Pattern Clinical Findings Other sources

Respiration She has a normal No apparent Responsibilities

breathing pattern with a signs/symptoms associated with
respiratory rate count of present prior to problems of respiratory
20 per minute. She has admission. function include
seen with no presence of identifying and reducing
cough, cold, asthma and or eliminating risk
any associated problems factors, anticipating
in respiratory function. potential complications,
monitoring respiratory
status, and manage
acute respiratory
dysfunction.
Circulation- No apparent Altered heart
signs/symptoms rate/rhythm (e.g.,
present prior to arrhythmias,
admission. bradycardia, EKG,
changes, palpitations,
tachycardia), preload,
contractility and
behavioral/emotional
(anxiety, restlessness)
Rest and sleep The patient usually sleeps Prior to admission, the Factors associated are
alteration in mental
at 9 in the evening and patient has difficulty in
status, physical
wakes up at 6 am in the sleeping. She sleeps at appearance, wellness,
and impacting satisfying
morning. She doesn’t 9 pm and wakes up at 3
relationships (e.g.,
spend time sleeping after am. Disturbed sleep developmental delay)
lunch. No apparent pattern is present.
disturbed sleep pattern is
present.

Hygiene The patient bathes once a Self-care deficit were A state in which an
day, brushes her teeth 3 observed prior to individual experiences
times a day with no admission. Long nails an impaired motor
dental caries present, and were seen during function or cognitive
cuts her nails 5 times a assessment. function, causing a
month. decreased ability in
performing each of the
self-care activities such
as self-bathing deficits
including washing
entire body, attending to
skin and nail care.
Food/fluid intake She drinks 5-10 glasses Patient eats 1 cup of Vulnerable for a
rice along with decrease, increase, or
of water. She eats 1 cup
vegetable. She drinks rapid shift from one to
of rice with cooked 8-10 glasses of water the other of
prior to admission. intravascular,
vegetable every 3 days of
interstitial, and/or
meal. She is fond of intracellular fluid that
may compromise
eating fruits. She also
health. This refers to
likes to eat light snacks, body fluid loss, gain, or
both and impaired
such as camote cue and
ability to perform or
banana cue. complete self-feeding
activities
Integumentary Skin color is brown Bathing self care
complexion with no deficit; long nails were
presence of scars and seen during physical
wounds. Her hair is black assessment.
leveled in waist and
evenly distributed across
the scalp; hair is also
moist with no lice
infestation and dandruff.
Regulatory process She usually urinates 8-10 The patient has
a Vulnerable for an
increased, decreased,
times a day with normal elimination
ineffective or lack of
yellowish in color and pattern prior to peristaltic activity
within the
defecates once a day admission.
gastrointestinal system,
with brown-colored which may compromise
health
stool.
Coping mechanism The patient copes up with Upon admission, the Inability to form a valid
stress by doing patient takes nap to appraisal of the
household chores, eating, relieve stress and pain. stressors, inadequate
and watching television. choices of practiced
responses, and/or
inability to use available
resources.
Spirituality Meredith is a Roman She brings her small Impaired ability to
Catholic, she goes to Bible with her with a exercise reliance on
church every Sunday, belief of helping her beliefs and/or
reads her bible, and prays with any obstacle she participate in rituals of a
often. may face. She particular faith tradition
Behavior The patient plays a role Her husband is taking A negative state of
of a mother to his child care of her wife and change about the way
and a wife to his newborn child. She a person feels, thinks,
husband, the decision- receives support and or views
making process in comfort throughout himself/herself. It
terms of financial and the process, and both may include a change
health was guided by parents take equal in body image, self-
the mothers' central responsibility in esteem, or personal
concern to act handling situations. identity.
responsibly as a parent.