A.

Functional Health Pattern

Functional Health Pattern Inpatient Management Period Homecare Management Period

A. Health Perception
and Health
Management
Pattern

B. Nutritional and 72 – Hour Diet Recall 72 – Hour Diet Recall

Metabolic Pattern Day 1 Day 2 Day 3 Day 1 Day 2 Day 3
Breakfast Breakfast Breakfast Breakfast Breakfast Breakfast

Lunch Lunch Lunch Lunch Lunch Lunch

Dinner Dinner Dinner Dinner Dinner Dinner

C. Elimination Pattern
Output Amount Frequency Characteristics Output Amount Frequency Characteristics

Urine Urine
Stool Stool

Reminder: This table format continues up to Value – Belief Pattern

F.1 Health Perception and Health Management Pattern

 1. How has the general health been for the patient?
2. Are there important health practices he/she always abides to stay healthy? (This depicts any folk/traditional/home remedies for illnesses; e.g. cold
remedy)
3. Does the patient smoke or drink alcoholic beverages? If yes, quantify.
4. In the past, has it been easy to comply with doctors’ prescription and nurses’ advices? If any difficulties experienced, specify and explain.
5. If patient had hospitalizations or clinic visits in the past, are there important issues, suggestions and reminders the patient would like to raise to
improve healthcare delivery? How can nurses be more helpful to patients?

F.2 Nutritional and Metabolic Pattern

1. 3-Day Diet Recall:
a. Typical daily food intake. (This should include vitamins and supplements, if there is any)
b. Typical daily fluid intake. (For accurate result, this should be measured in mL)
c. Analysis and Interpretation

2. Ask how the patient describes his/her appetite.

3. Ask if patient experiences eating discomfort or is currently on specific diet restrictions. (E.g. dental problems, low fat diet)
4. Interview for weight gain or weight loss.
5. Know if patient has wound healing issues.

F.3 Elimination Pattern

1. Urinary/Bowel Elimination Pattern. It discusses frequency, amount, color, discomfort and other characteristics on urination and defecation.
2. Analysis and Interpretation for the table presented.
3. Also, it may discuss other elimination-related concerns if necessary. (E.g. hyperhidrosis or excessive perspiration)

F.4 Activity – Exercise Pattern

1. Discuss and describe the Patient’s Activities of Daily Living (ADL)
2. Is energy sufficient to sustain daily activities?
3. Leisure activities and child-play activities, if appropriate.
 4. Perceived Ability to Perform ADL (Graded by Level):

____ Feeding ____ Bathing ____ Toileting ____ Bed Mobility

____ Dressing ____ Grooming ____ Cooking ____ Home Maintenance
____ Outdoor Activities (E.g. Shopping) ____ General Mobility

Suggested Functional Level Classification:

Level 0 – Full Self Care or Completely Independent
Level I – Requires use of equipment or device
Level II – Requires help from another person for assistance, supervision, or teaching
Level III – Requires help from another person and equipment device
Level IV – Dependent, does not participate in activity

F.5 Sleep – Rest Pattern

This portion discusses:
1. Approximate hours of sleep at night
2. Sleep characteristics (if continuous or not; if with sleeping difficulty)
3. Is there a need for sleep-inducing medications?
4. Does the patient feel rested after waking?
5. Is the patient taking naps in the afternoon? If yes, how long?
6. Relaxation habits (watch movie, reading books, dancing, shopping, etc.)

F.6 Cognitive – Perceptual Pattern

It presents:
1. Sensory status (visual, auditory, olfactory, gustatory issues; balance and muscle coordination)
2. Use of eyeglasses, hearing aids and previous checkups
3. Memory status (memory losses, if one has)
4. Learning Strategies (if the patient understands things better by reading, listening, or in other ways of learning)
 5. Perception of pain (case-to-case basis, pain tolerance and threshold may need to be discussed)

F.7 Self- Perception and Self-Concept Pattern

1. A nurse may ask: “How do you describe yourself? Do you feel good about yourself?”
2. How the patient see the physical changes in his/her body and changes on activities he/she usually does. (This may apply on cases that
dramatically affect one’s body image. E.g. Amputation of limb)
3. What are the things or situations that easily make the patient angry, annoyed, fearful, anxious or depressed? What helps him/her to cope with
these?

F.8 Role – Relationship Pattern

1. Is the patient living alone? If living with his/her family, describe their family structure and availability of support system.
2. Common family problems and how these were handled
3. Issues with dependent member in the family and how these get managed, if applicable.
4. If appropriate, how do significant others feel about the illness and/or hospitalization?
5. Problems encountered within social groups, close friends, workplace.

F.9 Sexuality – Reproductive Pattern

1. If appropriate, discuss any changes or problems in sexual relations
2. If appropriate, inquire about use of contraceptives and family planning.
3. If appropriate, include menarche, LMP, menstrual problems, and pregnancy-related concerns.

F.10 Coping – Stress Tolerance Pattern

A nurse may ask:
1. Tense a lot of time? What helps? Use of any medicine, drugs or alcohol?
2. Who’s most helpful in overcoming life stresses? Are they available at all times?
3. Any big changes which put an impact to your life in the last year or two?
4. How do you handle life stressors? Is your coping mechanism found to be effective?

F.11 Value – Belief Pattern

 1. It discusses things or relations patient value the most.
2. Religion and religious practices.
3. It discusses how the patient sees his/her spiritual being and how one’s belief help or interfere in any health-related matters.

MORE FF QUESTION:

- Hindi ba umiinom ng any medications regarding sa sexual dysfunction si client before si pt? nung first na magkaganon sya since baka 45 or 50s pa lang sya non.