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11 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
health perception/health management
describes the client's perceived pattern of health and well-being and how health is managed
reason for admission
medical and social history
client's perception of usual health status
usual safety practices
expectation of healthcare providers
nutritional/metabolic pattern
describes the client's pattern of food and fluid consumption relative to metabolic need and pattern indicators of local nutrient supply
appetite, caffeine use
problems with eating, swallowing, digestion
nausea/vomitting
allergies to food
weight changes
medications
food preferences
diet type
elimination pattern
describes the patterns of excretory function
urine characteristics
problems with urination
fluid intake patterns and output
BM frequency and characteristics
use of laxatives
problems with constipation and diarrhea
activity/exercise pattern
describes the pattern of exercise, activity, leisure, and recreation
smoking
SOB or pain with exercise
usual exercise pattern
energy level
participation in activities
sleep pattern
describes patterns of sleep and relaxation
usual hours of sleep
usual bedtime
factors interfering with sleep
cognitive/perceptual pattern
describes sensory-perceptual and cognitive patterns
hearing, vision, touch, smell, taste
use of hearing aide, or glasses
educational level
perceived memory changes
pain
self perception/self concept pattern
describes the client's self concept pattern and percetions of self
attitude about self and abilities
impact of illness
body posture
eye contact
role/relationship pattern
describes the client's pattern of role participation and relationships
previous employment
roles in life
financial concerns
living situation
sexual/reproductive pattern
describes the client's patterns of satisfaction and dissatisfaction with sexuality pattern; describes reproductive patterns
gender role
sexual lifestyle
self examine breasts or testicles
number of pregnancies, children
coping/stress tolerance
describes the client's general coping pattern and the effectiveness of the pattern in terms of stress tolerance
support system
stressors
anxiety rating
use of alcohol, drugs
value/belief pattern
describes the patterns of values, beliefs and goals that guide the client's choices or decisions
religious preference
source of meaning, strength
importance of religious practice
effect of health on beliefs or practices