c

c



  Patient CC

 Brgy. Rizal, Baras

 8 years old

 Female




 May 9, 2003



 Child

  Catholic




   February 24, 2011
11:08am

 c 



   Septic Arthritis

c
 



Patient CC is apparently well, until last February 14, 2011, ten days prior to her
admission Patient CC jumped out of their bed and felt no pain or discomfort. After 3
days, her mother saw her left knee was swollen. They sought the help of ³manghihilot´
and placed luke warm towel over the left knee of Patient CC. On the 4th day, Patient CC
had an X-ray and the result was normal. Patient CC¶s parents gave her Mefenamic Acid
even before a prescription was made since Patient CC experienced pain already for
some days already. On February 20, 2011, Patient CC was brought to Tanay General
Hospital to have an x-ray again. February 22, 2011, a cast placed on Patient CC¶s legs
going up to her knee. At February 24, 2011 she was rushed to the Rizal Provincial
Hospital because the puss on her left knee erupted already which is about 1 1/2-2
inches in diameter. Patient CC, 8 y/o, female, was diagnosed with Septic Arthritis last
February 24, 2011 at Rizal Provincial Hospital.

c 
 



Patient CC according to her mother has complete vaccines since she was born.
Patient CC experienced colds, cough, and fever since she was born up to present
specially when there is a sudden change of weather. She does not have any allergies to
food or drugs. She did not experience any major or minor accidents. According to her
mother this is the first time her daughter was admitted to the hospital. Her mother
usually gives her paracetamol when she has fever.

 



  c 
HYPERTENSION  
CANCER  
DIABETES  
ASTHMA  
ARTHRITIS  

c !

"#$ !%&"'(!! )##*+ ,-(!.

i Psychosocial Crisis: Industry vs. Inferiority

i Main Question: "How can I be good?"
i Virtue: Competence
i Related Elements in Society: division of labour

"Children at this age are becoming more aware of themselves as individuals." They
work hard at "being responsible, being good and doing it right." They are now more
reasonable to share and cooperate. Allen and Marotz (2003) also list some perceptual
cognitive developmental traits specific for this age group. Children grasp the concepts of
space and time in more logical, practical ways. They gain a better understanding of
cause and effect, and of calendar time. At this stage, children are eager to learn and
accomplish more complex skills: reading, writing, telling time. They also get to form
moral values, recognize cultural and individual differences and are able to manage most
of their personal needs and grooming with minimal assistance (Allen and Marotz, 2003).
At this stage, children might express their independence by being disobedient, using
back talk and being rebellious.

Patient CC according to her mother is very independent and responsible. Patient

CC does her own homework. She does the dishes at home every day. She¶s also the
one who cleans their house. Her mother told us that the good thing about Patient CC is
that she need not to tell Patient CC to do certain things because Patient CC does it on
her own. She also takes care of his baby brother. She wakes up on her on and goes to
school early. After her class she goes straight home and does all the house chores then
does her assignments in school. She is very respectful to her parents. She manages
herself on her own. She learned to take a bath on her own when she was 6 y/o. She is
also the one who irons her school uniform.
c(/$(%(01(" 

 (" 2(

The fourth stage of psychosexual development is the latency stage that spans from the
age of six years until puberty, wherein the child consolidates the character habits he or
she developed in the three, earlier stages of psychologic and sexual development.
Whether or not the child has successfully resolved the Oedipal conflict, the instinctual
drives of the Id are unaccessible to the Ego, because his or her defense mechanisms
repressed them during the phallic stage. Hence, because said drives are latent (hidden)
and gratification is delayed ² unlike during the preceding oral, anal, and phallic stages
² the child must derive the pleasure of gratification from secondary process-thinking
that directs the libidinal drives towards external activities, such as schooling,
friendships, hobbies, et cetera. Any neuroses established during the fourth, latent stage,
of psychosexual development might derive from the inadequate resolution either of the
Oedipus conflict or of the Ego¶s failure to direct his or her energies towards socially
acceptable activities.

Patient CC according to her mother is very soft spoken, loving, and sweet
daughter. She is very close to her parents and siblings. She enjoys playing with her
friends and schoolmate but does not forget her responsibilities at home. She loves to go
to school that¶s why she wakes up early to be able to go to school early. She hates
going to school late. She enjoys talking to her friends and family about the things
happened for the day. She is comfortable in playing or communicating with the opposite
sex. Her mother even said that Patient CC is ³boyish´ that¶s why he easily gets along
with anyone even with the boys.