D.

Developmental Data

Robert Havighurst's Developmental Theory

Jacky is 33 years old and according to Robert Havighurst's Developmental Theory, she

belongs under the Middle Age. During middle age, people reach the peak of their control over the

environment around them and their personal development. In addition, social responsibilities are

maximized. Middle age is also a period in which people confront the onset of physiological

changes. Therefore the patient is expected to achieve these tasks: (1) achieve adult civic and social

responsibility, (2) establish and maintain an economic standard of living, (3) assist children to

become responsible, (4) happy adult, (5) develop leisure activities, (6) relate to spouse on a more

intense basis, (7) accept and adjust to physiologic changes of middle age and (8) adjust to accept

own aging parents.

Task Not Partially Fully Justification

Achieved Achieved Achieved

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▪ Achieve adult civic ✓ x The patient partially achieved

and social the task because she claimed

responsibility that she exercises her rights as

part of the society by exercising

her right to vote but she claimed

that she does not participate in

barangay meetings and

barangay activities with a

verbalization of “Adda ak lang

nukwa balay, hannak

makikarkarruba.” She also

claimed that she already stopped

paying tax such as SSS and

claimed that she has no

PhilHealth.

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▪ Establish and ✓ x The patient partially achieved

maintain an the task because she tried to

economic standard establish an economic standard

of living of living when she applied to

become a domestic helper in

Malaysia last 2013. She stayed

there for two years and came

back after her contract ended.

However, she was not able to

maintain her economic status

since she did not reapply to any

other job since 2015 and

depends on her sister and

financial aid from her mother.

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▪ Assist children to ✓ x It is fully achieved because she

become responsible disciplines her daughter, niece

and nephew by teaching them to

become responsible in doing

household chores such as

washing the dishes and cleaning

the rooms, and also by being

respectful to others. She also

said that if the children have

problems, she encourages the

children to talk about it and

whenever they commit mistakes

she tries to explain the reason

why they are being scolded and

encourages them to learn from

it.

▪ Developing adult The patient spends her time by

leisure time ✓ x watching television, listening to

activities. radio, scrolling through her

Facebook using her phone and

taking a nap.

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▪ Relating oneself to ✓ It is not achieved since the

one’s spouse as a patient is a single parent and

person. doesn’t have a partner as of

now.

▪ To accept and adjust ✓ The patient claimed that she

to the physiological accepts that she is aging and she

changes of middle also claimed that various

age. physiological changes of middle

age is a part of life with a

verbalization of “Kasta lang

talaga, habang bumakbaket tayo

kumapkapsot resistensiya tayo,

mas alalisto tayo a makaala ti

sakit.” weight loss?

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 ▪ Adjusting to aging The patient claimed that she

parents. ✓ x already accepts that her mother

is already growing old with a

verbalization of “Bumaket ken

lumakay tayo met amin.” She

also said that she understands

that her mother can be forgetful

sometimes, needs

help/assistance and more care

accompanied with longer

patience.

ANALYSIS

Based on the results shown above, four of the tasks were fully achieved by the patient,

except for three tasks which are, achieve adult civic and social responsibility, establish and

maintain an economic standard of living is partially achieved and relating oneself to one’s spouse

as a person’s age is not achieved. However, she has still time to develop this tasks fully since

Middle Age stage is up to 60 years old.

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E. Patterns of functioning and level of competencies

1. Patterns of functioning

PATTERNS OF FUNCTIONING BEFORE ILLNESS DURING ILLNESS

(Before July 2016)

 She is fond of eating  She is fond eating

vegetables and eating vegetables and limits
sweets (ranges from eating sweets (1
5-7 chocolate bars or piece of candy or
candies) chocolate)

EATING  Eats 2 cups of rice, 1  Easily feels hungry

saucer plate of meat
and 1 saucer plate of  Eats 1 cup of rice, 1
vegetables saucer plate of meat
and 1 saucer plate of
 Breakfast is around vegetables
7:00-8:00 am
 Breakfast is around
 Lunch is around 7:00-8:00 am
12:00-1:00 noon
 Lunch is around
 Dinner is around 12:00-1:00 noon
6:00-7:00 pm
 Dinner is around
 She eats snacks twice 6:00-7:00 pm
a day at around 10:00
am in the morning  She eats snacks twice
and around 3:00 in a day at around 10:00
the afternoon. am in the morning
and around 3:00 in
 No allergies the afternoon.

 No allergies

2.

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ANALYSIS: The patient’s eating pattern has slightly changed due to her change in diet which

was advised by her physician to limit her intake of foods with high levels of glucose and

carbohydrates.

PATTERNS OF FUNCTIONING BEFORE ILLNESS DURING ILLNESS

(Before July 2016)

 She drinks 4-5  She drinks 9 - 10

glasses of water a glasses of water a

day. day.

DRINKING
 She can consume  Easily gets thirsty

three cups of coffee

 She can consume 1-2
in a day.
cups of coffee a

 She loves to drink week.

soft-drinks and can

 She avoids drinking
consume 2 -3 glasses
soft drinks.
a day
 She doesn't drink
 She doesn't drink
alcoholic beverages.
alcoholic beverages.

ANALYSIS: The patient’s drinking pattern has no change. there is a change in her drinking

pattern. She was drinking a lot of water more than her usual drinking pattern as a compensatory

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mechanism of her body to replace fluid loss due to polyuria. She also avoids drinking soft drinks

as advised by her physician to limit her intake of beverages high in sugar and to control her blood

glucose levels.

PATTERNS OF FUNCTIONING BEFORE ILLNESS DURING ILLNESS

(Before July 2016)

 Voids 4-5 times a day  Voids every 30

 Clear to yellow minutes to one (1)

BLADDER ELIMINATION  She uses tissue after hour in a day.

voiding.  Slightly turbid

 She uses tissue after

voiding.

ANALYSIS: The patient's bladder elimination pattern has changed since she is drinking a lot of

water because of the presence of polyuria. WHY POLYURIA?

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 PATTERNS OF FUNCTIONING BEFORE ILLNESS DURING ILLNESS

(Before July 2016)

 She defecates 1-2  She defecates 1-2

times a day. times a day.

BOWEL ELIMINATION  Yellow to brown  Yellow to brown

 Like a sausage or  Like a sausage or

snake, smooth and snake, smooth and

soft. soft.

 She sometimes feels  There is no difficulty

constipated. in bowel elimination.

 Foul-smelling stools  Foul-smelling stools

 She wipes with tissue

 She wipes with tissue
then soap and water.
then soap and water.

ANALYSIS: There is no change in her pattern’s bowel elimination.

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 PATTERNS OF FUNCTIONING BEFORE ILLNESS DURING ILLNESS

(Before July 2016)

• Sleeps around 9:00-10:00 • Sleeps around 9:00-10:00

pm and wakes up around pm and wakes up around

5:00-6:00 am. 5:00-6:00 am.

SLEEPING • 7-8 hours of sleep and takes • 7-8 hours of sleep and takes

a nap at around 2:00-2:30 a nap at around 2:00-2:30

pm. pm but claimed that still

• Side-lying position feels restless even with sleep

• Prays before sleeping and sometimes wakes up at

• Uses one pillows and a the middle of the night.

blanket • Side-lying position

• Prays before sleeping

• Uses one pillows and a

blanket

ANALYSIS: There is no change in the patient’s sleeping pattern. however, restlessness is present

because of blablabla

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 PATTERNS OF BEFORE ILLNESS DURING ILLNESS

FUNCTIONING (Before July 2016)

• Takes a full bath around • Takes a full bath around

8:00-9:00 am and half bath 8:00-9:00 am and half bath

BATHING around 6:30-7 pm around 6:30-7 pm

• Uses shampoo and soap, • Uses shampoo and soap,

towel scrub in scrubbing towel scrub in scrubbing

ANALYSIS: As shown above, the patient’s bathing pattern has no change.

2. Level of Competencies

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 Levels of Competencies Before Illness During Illness

(Before July 2016)

• She's able to do ADL without • She's able to do ADL without

any limitations/help help but has easy

PHYSICAL fatiguability.

• There are changes in eating

drinking and bladder

elimination patterns such as

limiting sweets, rice and soft

drinks and frequent urination.

ANALYSIS

There are slight changes on the Physical competency since she can perform daily activities

by herself but already has easy fatiguability. Changes in eating, drinking and bladder elimination

is also present.

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 Levels of Competencies Before Illness During Illness

(Before July 2016)

• She can manage and control • She can manage and

EMOTIONAL her feelings control her feelings

• Happy and jolly • Happy and jolly

• Sometimes has mood

swings and gets easily

irritated among the

family members or

environment stimuli

ANALYSIS: BASE TO PATHOPHYSIOLOGY

As shown above, there are NO changes in before and during illness. During illness, she has

mood swings and gets easily irritated because of pain??? which shows that the patient is

emotionally competent since it is a normal response that she is able to show emotions and reacts

to stimuli appropriately as long as it does not cause any problems among them. It was verified

from the patient that the family members understand her whenever she has mood swings and that

it can pass in a short period of time.

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 Levels of Competencies Before Illness During Illness

(Before July 2016)

• There is a strong and close • There is a strong and closer

relationship among her relationship among her

family family and she has received

more comfort, sympathy,

• She communicates
love, care and attention
effectively with her family
SOCIAL • Not attending to social
and friends
activities like birthdays, and
• Does not attend social
don’t go to the mall.
activities like going to the

malls

ANALYSIS

During illness the bond between the patient and her family, become stronger because

according to her, they’re more lovable and supportive than before by giving sympathy and she still

interacts with her family. There is no change in attending to social activities because she said that

she prefers to stay in their house.

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 Levels of Competencies Before Illness During Illness

(Before July 2016)

• She is able to make • She is able to make decisions

decisions on her own . on her own

INTELLECTUAL • Oriented to time, person, place

• Has proper judgement

• Can still recall remote memory

ANALYSIS

As shown above, there are no changes in intellectual level of competencies because she

makes decisions on her own. The patient independently makes decision on her own like in regards

to her health matters and also, decisions concerning her daughter. She was able to state the correct

time, person and place when asked. When assessed about her remote memory, she can still recall

the place where she graduated in elementary.

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 Levels of Competencies Before Illness During Illness

(Before July 2016)

• Goes to church twice a month • Goes to church twice a

SPIRITUAL • She usually prays at night month

before sleeping • She usually prays at night

• She believes in God before sleeping

• She believes in God

ANALYSIS

The patient claimed that although she does not go to the church, she still prays to God and

strongly believe in Him. There is a slight positive change in the spiritual level of competency of

the patient since she also claimed that her situation drew her closer to God and her relationship to

Him was strengthened because of these challenges that she is facing.

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