Patient’s Profile

Name: Patient Sam

Age: 16 year old

Sex: Male

Nationality: Filipino

Religion: Roman Catholic

Address: Quezon City

Marital status: Child

Medical Diagnosis Autism Spectre Disorder

Assessment

Functional Health Pattern Before Hospitalization During Hospitalization

Health Perception/ Patient recognized pattern The patient stated that he feels lack of
Health Management of health and well being social interaction. He is not able to adjust
and how health is immediately with the changing
managed. environment from his usual life. He is
willing to accept and listen to health
teaching.

Nutritional – Metabolic
The patient has no The patient is under diet as tolerated to
allergies to foods and keep his mind and body healthy. He eat
drugs. He eat meal 3times the food serve and follow dietary plan.
a day. He drinks 7-8
glassess of water. Also he
take vitamin and mineral
supplement.

Elimination The patient usually void 3-
4 times a day. He defacted
once a daily, he doesnt
experience any problem in
voiding and defecating. He
The patient usually void 3-4 times a day.
He defacted once a daily, he doesnt
experience any problem in voiding and
defecating. He never used any laxatives
and stool softeners.
 never used any laxatives
and stool softeners.

Activity – Exercise
He stated the he do some
light physical activity
include walking. He loves
also playing basketball
and gardening.
The patient stated that he becomes weak
in prolong activites. He can only
performed limited activities due to his
condition.

Cognitive – Perceptual

The patient is not oriented The patient is not oriented to people,
to people, time and place, time and place. Due to his condition. The
but responses to stimuli patient Fails to respond to his or her
verbally and physically. name or appears not to hear you at times.
He can speak gradually
and understand some
words.

Sleep – Rest The patient usually sleeps The patient sleeps at 9:00 pm and wakes
7-8 hours, his earliest time up at 5:00 am , he can consumed 7-8
in going to sleep is at 8:00 hours of sleep, he takes a nap at noon for
pm and he wakes up at about 1-2 hours. Sometimes he is
4:00 am, sometimes he distracted and his sleep is interrupted due
takes a nap at noon for to visitors.
about 30 minutes. He don’t
have any difficulties going
to sleep and doesn’t uses
any medication to promote
sleep.

The patient is able to The patiens state that he believed that

Self-Perception/ Self Concept
express his feelings about admission will be helpful to adjust him in
his condition,he feels his needs and will alleviate the occurance
annoyed about his of his condition.
condition but he also
wants to feel better, he is
contented seeing his
family, their support, love
and care.

Role – Relationship The patient stated that he The patient is well supported by her
is feel secured and loved family. He receive positive
 which is good for his reinforcement and provided her a
development. comfort and reassurance.

Sexuality - Reproductive Patient is not sexually Patient is not sexually active

active

Coping/ Stress Tolerance The patient copes up with The patients take a nap and rest when
stress by watching tv, and tired. He verbalizes desires to
gardening. when they have recover,able to accept situation by
a problem in family they cooperating with the medical advices.
resolved it by means of
talking to each other.

Value – Belief The patient religion is The patient never blame god for his
roman catholic condition. The patient accepts what he is
and the patient relationship with god
remained unchanged.