Functional health

pattern
Health Perception/ Health  Metoprolol (Toprol XL)
Management 50 mg daily PO,
furosemide 20 mg PO
daily, finasteride
(Proscar) 5 mg/day PO,
 Uses O2 @ 3L/min via
nasal cannula at home for
the past 10 yea
 Advair inhaler
(fluticasone and
salmeterol) 2 puffs twice
daily, and albuterol
inhaler 2 puffs every 4hr
PRN.
Nutritional-Metabolic  Eating and drinking very
little over past 2 to 3
days.
 COPD, hypertension,
heart failure, benign
prostatic hyperplasia. No
history of allergies.
Elimination  Voiding small amounts of
dark, concentrated urine
(mostly at night).
Activity-Exercise  At present, cannot walk
100 feet without feeling
short of breath. Cannot
walk up 1 flight of stairs
(21 steps) to get in or out
of his apartment without
stopping to catch his
breath.
Cognitive-Perceptual  Denies any pain
associated with shortness
of breath. Feels slightly
irritable because of lack
of sleep.
Sleep-rest  Difficulty sleeping. Last
night he slept upright in
his recliner.

Self-Perception/Self Concept  States he usually

 manages his COPD well
with the Advair inhaler
and occasional use of the
albuterol inhaler.
 He thinks he caught a
cold from his
granddaughter last week.
Increasing difficulty
breathing, even with
albuterol. Has a history
of 30 pack-years of
smoking, quitting 5 years
ago.
Role-Relationship  Does not know how he
will manage to get
groceries or clean his
apartment. His daughter
lives an hour
 away and has 3 children
in school.
Sexuality-Reproductive 
Coping/Stress Tolerance  Denies any pain
associated with shortness
of breath. Feels slightly
irritable because of lack
of sleep.
Value-Belief