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A. HEALTH PERCEPTION- HEALTH MANAGEMENT PATTERN PURPOSE: Determine how the client perceives and manages his or her health. Compliance with current and past nursing and medical recommendations are assessed. The clients ability to perceive relationship between Activities of Daily Living and health is also determined. SUBJECTIVE DATA: Perception of health status and health practices used by the client to maintain health. OBJECTIVE DATA: appearance, grooming, posture; expressions, vital sighs, height and weight. B. NUTRITION- METABOLIC PATTERN PURPOSE: Determine the clients dietary habits and metabolic needs. SUBJECTIVE DATA: Dietary habits including food and fluid intake OBJECTIVE DATA: Condition of skin, teeth, hair, nails, mucous membranes, abdomen, height and weight, cranial nerves (CN V, IX, X, XII) C. ELIMINATION PATTERN PURPOSE: Determine the adequacy of function of the clients bladder and bowel for elimination. The clients bowel and urinary routines are assessed. In addition, any bowel or urinary problems and use if urinary and bowel elimination devices are examined. SUBJECTIVE DATA: Regularity and control of bowel and bladder habits e.g. frequency of bowel movements, voiding pattern, pain on urination OBJECTIVE DATA: Assessment of the abdomen, skin examination and rectal examination D. ACTIVITY- EXERCISE PATTERN PURPOSE: Determine the clients ADL, including routines of exercise, leisure, and recreation. This included activities necessary for personal hygiene, cooking, shopping, eating, maintaining at home, and working. An assessment is made of any factors that affect or interfere with clients routine ADL. Activities are evaluated in reference to the clients perception of their significance in his or her life.

SUBJECTIVE DATA: ADL that requires expenditure of energy OBJECTIVE DATA: Examination of musculo-skeletal system including gait, posture, range of motion (ROM) of joints, muscle tone and strength; Cardiovascular examination; Peripheral vascular and thoracic examination E. SEXUALITY REPRODUCTIVE PATTERN PURPOSE: Determines the clients fulfilment of sexual needs and perceived level of satisfaction. The reproductive pattern and developmental level of the client is determined, and perceived problems related to sexual activities, relationships, or self-concept are elicited. The physical and psychological effects of the clients current health status on his or her sexuality or sexual expression are examined. SUBJECTIVE DATA: Sexual identity, activities and relationships, expression of sexuality and level of satisfaction with sexual partners, reproductive patterns OBJECTIVE DATA: Male and female genitalia examination; breast examination F. SLEEP- REST PATTERN PURPOSE: Determine the clients perception of the quality of his or her sleep, relaxation, and energy level. Methods used to promote relaxation and sleep are also assessed. SUBJECTIVE DATA: Sleeping and relaxation habits; perception of effectiveness of sleep/rest habits. OBJECTIVE DATA: Appearance and attention span G. SENSORY-COGNITIVE-PERCEPTUAL PATTERN PURPOSE: SENSORY: Determine the functioning of the 5 senses: vision, hearing, smell, taste, touch (including pain perception) COGNITIVE: Determine the ability to understand, communicate, remember, and make decisions. SUBJECTIVE DATA: SENSORY: perception of the ability to use the 5 senses. COGNITIVE: includes knowledge, perception and language. Perception of messages, Decision making and thought processes. OBJECTIVE DATA: COGNITIVE: Visual and hearing exams; pain perception; cranial nerve exam; testing for taste, smell and touch H. ROLE-RELATIONSHIP PATTERN PURPOSE: Determine the perceptions of responsibilities and roles in the family, at work, and in social life. The clients level of satisfaction with

these are assessed. In addition, any difficulties in clients relationships and interactions with others are examined. SUBJECTIVE DATA: Perception of current major roles and responsibilities (e.g., father, husband, salesman); perception and level of satisfaction with family, work and social roles OBJECTIVE DATA: Communication with significant others and visits from significant others and family. I. SELF PERCEPTION- SELF CONCEPT PATTERN PURPOSE: Determine the clients perception of his or her identity, abilities, body image, and self-worth. The clients behaviour, attitude and emotional patterns are also assessed. SUBJECTIVE DATA: Perception of self-worth, personal identity; feeling state; perception of abilities OBJECTIVE DATA: Body posture, movement, eye contact, voice and speech pattern, emotions, moods, thought process

J. COPING-STRESS TOLERANCE PATTERN PURPOSE: Determine the areas and amount of stress in clients life and the effectiveness of coping methods used to deal with it. Availability and use of support systems such as family, friends and religious beliefs are assessed. SUBJECTIVE DATA: Perception of stressful life events and ability to cope. OBJECTIVE DATA: Behaviour, thought process K. VALUE- BELIEF PATTERN PURPOSE: Determine clients life values and goals, philosophical beliefs, religious beliefs and spiritual beliefs that influence his or her choices and decisions. Conflicts between these values, goals, beliefs and expectations that are related to health are assessed. SUBJECTIVE DATA: Perception of what is good, correct, proper, and meaningful; philosophical beliefs; value and beliefs that guide choices. OBJECTIVE DATA: Presence of religious articles, religious actions and routines, visits from a clergy.