(The purpose of this study is to understand the customs of the elderly on death preparation, in order to specifically evaluate the

following questions: 1. What are the philosophies of the elderly on death preparation as affected by their ethnicity in terms of: a) Physical aspect b) Psycho-social aspect c) Spiritual aspect 2. What is the effect of support system in an elderly who faces death? Tuwirang Benepisyong Tatanggapin (Direct Benefits to be Received) Ang mga benepisyong iyong matatanggap sa pag-aaral na ito ay ang pagtulong sa iyong pagsusuri sa mga kakulangan ukol sa paghahanda sa kamatayan. (The benefit you will receive from this study is that it will help you review all deficits regarding your death preparation.) Paliwanag ng mga Gagawin sa Pag-aaral na ito (Clarification of the Things to Do in this Study) Ang pag-aaral na ito ay layuning malaman at siyasatin ang mga preparasyong ginagawa mo sa paghahanda sa iyong kamatayan. Ang tagapamaliksik ay oobserbahan ka habang kanya kang kinakapanayam. Ninanais ng tagapamaliksik na inyo sanang sabihin ang katotohanan upang maging wasto ang resulta ng pag-aaral na ito. (This study aims to know and explore the preparations you have been doing for your death. The researcher will observe you during the interview. The researcher wishes you to tell truthful information to yield an accurate result.) Panagutang Pinansyal (Financial Liability) Kayo po ay walang pananagutang pinansyal sa pag-aaral na ito. Isa na pong malaking tulong ang inyong boluntaryong pakikilahok sa pagsasagawa ng pagaaral na ito. (You have no financial liability with this study. Your voluntary act already serves as a big contribution in the making of this study.) Katiyakang Ikukubli ang Pakakakilanlan (Assurance of Confidentiality) Ang lahat ng impormasyon patungkol sa inyong pagkatao ay mananatiling konpidensyal. (All information regarding your identity will be kept confidential.)

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Kalayaang Iurong ang Pakikilahok sa Pananaliksik na ito (Freedom to Withdraw from this Study) Maari ninyong iurong ang pakikilahok sa pag-aaral na ito sa anumang panahon at kalagayan niyo naisin. (You have all the power to withdraw from this study at anytime and at any given circumstances.) Pagpayag na Sagutin ang mga Katanungan (Willingness to Answer the Questions) Kayo ay pumapayag at kusang-loob na sasagot sa mga katanungan sa inyo tungkol sa pag-aaral na ito. (You are willing and are volunteering yourself to answer all questions in relation to this study.)

Ako si (I am) _____________________________, ________ taong gulang (years old), ay sumasang-ayon na lumahok sa pag-aaral na ito ng buong katapatan at walang pag-aalinlangan (is willing to participate in this study truthfully and without any doubts.)

__________________________________ Lagda ng Impormante (Signature of Informant)

Pinirmahan ngayong ika-______ ng ________________, 2012 sa ________________________________________________________________.

___________________________ Lagda ng Saksi (Signature of Witness)

___________________________ Lagda ng Saksi (Signature of Witness)

_________________________________ Lagda ng Tagapagsuri (Signature of Researcher) Contact Details: Telephone Number: ________________________________________________ Address: _________________________________________________________

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CURRICULUM VITAE Name: Carlo Paul C. Sana, BSN, RN Date of Birth: March 26, 1990 Place of Birth: Quezon City, Philippines Address: Mamarlao, San Carlos City, Pangasinan, Philippines, 2420 Father: Leopoldo G. Sana (deceased) Mother: Carmelita C. Sana Contact Details: Mobile Number: +63927-795-98-83 E-mail Address: carlopaulsana@yahoo.com

EDUCATIONAL BACKGROUND: PRIMARY: Year 2002 Ednas School of San Carlos, San Carlos City, Pangasinan, Philippines

SECONDARY: Year 2006 Ednas School of San Carlos, San Carlos City, Pangasinan, Philippines

TERTIARY: Graduated, March 20, 2010 Saint Louis University, Bonifacio Street, Baguio City, Philippines Bachelor of Science in Nursing

GRADUATE STUDY: Graduated, November 14, 2012 Virgen Milagrosa University Foundation, Dr. Martin Posadas Ave., San Carlos City, Pangasinan, Philippines Master of Arts in Nursing, Major in Administration of Nursing Service

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ELIGIBILITY, HONORS, AND ACTIVITIES Deans Lister (Saint Louis University): First School Year 2006-2007: First and Second Semesters Second School Year 2007-2008: First and Second Semesters Third School Year 2008-2009: Second Semester Fourth School Year 2009-2010: First semester July 2010 Nursing Licensure Examination Passer (First Take); Registered Nurse (License Number: 0655239) With a General Rating of eighty one and eighty out of one hundred percent (81.80%) in the July 2010 Nursing Licensure Examination, and is ranked 24th among the 37,679 passers, and 91,008 takers.(Professional Regulation Commission, Manila) Inducted as a member of the Philippine Nurses Association on the 23 rd of September 2010. Licensed Intravenous Nurse Trained First Aid Provider

WORK EXPERIENCES: October 5, 2010 to October 5, 2011: Worked as a Registered Nurse in Blessed Family Doctors Hospital, San Carlos City, Pangasinan, a tertiary class hospital, and was rotated in the different hospital departments: MedicalSurgical Wards, Intensive Care Unit, Post-Anesthesia Care Unit, Out Patient Department, and has specialized in the Emergency Department and in the Operating Room. April 2011 to present: National Nursing Review Lecturer and is specializing at Fundamentals of Nursing and Medical-Surgical Nursing. Reinforcement Reviews on Psychiatric Mental Health Nursing, Professional Adjustment, Legal Management, Ethics and Research, Community Health Nursing.

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TRAININGS AND CERTIFICATIONS: October 26 to 28, 2010: Attended the training and seminar on Standard First Aid by the Philippine Red Cross and completed the following modules: Module 1: Introduction to First Aid, Module 2: Human Body, Module 3: Guidelines in giving Emergency Care, Module 4: Patient/Casualty Handling, Module 5: Shock, Module 6: Soft Tissue Injury, Module 7: Poisoning, Module 8: Bones, Joints, and Muscle Injuries, Module 9: Common Emergencies. October 29 to 31, 2010: Attended the training and seminar on Basic Life Support Training and Cardio-Pulmonary Resuscitation by the Philippine Red Cross and completed the following modules: Module 1: Introduction to Basic Life Support and Cardio-Pulmonary Resuscitation, Module 2: Respiratory Arrest and Rescue Breathing, Module 3: Foreign Body and Airway Obstruction Management, Module 4: Cardiac Arrest and Cardio-pulmonary resuscitation. November 11 to 13, 2010: Attended the Intravenous Therapy Training by the Association of Nursing Services Administration of the Philippines, and completed all the required cases. August 20, 2011: Attended the Round Table Discussion on Current Trends, Issues, and Concerns in Nursing held at Virgen Milagrosa University Foundation Alumni Conference Hall, San Carlos City, Pangasinan. October 9, 2011: Attended the Research Colloquium 2011 held at Virgen Milagrosa University Foundation, San Carlos City, Pangasinan September 26, 2012: Invited as Oral Research Presenter during the Research Symposium and Awarding of Achievers held at Virgen Milagrosa University Foundation, San Carlos City Pangasinan 108