Forums 27/11/2011 1. Three new concepts that I learned from the readings and my own understanding of these concepts.

a. Family-based care is something that caught my attention. Maybe because most of our patients in the hospital in the Kingdom of Saudi Arabia are not Filipinos, but I found it amusing that family-based care does not only apply to Filipinos, but also among other nationalities. b. I learned that nurses can maximize the utilization of Filipino positive traits and ambivalent traits in providing patient care. Bayanihan can be utilized when conducting education to the patients family regarding care provision once the patient is discharge from the hospital and under the familys homes. Palabra de honor can also be utilized by informing the patient the importance of sticking to reach his goals in life relating to having a healthy lifestyle. Utang na loob can be utilized by explaining to the patients family their share to provide care to the patient is like paying a debt of gratitude for all the good things done by the patient to them prior to hospitalization. As nurses, we have to provide the utmost quality of care to the patients assigned to us. We have to remember that we owe our salary from the paying clients or from the clients payment of taxes. By that way, we can say that we also have some hiya. c. The topic on negative situations or consequences brought about by major life events experienced by an older adult gave me an idea how our life is going to be when we reached at that particular stage in our lives. It also taught me to understand what our parents had gone through. The same goes to the patients we are handling in the extended care unit who has been in the hospital for months and even years and mostly in the twilight years of their lives. Anniversary reaction from the four factors that influence health-illness behavior is something new to me. This phenomenon struck me to read further the material. In my understanding, this phenomenon is like a coincidence, but nothing scientific. 2. Three new concepts that I do not understand well. None, but there are some points that I found it difficult to remember all its details, like the physical and psychosocial changes that happens during early, middle, and older adulthood. In totality, the general physical and psychosocial changes are understood. Just a point for clarification: What is the age when maximum cardiac rate is attained at 200/minute and 120/minute? Another thing is about the Filipino family being family-oriented. Generally speaking, Filipinos are family-oriented, but as an exception to the general conception of Filipinos, there are those who dont take care of their sick family members. This can be due to the fact that they are on work migration, but are willing to finance the cost of care. Others are willing to provide the actual care of the sick family member, but financially incapable of doing so. 3. Three new insights or things that I learned about these modules. Kindly follow this template. I used to think ____________ but after reading the modules ____________. a. I used to think that financial resources is the only factor that would lessen the impact of illness in a family but after reading the modules it explained that there are several factors that we have to consider when caring for a sick member of the family and resources is one of those discussed. b. I used to think that aging comes only with physical and psychosocial changes, because intelligence gained can no longer be lost but after reading the modules I learned that in old age, the physical, psychosocial, and cognitive abilities of the older adults also decline. a. I used to think that most older adults are depressed but after reading the modules I realized that some old age adults are depressed due to the adjustments that they encounter when life events occur, such as widowhood, retirement, ageist attitude from the community, to name a few.