P: Assalamualaikum

N: Waalaikumsalam, please sit down ma'am

P: Okay, thank you ners

N: Oh, hi miss wulan how are you?

P: Yes ners laily, i'm not to bad

N: Are there any other complaints? Why did you come here again?

P: Yes nurses, after yesterday's complaint was healed, i had a cough, shortness of breath and
chest pain.

N: Okay fine, before I check you I will reconfirm your demographic data, then I will review
patient data starting from clinical history, and also study the gordon pattern. Are you ready?

P: Yes I do

N: Is it true with miss wulan?

P: Yes nurse

N: How old are you?

P: 22 years

N: Where is your address?

P: Pekalongan, central java

N: Okay, did you have any previous medical history?

P: Yes nurse, yesterday I had a fever

N: Is there a history of other diseases?

P: Yes nurse, I have a history of pneumonia

N: Oh yes, when was you with pneumonia?

P: I was diagnosed with pneumonia about 6 months ago

N: At the beginning, how was you diagnosed with pneumonie?

P: At first I was often coughed, shortness of breath, accompanied by pain in the chest and also
fever

N: Okay, when was the last time you had a checkup?

P: The last time I had a checkup was one week ago, because i had a fever.

N: Does your family have a history of pneumonia?

P: No ners

N: What do you feel currently?

P: I have chest pain and shortness of breath

N: When did you feel pain?

P: Uncertain

N: Was the pain like being prickling or burning ?

P: Like being pricked

N: Does the pain interfere with your activities?

P: Yes, annoying

N: What activities do you do?

P: I'm just at home and studying online

N: Okay, continue. How many times do you usually eat a day?

P: 3 times a day.

N: Does the food always run out?

P: Yes,

N: Okay, are your bowel movements and bowels smooth? How many times a day

P: Yes, ners, I defecated twice a day and bak 4 times a day

N: How long did you sleep?

P: I sleep around 8 hours at night and take 3 hours of naps

N: Okay, then I will do a physical examination. (Vital sign, and IPPA)

P: How was the result sus? Am I bad?

N: For vital signs everything is normal, except for your breathing 24 x minutes. So for
pneumonia you have to live a healthy lifestyle such as getting enough rest, eating nutritious
foods, and exercising regularly.

P: Yes ners, thank you

N: Yes miss wulan, your welcome get well soon and stay healhty