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  • 8/7/2019 student's profile ng L3!!!

    1/19

    Asia Pacific College of Advanced Studies

    City of Balanga, Bataan

    College of Nursing and Allied Health Sciences

    Diabetes Mellitus Type II,

    Acute Myocardial Infarction,

    Anemia, Ruled Out Chronic Kidney

    Disease

    Submitted by:

    BSN IV-LEININGER III

    Lector,Katherine JoyLopez,Jose Antonio

    Macatuno, IrwinMaghupoy, Carla

    Manlapaz, Love Joy

    Olegario, JeaniRamos, Almira

    Reyes,Ma.Teresa

    Rodriguez, Karen

    San Juan, CarloTeodoro, Angelica

    Villamor,Rachel Joyce

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    ACKNOWLEDGMENT

    The group would like to thank the following:

    To God, for being with all of us all the way through our success and more

    than ever to our failures and predicaments, You are the most gracious. We thank You Oh

    Powerful and Merciful God!

    To our clinical instructors, especially to Ms. Henesse Olegario, our adviser,

    through the years, we have accumulated a wealth of information through all of you. Wewould not have the guts and strength to face all our troubles in this case presentation if

    not for your teachings.

    To Ms. Meliza Servera San Agustin, we would be remiss if we did not take

    a moment to thank you for being with all of the students, particularly in our group. Thank

    you for all your wisdom, for uplifting our morale and making us realize how lucky we are

    to have you as our second mother and a friend.

    To the most forgive-full and forever kind Dean of College of Nursing and

    Allied Health Sciences, Ms. Raquel A.Lengoson, let us express our sincerest appreciation

    for believing us, for sharing a lifetime experience and giving us the chance to prove our

    worth. If not for you Madame, we would not be able to write this section and finish this

    case presentation. Thank you for being a heartfelt person.

    To all our friends, families, and classmates, for always supporting us, for

    sharing and lending their shoulders, hands and hearts to us especially when we needed

    them most, for creating and sustaining a strong friendship and building a new family with

    Leininger, Watson and Henderson as our new surnames. Thank you!

    To all of us guys in the group, we have had the privilege of working with

    each other, for sharing our laughter and tears, success and failures, patience and

    impatience, love and indifference with each one of us, Thank you! If its not of you, we

    would never be L3! Thank you for our wonderful memories together. As we close a

    chapter of our life, Ate Tetch, Ming, Love, Gino, Kathy, Carlo, Kuya Irwin, Karen,

    Bugle, Jaja, Jeani,and Calai would always be friends.

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    Information, Message and Experiences:

    She is Almira Calma Ramos, a fierce 21-year old lady from

    Pampanga. Ming,as she is famous to be called upon, was born on October 12,1989 and

    dreams on finding a good and stable life that can support her needs as well as her

    familys needs. She believes that life is not a matter of chance, but a matter of choices.

    Her creed is that success depends on you, on how you care going to work hard for it, that

    failure comes , but it is still up to you on how to cope up with it and think about the moral

    lesson behind every failures. As Ming says, Live life to the fullest, but never forget that

    every action corresponds with responsibilities and you should know how to deal and live

    with it. She is described usually by people around her to be fierce, with nothing to fear

    about, but this girl is also weak and soft, especially with her friends and family. Just one

    call on her, she will be there and would attend to your problem. Ming is responsible for

    making the Patterns of Functioning, which in fact is really tough to do, but she managed

    to do it smoothly.

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    Information, Message and Experiences:

    She wants to be a millionaire, so freaking bad. This bubbly girl is

    Jeanilyn Olegario, a witthy 21-yearold lady born on June 20,1989. One of the funniest

    and full of humor person on the group and finds nothing wrong on any person. One can

    never consent to creep when one feels an impulse to soar, she strongly believes. Jeani is

    caressed with many friends for she has a beauty of extraordinary, figuratively and

    literally. She is thoughtful and kind and most of the times hungry for food. She is loved

    by many because of her personality, and would always be loved for the rest of her life.

    Jeani did the Drug Study, and mind you people, she did it beautifully. She was indeed a

    Drug master. You should have known her so that you could tell Im right.

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    Information, Message and Experiences:

    Maria Theresa Reyes, that is her full name, the 37-year old mother,

    wife, sister and a friend to all of us. Mami Tetch as she is usually called lives in Lot

    19,Block 1, Phase 1,Vicarville,Balanga City. Ate, our endearment to her, because she

    really is our ate, was born on November 24,1973 on Santiago, Isabela. A Roman Catholic

    at heart, soul and living, Ate Tetch teaches the group every bit of wisdom she have

    known from her lifes great adventures. She had shared tears, laughter, smiles, patience

    (and impatience too!) with all in the group. She is young a heart, beautiful inside and out

    and you could not even tell that she had already two kids (Yes! She have 2 great kids and

    a great husband too!). Ate doesnt fail to accommodate our needs, also our wants and

    luxuries,aha. Ate Tetch created the Activities of Daily Living and though she had some

    difficulties doing the said section, she had managed to finish it in time and in tune. The

    eleven ladies and gentlemen in the group are very greatful to have her. We really are.

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    Information, Message and Experiences:

    One of the best student nurses you could ever meet, that is Carlo San

    Juan. Yeap, he is. Ogan or Caloi or whatever nicknames he has, do not make him less of

    a man. He dreams to be a good father to her daughter (You read it right. He already has

    her first!). Known to be the best in MS, but also one of the best people and friend, he is

    usually late (or should I say, absent) for school, and attempts to go to school with no

    uniform. He is fun and outgoing and loved by countless friends. Caloy is surely a

    blessing in the group.

    Carlo made the Introduction of Diabetes Mellitus type II, Myocardial

    Infarction and Chronic Kidney Disease, and the jurors made him two thumbs up. That is

    how Caloy could make tough parts to become simple one.

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    Information, Message and Experiences:

    Kuya Irwin or Irwin Luster Macatuno is a 25-year old good man who was

    born on May 8, 1986. Has the great tendency to oversleep on weekdays, schooldays,

    weekends or should I say less, everyday?ehe, This great man is noted for being quiet at

    school but is the opposite with girls. With over empowering sex appeal, Kuya is

    attractive.(Yeap, the writer of this profile was paid by Mr.Macatuno one thousand pesos

    to write great things about him,,aha,just kidding!). A true blooded Kapampangan, with

    looks of an Indian, is also good both academically and at ward. He is humble and is very

    kind, with patience of an infinity and over flowing love to his group mates, classmates

    and friends. He dreams to top the NLE, and we are all excited to see him does it!

    Kuya made the Anatomy and Physiology, and ofcourse, he wowed the crowd.

    He was asked to discuss his part without looking, and yes, he did it! Isnt he so

    wonderful?

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    Information, Message and Experiences:

    This young lady is Carla Roxas Maghupoy,a 19 year old girl, a true blooded

    Kapampangan and Illonga. Born to be sweet and innately malambing on April 1, 1991,

    and named Carla for it means strong. Yes, she is strong, for she finds strength at the love

    of God, family and friends surrounding her. Ceicai,Calai,Lai and Lalai are her

    nicknames. She is joyful, tickleful, playful and very truthful and has propensity on being

    paranoid (very, very much.). This lady loves movies of all genres, paying less attention to

    love stories (how ironic...), loves music, books and net. A Harry Potter-raised fan, Calai

    hates kittens (stating that they look gross, cry irritably and oh, just everything and

    anything about them.) A very positive girl, Lai loves studying. She hates rush works and

    hustles. She could laugh as though there is no tomorrow, may cry as if the last tear has

    fallen and can sing as if no one is hearing. She dreams on topping the board exam, and

    finding a decent and satisfying job that could help her family to her hearts contentment.

    A believer, a nature lover. A placer of strong faith on Gods plans and blessings. She

    believes that it is not the abilities that make us who we are, it is our choices.

    Calai made the Pathophysiology and she is very lucky and fortunate that

    the clinical instructors loved it, and was asked to sit down promptly for a job well done.

    No questions ask!

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    Information, Message and Experiences:

    One thing to describe her? She is a polyphagia, Rachel Joyce Villamor is her full

    name, preferred by many to call Bugle (well, this is a guessing game, find whats the

    reason behind her nickname.) was born on December 13, 1990 and currently resides at

    Abucay,Bataan. She believes that anything you lose, it automatically doubles its value.

    According to this wonderful and kind hearted small but terrible lady, she dislikes plastic

    and very vain people. Bugle also says that this group L3 is a polyphagia group and we are

    amazing just the way we are. (Strong words, arent they?) One last empowering

    statement by Bugle, Hoy,magbayad na kayo ng utang kay Ate Tetch. ^-^

    Bugle made the Biographic Data of the case presentation, and although had some

    technical glitches, she had completed the data flawlessly.

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    Information, Message and Experiences:

    Jaja or Angelica Marie G.Teodoro is not any ordinary girl you could see on any

    place in this world. A 20-year old lady born on November 14, 1990 is an actress on

    school plays and on different programs. Jaja is boyish, but imagine her playing the role

    of Lus Clarita, isnt that wonderful? ^-^ She dreams on making her parents proud on what

    she have become and will be in the future. Jaja states that she only listen to significant

    people, paying less interest to haters and distracters. She describes her APCASian life as

    Though I didnt stay here for a long time, the experiences, moments and the people I

    know will be treasured and never be forgotten. I will come back to my Alma Mater.

    Jaja was assigned to do and defend the Laboratory results and it was nice that she

    ended up very good, that when she is asked by some jurors, she could answer them

    impeccably.

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    Information, Message and Experiences:

    This girl, or should I say, mother to Kyle (you comprehended it precisely folks.

    Does it showon her looks and body? No right?) was born on October 11,1990 and is now

    20 years old. Love Joy Uson Manlapaz or Love-Love is one of the most malambing

    people. She doesnt talk much but when she opens her mouth, she is full of sagacity. She

    dislikes people who talk ill about her at her back. And her doctrine is Remember,

    dreams are meant to reach, let us not just dream. Aim, search and believe and persist, for

    someday, those dreams will surely come true.

    Love did the Discharge Plan, and despite the fact that the time for our

    presentation have ended, her anxiety hasnt. she was asked by Dean to report at her office

    for she wasnt able to listen to Loves discussion. Aha.. Fortunately that is, ehe, it didnt

    come into being. However, if she would still be asked, I know Love can do it. Si Love

    Love pa?

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    Information, Message and Experiences:

    Born on January 1,Karen L. Rodriguez was the first blessing to her parents in the

    year 1987 on Apollo, Orani Bataan. She is currently residing at Sitio Tasya, Imelda

    Samal Bataan and if you wand to befriend her, this is her contact number 09285966423

    and [email protected]. She dislikes on becoming stuck up and stranded and

    loves on the other hand strong minded people. Bading, thats her nickname, also

    desires travelling, reading magazines, net searching and watching movies, eating and

    having joyrides. As for that, come what may. She wants to reach her dreams and full

    potential. She believes that there are no boundaries on reaching your dreams.

    Bading made and defended the Course in the Ward, which on the other hand is

    one of the toughest part in any case presentation. Karen definitely smashed every

    question asked, and everyone was clapping for every correct answer she speaks. We are

    very proud of you Bading!!

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    Information, Message and Experiences:

    Her name is Katherine Joy Lector, living on Don Pepe Village, Tuyo,Balanga

    City, Bataan and born on July 13,1990. Desired by countless men in town, this stunning

    girl literally and allegorically wants to top the board exam to prove herself to people who

    have bad blood to her. But what we say to her is this, she doesnt have to prove anything

    to them, because we surely lover her for what she is. Born to love heels and very

    passionate about dancing, where she could express her feelings, and also was born to be

    loved by numerous friends, Kathy wants to prove that she is not just good looking, or not

    even the most intelligent, but she have a great mind and heart too. She loves movies,

    especially horror films and could listen to a single song a whole day though. She could

    listen to your heartaches and problems and would not judge. She is definitely a good

    adviser and a true friend. Believes that Stay if your happy, leave if your not. Because

    for her, life is all about being happy and as for her right now, she is very happy. Right

    Kathy?

    She made the very famous and unending Physical Assessment, and she made it a

    bang! Yeah!! Go Kathy..

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    Information, Message and Experiences:

    We love this guy so much. Who doesnt? His name is Jose Antonio Lopez,

    contrary to his hearts desire. Called by many Gino for he was name after his Tita Gina,

    lives at Bonifaci St.Poblacion Morong, Bataan. (You could always reach him at

    09285481291 and add him up at [email protected]) was a blessing to his family

    from June 9, 1991 and all through the days forward. Gino likes every positive thing about

    happiness and hates negative things and attitudes. This lad is very talented and intelligent.

    He is the president of the Student Body organization this school year, and mind you

    people, he is the most active one, if not the best. He is tactless sometimes but all the time

    a good friend to all of us, would definitely listen to all your problems and troublesome,

    would make countless efforts to make you smile. He is the funniest guy you could meet,

    the most lovable kissable and huggable. But beware, he could make you scratch and rub

    his back and axilla for some time.^-^

    Gino did the unbeatable Nursing Care Plans, and in this book you would find how

    hard he worked for every single word he wrote for every single diagnosis. Surely, is not

    just talented, but also intelligent.

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    TABLE OF CONTENTS

    Acknowledgment

    I. Introduction--------------------------------------------------------------------1-12II. Biographic Data-------------------------------------------------------------13-17III. Patterns of Functioning----------------------------------------------------18-28IV. Activities of Daily Living---------------------------------------------------29-37V. Physical Assessment--------------------------------------------------------38-86VI. Anatomy and Physiology--------------------------------------------------87-97VII. Pathophysiology------------------------------------------------------------98-112VIII. Laboratory ----------------------------------------------------------------113-125IX. Drug Study----------------------------------------------------------------126-140X. Course in the Ward------------------------------------------------------141-161XI. Nursing Care Plan-------------------------------------------------------162-231XII. Discharge Plan-----------------------------------------------------------232-239XIII. Students Profile --------------------------------------------------------------240

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    Asia Pacific College of Advanced StudiesA.H Banzon St. Brgy. Ibayo, City of Balanga, Bataan

    Diabetes Mellitus Type II, Acute Myocardial Infarction, Anemia,

    Ruled out Chronic Kidney Disease

    A Grand Case Presentation Presented to the

    College of Nursing and Allied Health Sciences

    In Partial Fulfillment of the Requirements for the Degree of

    Bachelor of Science in Nursing

    Lector,Katherine Joy

    Lopez,Jose Antonio

    Macatuno, Irwin

    Maghupoy, Carla

    Manlapaz, Love Joy

    Olegario, Jeani

    Ramos, Almira

    Reyes,Ma.TeresaRodriguez, Karen

    San Juan, Carlo

    Teodoro, Angelica Marie

    Villamor,Rachel Joyce

    March 2011

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    Asia Pacific College of Advanced StudiesA.H Banzon St. Brgy. Ibayo, City of Balanga, Bataan

    Diabetes Mellitus Type II, Acute Myocardial Infarction, Anemia,

    Ruled out Chronic Kidney Disease

    A Grand Case Presentation Presented to the

    College of Nursing and Allied Health Sciences

    In Partial Fulfillment of the Requirements for the Degree of

    Bachelor of Science in Nursing

    Submitted by:

    Leininger III

    March 2011

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    Asia Pacific College of AdvanceA.H Banzon St. Brgy. Ibayo, City of Bala

    College of Nursing and Allied Health

    Parts

    I. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . II. Biographical Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . III. Patterns of Functioning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IV. Activities of Daily Living . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V. Physical Assessment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VI. Anatomy and Physiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .VII. Pathophysiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VIII. Laboratory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IX. Drug Study . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X. Course in the Ward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XI. Nursing Care Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XII. Discharge Planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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