The document contains questions about an individual's health, diet, exercise habits, sleep, self-perception, relationships, sexuality, stress levels, and beliefs. It includes questions in 11 categories such as health management, nutrition, elimination, activity, cognition, sleep, self-concept, roles, sexuality, coping, and values.
The document contains questions about an individual's health, diet, exercise habits, sleep, self-perception, relationships, sexuality, stress levels, and beliefs. It includes questions in 11 categories such as health management, nutrition, elimination, activity, cognition, sleep, self-concept, roles, sexuality, coping, and values.
The document contains questions about an individual's health, diet, exercise habits, sleep, self-perception, relationships, sexuality, stress levels, and beliefs. It includes questions in 11 categories such as health management, nutrition, elimination, activity, cognition, sleep, self-concept, roles, sexuality, coping, and values.
The document contains questions about an individual's health, diet, exercise habits, sleep, self-perception, relationships, sexuality, stress levels, and beliefs. It includes questions in 11 categories such as health management, nutrition, elimination, activity, cognition, sleep, self-concept, roles, sexuality, coping, and values.
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1.Health Perception and Health Management Pattern.
o Are you using any medicine recently?
o How do you maintain your health? o How do you feel about your health? o Any immunization? o Do you have any allergy? If yes then type of allergy. 2.Nutrition and Metabolism Pattern o What type of exercise you do or any problem during exercise? o Any food allergy? o What is your diet menu? o Do you consider yourself a healthy eater? o Do you skip meals? (Why) o Do you avoid any kind of food? (Why) o Do you drink alcohol? (If yes, what kind and how often) 3.Elimination Pattern o Have you used or is currently using any laxative? (If yes, why) o Describe your regular urinary elimination pattern? (Frequency, Discomfort, Problems with control, C discharges) o Bowel elimination pattem? (Describe.) Frequency? Character? Discomfort? Problem in control? Laxatives? 4.Activity and Exercise Pattern o Do you have cough? (Productive or non productive o Any changes in heart beat during exercise? o Sufficient energy for desired or required activities? 5.Cognition and Perception Pattern o Any change in memory lately? o How do you learn best? Preference for visual or audio aids? Do you have difficulty learning? o Do you have any difficulty hearing others? o Important decision easy or difficult to make? 6.Sleep and Rest Pattern o Generally rested and ready for daily activities after sleep? o Do you awaken feeling rested and ready to take on the day? 7.Self-Perception and Self-Concept Pattern o Most of the time, do you feel good about yourself? o Do you ever feel that you have lost hope? o If I may ask, was there a time that ypu may have been conscious of yourself? o Do you feel good about your whole Being? o Do you constantly feel angry and/or sad? o How do you feel and think about yourself lately? 8.Roles and Relationships Pattern o How often do you see your friends? o Can you describe your relationship with your family? What is your role in your family? o Do you have friends/peers? Can you describe your relationship with them? 9.Sexuality and Reproduction Pattern o are you sexually active? o are you fertile? o Do you have any menstruation problem? o How would you describe your sexual relationship? 10.Coping and Stress Tolerance Pattern o What stresses you? o Have you been under stress recently? o Who are the people vou can talk to about your stress? when rfeling stressed,how do you feel physically? o Has anything been bothering you lately or causing stress? o Things that frequently make you angry? Annoyed? Fearful? Anxious? Depressed? 11.Values and Belief Pattern o Do you believe that your life has purpose or meaning? o What is your religion? o Do you feel being religious and spiritual is different?
