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    Patient's Info Gordon

    Uploaded by

    Arnold Janssen Pascua
    The document contains a patient's health assessment covering several areas: sleep and rest, health perception, nutrition, elimination, activity, cognitive ability, and values/beliefs. Information is collected on the patient's name, age, address, illness, medications, diet, elimination, exercise, coping mechanisms, orientation, and religious beliefs.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Patient's Info Gordon

    Uploaded by

    Arnold Janssen Pascua
    13 views1 page
    The document contains a patient's health assessment covering several areas: sleep and rest, health perception, nutrition, elimination, activity, cognitive ability, and values/beliefs. Information is collected on the patient's name, age, address, illness, medications, diet, elimination, exercise, coping mechanisms, orientation, and religious beliefs.

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    PATIENT'S INFO GORDON.docx

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    The document contains a patient's health assessment covering several areas: sleep and rest, health perception, nutrition, elimination, activity, cognitive ability, and values/beliefs. Information is collected on the patient's name, age, address, illness, medications, diet, elimination, exercise, coping mechanisms, orientation, and religious beliefs.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    13 views1 page

    Patient's Info Gordon

    Uploaded by

    Arnold Janssen Pascua
    The document contains a patient's health assessment covering several areas: sleep and rest, health perception, nutrition, elimination, activity, cognitive ability, and values/beliefs. Information is collected on the patient's name, age, address, illness, medications, diet, elimination, exercise, coping mechanisms, orientation, and religious beliefs.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    PATIENT’S INFORMATION

    Name: SLEEP- REST


    Age:
    Address: 1. Sleeping hour
    Working Status: 2. Feeling when waking (fresh, headache,
    Diagnostic Illness: drowsy)
    Date: 3. Difficulty in sleeping
    4. Medication
    HEALTH PERCEPTION/ HEALTH
    MANAGEMENT
    1. Opinion about health: SELF-PERCEPTION/ SELF CONCEPT
    2. Medications: 1. Self Perception about yourself
    3. Do you know about the medications: 2. satisfaction with self-body image
    3. Do you like grooming?
    NUTRITIONAL AND METABOLIC

    1. Weight loss
    ROLE- RELATIONSHIP
    2. Usual diet
    3. Fluid intake 1. role in the family
    4. Drug and alcohol consumption?
    5. Ability to swallow? 2. All members are cooperative with you?
    6. Skin and mucous membrane integrity?
    3. decision maker of the family?
    7. Body temperature?

    ELIMINATION
    SEXUALITY- REPRODUCTIVE
    1. Bowel elimination? How often?
    1. Sexual Problem
    2. Urinary elimination? How often?
    3. Color: Urine, feces, amount, frequency, 2. Active Sex (Direct sex)
    odor
    3. Laxative? 3. Passive Sex (without a partner) how often?
    4. Problem during passing defecation
    4. Digital Sex (sex toys) How often?
    (pinagtakki/ pinagisbu)

    ACTIVITY- EXERCISE
    COPING/ STRESS TOLERANCE
    1. Exercise/Hobbies?
    1. Coping mechanism if stressed:
    2. Breathing Problem?
    3. changes in a heartbeat during exercise 2. Opinion about being stressed:
    4. Do you feel pale?
    5. Exercise problems? 3. Opinion about (Crying, anger, violence)

    COGNITIVE- PERCEPTUAL
    VALUE/ BELIEF
    1. Orientation about time, place, and person
    1. Religion
    2. Difficulty in sentence making?
    2. Your Religion Beliefs
    3. Loss of memory
    3. Opinion about belief during Illness:

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