcohol or other drugs.
Pattern of food and fluid intake
relative to metabolic needs. The
adequacy of local nutrients
supplies is evaluated.
Excretory pattern (GI, GU and
Skin). Incontinence, constipation,
diarrhea, and urinary retention
44
the past year. Feels relaxed but
gets anxious when they argue
about their financial needs.
She is catholic but doesnt go to
church regularly.
Assessment
Usual health status is good. She is
not taking or using any tobacco,
alcohol or prohibited drugs.
Doesnt perform regular self-breast
examination. No recent surgery.
Current weight is 51 kilograms.
Usual intake of corn rice and
vegetables. She is not taking any
supplements/vitamins. Her
appetite is good as she verbalizes
it. no discomfort felt during
swallowing or chewing.
No usual pattern in defecating but
usually defecates once a day. Stool
characteristics were soft, variable,

Activity and exercise
Cognitive and perception
Sleep and rest
Self-perception and self-concept
may be identified.
Activities of Daily Living (ADLs)
requiring energy expenditure
including self-care activities.
Assess major body system involved
with the activity and exercise
including respiratory,
cardiovascular, and
musculoskeletal systems.
Ability to comprehend and use
information. Assess sensory
functions. Sensory experience
such as pain and altered sensory
input may be identified and
evaluated.
Sleep, rest and relaxation
practices. Dysfunctional sleep
patterns and fatigue may be
identified.
Attitudes towards self, including
identity, body image, and sense of
45
and brownish in color. She usually
voids 3-5 times a day. No
discomfort felt during voiding or
defecating. No blood noted in the
stool and urine.
She is a widow and takes care of
her grandchildren. Doesnt exercise
regularly but only takes small
distance walks. Her leisure time
spends it on resting and doing
household chores. No use of any
assistive devices.
Elementary level of education.
Doesnt wear any hearing aids or
glasses or any devices.
Generally rested and ready for
daily activities after sleep. Usually
sleeps 5-8 hours per day. There
were no sleeping problems and
doesnt take any medications to aid
sleep.
During assessment she appears
calm and alert. According to her

Roles and relation
Sexuality and reproduction
Coping and stress tolerance
Values and belief
Jerry Manangkila
self worth. Level of self-esteem and
response to threats of self-concept.
Roles in the world and other
relationships. Satisfaction with
roles, role strain, or dysfunctional
relationship may be further
evaluated.
Satisfaction/dissatisfaction with
sexual patterns and reproductive
functions. Concerns with sexuality
may be identified.
Perception of stress and coping
strategies. Support systems are
evaluated, and symptoms of stress
are noted. Effectiveness of coping
strategies in terms of stress
tolerance may be evaluated.
Values, belief, and goals that may
be guide choices or decisions.
Description
46
daughter, Mrs Cecilia is very
patient in taking care of her
grandchildren.
She is a widow. Lives together with
the family of her daughter, Liza
Manangkila. Maintains a good
relationship with her family and
neighbors. Arguments cant be
denied due to lack of financial
resources
No history of vaginal discharges,
bleeding or lesions. Doesnt have
any recent pap smear examination
or mammogram. No pelvic or rectal
problems. Not sexually active
No stressful or traumatic events in
the past year. Feels relaxed but
gets anxious when they argue
about their financial needs.
She is a Roman Catholic but she
doesnt go to church regularly.
Assessment

Health perception and health
management
Nutrition and metabolism
Elimination pattern
Activity and exercise
Cognitive and perception
Perceived level of health and well
being, and practices for
maintaining health. Habits that
may be detrimental to health are
also evaluated, including smoking
and use of alcohol or other drugs.
Pattern of food and fluid intake
relative to metabolic needs. The
adequacy of local nutrients
supplies is evaluated.
Excretory pattern (GI, GU and
Skin). Incontinence, constipation,
diarrhea, and urinary retention
may be identified.
Activities of Daily Living (ADLs)
requiring energy expenditure
including self-care activities.
Assess major body system involved
with the activity and exercise
including respiratory,
cardiovascular, and
musculoskeletal systems.
Ability to comprehend and use
information. Assess sensory
functions. Sensory experience
such as pain and altered sensory
input may be identified and
47
Mr. Jerry consumes 5-10 sticks of
cigarettes per day and drinks
alcohol occasionally.
Eats once or twice a day and he
usually takes vegetables and
drinks 8-10 glasses of water a day.
He urinates 4-5 times a day with
yellowish in color and defecates
once a day with no regular pattern.
He works as a laborer with a salary
of 1200 pesos per week. According
to him daily walking is his exercise
and his hobby is watching
television.
Coherent, no sensory defects and
well oriented to time and place.

Sleep and rest
Self-perception and self-concept
Roles and relation
Sexuality and reproduction
Coping and stress tolerance
Values and belief
evaluated.
Sleep, rest and relaxation
practices. Dysfunctional sleep
patterns and fatigue may be
identified.
Attitudes towards self, including
identity, body image, and sense of
self worth. Level of self-esteem and
response to threats of self-concept.
Roles in the world and other
relationships. Satisfaction with
roles, role strain, or dysfunctional
relationship may be further
evaluated.
Satisfaction/dissatisfaction with
sexual patterns and reproductive
functions. Concerns with sexuality
may be identified.
Perception of stress and coping
strategies. Support systems are
evaluated, and symptoms of stress
are noted. Effectiveness of coping
strategies in terms of stress
tolerance may be evaluated.
Values, belief, and goals that may
be guide choices or decisions.
48
He usually sleeps 8:00-10:00 PM
and wakes up at 4:00-5:00 AM. He
doesnt have any sleeping problems
but a noisy environment could
interrupt his sleep as verbalized.
According to his wife he is a loving
and caring father o is children.
Maintain a good relationship with
his family and neighbors.
No rectal or pelvic problems. He is
satisfied with her sexual partner.
To cope up his stress he usually
watches television and drinks
alcohol
He is a Roman Catholic but
doesnt go to church regularly.

Radeza Manangkila
Health perception and health
management
Nutrition and metabolism
Elimination pattern
Activity and exercise
Description
Perceived level of health and well
being, and practices for
maintaining health. Habits that
may be detrimental to health are
also evaluated, including smoking
and use of alcohol or other drugs.
Pattern of food and fluid intake
relative to metabolic needs. The
adequacy of local nutrients
supplies is evaluated.
Excretory pattern (GI, GU and
Skin). Incontinence, constipation,
diarrhea, and urinary retention
may be identified.
Activities of Daily Living (ADLs)
requiring energy expenditure
including self-care activities.
49
Assessment
Her usual health status is good.
Incomplete immunization and no
recent surgery. Doesnt perform
self breast examination
Good appetite. Her usual food
intake is salt, dried fish and
vegetables. Usual fluid intake is
water with 6- glasses a day and no
problem in swallowing, chewing,
and digestion.
Usually defecates in the morning.
Doesnt experience bleeding or
constipation. Color of her stool is
yellow and no history of diarrhea.
Void 3-5 times a day.
Her daily activity is taking care of
her baby and no medical condition
that limits her activity. No regular

Cognitive and perception
Sleep and rest
Self-perception and self-concept
Roles and relation
Sexuality and reproduction
Assess major body system involved
with the activity and exercise
including respiratory,
cardiovascular, and
musculoskeletal systems.
Ability to comprehend and use
information. Assess sensory
functions. Sensory experience
such as pain and altered sensory
input may be identified and
evaluated.
Sleep, rest and relaxation
practices. Dysfunctional sleep
patterns and fatigue may be
identified.
Attitudes towards self, including
identity, body image, and sense of
self worth. Level of self-esteem and
response to threats of self-concept.
Roles in the world and other
relationships. Satisfaction with
roles, role strain, or dysfunctional
relationship may be further
evaluated.
Satisfaction/dissatisfaction with
sexual patterns and reproductive
functions. Concerns with sexuality
50
exercise noted.
Pain felt at perineal area due to
pregnancy and a pain scale of
5/10. No problem in hearing and
memory. Achieved elementary level
of education.
Usually sleeps 8pm-5am with no
naps and she feel rested. No
sleeping problems and when the
baby cries it interrupts her sleep.
During assessment she appears
calm and alert.
She is single mother with one
child. Limited social activity and
has a good relationship with her
family.
No history of STD, no pelvic and
rectal problems. Type of her
delivery is normal, no history of

Coping and stress tolerance
Values and belief
Jr Manangkila
Health perception and health
management
Nutrition and metabolism
may be identified.
Perception of stress and coping
strategies. Support systems are
evaluated, and symptoms of stress
are noted. Effectiveness of coping
strategies in terms of stress
tolerance may be evaluated.
Values, belief, and goals that may
be guide choices or decisions.
Description
Perceived level of health and well
being, and practices for
maintaining health. Habits that
may be detrimental to health are
also evaluated, including smoking
and use of alcohol or other drugs.
Pattern of food and fluid intake
relative to metabolic needs. The
adequacy of local nutrients
supplies is evaluated.
51
vaginal discharge, bleeding and
lesions.
No stressful or traumatic event in
the past year. Her usual handling
of stress is average.
She is a roman catholic and no
religious restriction but doesnt go
to church regularly.
Assessment
Usual health status is fair,
incomplete immunization and no
recent surgery in the past year. Not
taking or using tobacco, alcohol
with prohibited drugs.
Poor appetite description. Usual
food intake is salt, sugar and fish.
He likes chicken, hotdog and cake.
His usual health fluid intake is
water with 6-8 glasses and no
problems in swallowing, chewing

Elimination pattern
Activity and exercise
Cognitive and perception
Sleep and rest
Self-perception and self-concept
Excretory pattern (GI, GU and
Skin). Incontinence, constipation,
diarrhea, and urinary retention
may be identified.
Activities of Daily Living (ADLs)
requiring energy expenditure
including self-care activities.
Assess major body system involved
with the activity and exercise
including respiratory,
cardiovascular, and
musculoskeletal systems.
Ability to comprehend and use
information. Assess sensory
functions. Sensory experience
such as pain and altered sensory
input may be identified and
evaluated.
Sleep, rest and relaxation
practices. Dysfunctional sleep
patterns and fatigue may be
identified.
Attitudes towards self, including
identity, body image, and sense of
self worth. Level of self-esteem and
52
and digestion.
usually defecates in the morning.
Doesnt experience bleeding or
constipation. Characteristics are
yellowish in color, variable in
amount and soft in consistency.
Daily activity is playing around
together with his siblings and
neighbors and no medical
condition that limits activity.
No pain felt during assessment.
Sensory status is normal. Can
speak in moderate pace and has a
clear tone.
Usually sleeps for 8 hours and
feels rested after sleeping. No
sleeping problems and
interruptions.
During assessment appeared calm
and alert.
 53

response to threats of self-concept.

Roles and relation
Sexuality and reproduction
Coping and stress tolerance
Values and belief
Roles in the world and other Active and has a good relationship
relationships. Satisfaction with with his family.
roles, role strain, or dysfunctional
relationship may be further
evaluated.
Satisfaction/dissatisfaction with No rectal or pelvic problems. Not
sexual patterns and reproductive sexually active.
functions. Concerns with sexuality
may be identified.
Perception of stress and coping No stressful or traumatic event in
strategies. Support systems are the past year.
evaluated, and symptoms of stress
are noted. Effectiveness of coping
strategies in terms of stress
tolerance may be evaluated.
Values, belief, and goals that may He is a roman catholic but doesnt
be guide choices or decisions. go to church regularly.

Adrian Manangkila

Health perception and health
management
Description
Perceived level of health and well
being, and practices for
maintaining health. Habits that
may be detrimental to health are
also evaluated, including smoking
Assessment
Incomplete immunization without
any recent surgery. Not taking any
alcohol, tobacco and prohibited
drugs.

and use of alcohol or other drugs.
Nutrition and metabolism Pattern of food and fluid intake
relative to metabolic needs. The
adequacy of local nutrients
supplies is evaluated.
Elimination pattern Excretory pattern (GI, GU and
Skin). Incontinence, constipation,
diarrhea, and urinary retention
may be identified.
Activity and exercise Activities of Daily Living (ADLs)
requiring energy expenditure
including self-care activities.
Assess major body system involved
with the activity and exercise
including respiratory,
cardiovascular, and
musculoskeletal systems.
Cognitive and perception Ability to comprehend and use
information. Assess sensory
functions. Sensory experience
such as pain and altered sensory
input may be identified and
evaluated.
Sleep and rest Sleep, rest and relaxation
practices. Dysfunctional sleep
patterns and fatigue may be
identified.
54
He eats once or twice a day with
good appetite and he usually eats
vegetables and take 7-10 glasses of
water a day
Urinates 4-5 times a day with
yellowish in color and defecates
once a day with no regular pattern.
Watching television in their
neighborhood and play with his
siblings and neighbors. No regular
exercise.
Able to hear in both ears with good
eyesight. Appears calm and
responsive during assessment.
He usually sleeps at 8:00-9:00 PM
and wakes up at 6:00-7:00 AM
with no sleeping problems.

Self-perception and self-concept
Roles and relation
Sexuality and reproduction
Coping and stress tolerance
Values and belief
Gerlie Manangkila
Health perception and health
management
Attitudes towards self, including
identity, body image, and sense of
self worth. Level of self-esteem and
response to threats of self-concept.
Roles in the world and other
relationships. Satisfaction with
roles, role strain, or dysfunctional
relationship may be further
evaluated.
Satisfaction/dissatisfaction with
sexual patterns and reproductive
functions. Concerns with sexuality
may be identified.
Perception of stress and coping
strategies. Support systems are
evaluated, and symptoms of stress
are noted. Effectiveness of coping
strategies in terms of stress
tolerance may be evaluated.
Values, belief, and goals that may
be guide choices or decisions.
Description
Perceived level of health and well
being, and practices for
55
During assessment he appears
calm and responsive. No recent
change in memory.
He has 7 siblings and sometimes
plays with his brother and sister
with no relationship problems
within the family.
No rectal or pelvic problems. Not
sexually active
To cope up his stress he usually
play games with his siblings and
neighbors
He is a roman catholic but doesnt
go to church regularly.
Assessment
Complete immunization and no
recent surgery.
 56

maintaining health. Habits that

may be detrimental to health are
also evaluated, including smoking
and use of alcohol or other drugs.
Nutrition and metabolism Pattern of food and fluid intake Good appetite and he usually eats
relative to metabolic needs. The vegetables and take 7-10 glasses of
adequacy of local nutrients water a day.
supplies is evaluated.
Elimination pattern Excretory pattern (GI, GU and Urinates 3-5 times a day with
Skin). Incontinence, constipation, yellowish in color and defecates
diarrhea, and urinary retention once a day with no regular pattern.
may be identified.
Activity and exercise Activities of Daily Living (ADLs) Watching television in their
requiring energy expenditure neighborhood and play with his
including self-care activities. siblings and neighbors.
Assess major body system involved
with the activity and exercise
including respiratory,
cardiovascular, and
musculoskeletal systems.
Cognitive and perception Ability to comprehend and use Able to hear in both ears with good
information. Assess sensory eyesight. Appears calm and
functions. Sensory experience responsive during assesstment.
such as pain and altered sensory
input may be identified and
evaluated.
Sleep and rest Sleep, rest and relaxation He usually sleeps at 7:00-8:00 PM

Self-perception and self-concept
Roles and relation
Sexuality and reproduction
Coping and stress tolerance
Values and belief
Jecel Mae Manangkila
57
practices. Dysfunctional sleep and wakes up at 7:00-8:00 AM.
patterns and fatigue may be
identified.
Attitudes towards self, including During assessment he has skin
identity, body image, and sense of lesions in his upper extremities.
self worth. Level of self-esteem and
response to threats of self-concept.
Roles in the world and other He has 7 siblings and sometimes
relationships. Satisfaction with plays with his brother and sister.
roles, role strain, or dysfunctional No relationship problems.
relationship may be further
evaluated.
Satisfaction/dissatisfaction with No rectal or pelvic problems. Not
sexual patterns and reproductive sexually active.
functions. Concerns with sexuality
may be identified.
Perception of stress and coping To cope up his stress he usually
strategies. Support systems are play games with his siblings and
evaluated, and symptoms of stress neighbors. Eating.
are noted. Effectiveness of coping
strategies in terms of stress
tolerance may be evaluated.
Values, belief, and goals that may He is a roman catholic but doesnt
be guide choices or decisions. go to church regularly.

Health perception and health
management
Nutrition and metabolism
Elimination pattern
Activity and exercise
Description
Perceived level of health and well
being, and practices for
maintaining health. Habits that
may be detrimental to health are
also evaluated, including smoking
and use of alcohol or other drugs.
Pattern of food and fluid intake
relative to metabolic needs. The
adequacy of local nutrients
supplies is evaluated.
Excretory pattern (GI, GU and
Skin). Incontinence, constipation,
diarrhea, and urinary retention
may be identified.
Activities of Daily Living (ADLs)
requiring energy expenditure
including self-care activities.
Assess major body system involved
with the activity and exercise
including respiratory,
cardiovascular, and
musculoskeletal systems.
58
Assessment
Complete immunizations. No
recent surgery in the past year.
Doesnt use any prohibited drugs
and alcohol
Currently weighs 12.5 kilograms.
No discomfort felt during eating,
chewing or swallowing. Usually
eats corn rice and vegetables. She
doesnt like to eat durian and
drinks water 5-7 glasses per day.
Defecates once a day in no usual
time. Characteristics are soft,
variable in amount and brownish
in color. No blood noted. Voids 5-6
times a day and there were no pain
or discomfort felt
Playing with friends and helping in
some household chores were her
usual activities. Likes to play
bahay-bahayan with her
neighborhood friends.

Cognitive and perception
Sleep and rest
Self-perception and self-concept
Roles and relation
Sexuality and reproduction
Coping and stress tolerance
59
Ability to comprehend and use She doesnt go to school yet. Shes
information. Assess sensory shy at first but gets a little bit
functions. Sensory experience talkative when she feels
such as pain and altered sensory comfortable to the person shes
input may be identified and talking to.
evaluated.
Sleep, rest and relaxation Sleeps for 6-8 hours per day and
practices. Dysfunctional sleep feels rested after sleeping.
patterns and fatigue may be
identified.
Attitudes towards self, including During assessment, she appears
identity, body image, and sense of shy and her grandmother said that
self worth. Level of self-esteem and shes good in helping her doing
response to threats of self-concept. some household chores.
Roles in the world and other No relationship problems
relationships. Satisfaction with
roles, role strain, or dysfunctional
relationship may be further
evaluated.
Satisfaction/dissatisfaction with Not applicable
sexual patterns and reproductive
functions. Concerns with sexuality
may be identified.
Perception of stress and coping Not applicable
strategies. Support systems are
evaluated, and symptoms of stress
are noted. Effectiveness of coping

Values and belief
Charity Manangkila
Health perception and health
management
Nutrition and metabolism
Elimination pattern
Activity and exercise
60
strategies in terms of stress
tolerance may be evaluated.
Values, belief, and goals that may Shes a Roman Catholic but
be guide choices or decisions. doesnt go to church regularly
Description Assessment
Perceived level of health and well Appears to be active and playful
being, and practices for during assesstment.
maintaining health. Habits that
may be detrimental to health are
also evaluated, including smoking
and use of alcohol or other drugs.
Pattern of food and fluid intake Able to eat any foods given to her.
relative to metabolic needs. The And she has no food allergies
adequacy of local nutrients
supplies is evaluated.
Excretory pattern (GI, GU and Usually voids 3-5 times a day and
Skin). Incontinence, constipation, defecates once a day
diarrhea, and urinary retention
may be identified.
Activities of Daily Living (ADLs) Has no regular exercise. But tends
requiring energy expenditure to play a lot.

Cognitive and perception
Sleep and rest
Self-perception and self-concept
Roles and relation
Sexuality and reproduction
61
including self-care activities.
Assess major body system involved
with the activity and exercise
including respiratory,
cardiovascular, and
musculoskeletal systems.
Ability to comprehend and use She doesnt go to school yet. Shes
information. Assess sensory shy very talkative when she feels
functions. Sensory experience comfortable to the person shes
such as pain and altered sensory talking to and shes very playful.
input may be identified and
evaluated.
Sleep, rest and relaxation Able to sleep uninterrupted.
practices. Dysfunctional sleep
patterns and fatigue may be
identified.
Attitudes towards self, including Calm and responsive during the
identity, body image, and sense of assessment.
self worth. Level of self-esteem and
response to threats of self-concept.
Roles in the world and other Tends to take care of her younger
relationships. Satisfaction with brother which is still an infant.
roles, role strain, or dysfunctional
relationship may be further
evaluated.
Satisfaction/dissatisfaction with Not applicable.
sexual patterns and reproductive

Coping and stress tolerance
Values and belief
Jonald Santiago
Health perception and health
management
Nutrition and metabolism
Elimination pattern
62
functions. Concerns with sexuality
may be identified.
Perception of stress and coping No recent stressful or traumatic
strategies. Support systems are event
evaluated, and symptoms of stress
are noted. Effectiveness of coping
strategies in terms of stress
tolerance may be evaluated.
Values, belief, and goals that may Roman Catholic but doesnt go to
be guide choices or decisions. church regularly
Description Assessment
Perceived level of health and well N/A
being, and practices for
maintaining health. Habits that
may be detrimental to health are
also evaluated, including smoking
and use of alcohol or other drugs.
Pattern of food and fluid intake Client is on breastfeeding
relative to metabolic needs. The
adequacy of local nutrients
supplies is evaluated.
Excretory pattern (GI, GU and Client has no problem in urinating
Skin). Incontinence, constipation, and removing bowel
diarrhea, and urinary retention

Activity and exercise
Cognitive and perception
Sleep and rest
Self-perception and self-concept
Roles and relation
63
may be identified.
Activities of Daily Living (ADLs) N/A
requiring energy expenditure
including self-care activities.
Assess major body system involved
with the activity and exercise
including respiratory,
cardiovascular, and
musculoskeletal systems.
Ability to comprehend and use N/A
information. Assess sensory
functions. Sensory experience
such as pain and altered sensory
input may be identified and
evaluated.
Sleep, rest and relaxation Client is able to sleep
practices. Dysfunctional sleep uninterrupted
patterns and fatigue may be
identified.
Attitudes towards self, including N/A
identity, body image, and sense of
self worth. Level of self-esteem and
response to threats of self-concept.
Roles in the world and other N/A
relationships. Satisfaction with
roles, role strain, or dysfunctional
relationship may be further

Sexuality and reproduction
Coping and stress tolerance
Values and belief
64
evaluated.
Satisfaction/dissatisfaction with N/A
sexual patterns and reproductive
functions. Concerns with sexuality
may be identified.
Perception of stress and coping N/A
strategies. Support systems are
evaluated, and symptoms of stress
are noted. Effectiveness of coping
strategies in terms of stress
tolerance may be evaluated.
Values, belief, and goals that may N/A
be guide choices or decisions.