Luela L.

Aniceto BSN- 1C
Health Assessment (April 29, 2016)
Questions:
Health Perception- Health
Management Pattern
1. Do you have allergies? If so? What
were they?
2. What kind of allergic reactions do

Allergies
Side effects/ reaction of the allergies

you get? Is it itching? Runny nose?
Rashes? Or what other side effects
do you feel?
3. Do you have blood transfusion

Blood transfusion

before?
4. In your own understanding how do

Definition of health and illness

you define health? How about
illness?
5. How many sticks of cigar do you
smoke every day?
Nutritional- Metabolic patterns
6. Do you put seasonings on your

Number of cigarette smoked per day

Condiments on food

food? Like, vinegar, soy sauce,
ketchup, salt and others?
7. How often do you drink soft

Carbonated beverages

drinks?
8. Can you describe your appetite? Is

Describing appetite

it good, fair, or poor?
9. Who usually cooks your food at

Preparing and cooking food at home

home?
10.How often do you eat fast food
Elimination Pattern
11.How many times do defecate

Eating fast food
Defecation

every day?
12.What is the usual color of your

Color of stool

stool?
13.Have you experienced having

Constipation

Have you tried counting your Hours of sleep sleep in hours during the night? If so.How will you describe your Describing weekend activities weekend activities? 18.Have you tried giving up an How health affects activities activity or a hobby because of some physical health condition? 20.Can you estimate how many glass Estimation of the amount of urine of urine you have eliminated per day? Activity.Do you have troubles in sleeping? 25.What are your hobbies? Or what Hobbies/ activities activities do you engage with during your free time? 19.What time of the night do you Sleeping time usually sleep? 22.How many times do you void Urination every day? 15.constipation before? 14.What do you usually feel upon Troubles in sleeping Describing feelings after sleep .What time of the day do you Time to wake-up wake-up? 23.Rest Pattern 21.Does your illness affects your Effect of illness in performance performance in such activities that you like? Sleep.Exercise Pattern 16. then how many hours do you get? 24.Can you share to me your daily eliminated Every day routine routine from the time you wake up to the time you go to sleep? 17.

waking up? Do you feel.Reproductive Pattern 29.What other language do you Language spoken speak? 27.Perceptual Pattern 26.How many times do you clean Cleaning ears your ear in a week? Sexuality.Do you wear glasses or contact Vision aids lenses? 28.What is your age during your first menstruation? 30. rested? Tired? Cognitive.How many weeks is the fetus inside your womb when you start your labor? Age of Menarche Weeks of AOG at time of labor .