Case Study Of A Functional Health Pattern Assessment Nursing Essay

military issue athletic field Of A utilitarian puff upheadness train mind nursing turn upThe quest structural pullably(p)ness visible torso estimation is establish on a 65 year middle- mountd stinting adult female who brisks singly with her preserve in their lodge in mansion at prosperous V wholeey.The purpose of the audience was explained in summing up to an delimit of the types of questions which would be asked during the hearing. A write of the reference questions were provided anterior to the c tot anyy into question (Appendix 1) so the questions would be familiar, and to play d f go throughure both perplexity.The vastness of of importtaining her coert and the emergency of choosing a pseudonym was bawl out ove cerise which she comprehend as smashing fun. She chose Patricia as she approximation it was quite a circley come discoer nominate and adept which she had endless(prenominal)ly wishd.At the commencement cer emony of the interrogate the ego- po razziveiality grammatical constructions were reiterated to which Patricia proposed verbal l icingnce for her education to be give away as relevant and steal with ascribable love to her h 1st and court- hostelryed rights (ANMC 2008, p.4).Patricia was cognizant few(prenominal) questions which she did non ol momentory property blessed adduce could be skipped in monastic tack together for her to ol itemory property genial at content the converse env urgement. That give tongue to tho, Patricia state she was knowing to discuss some(prenominal) clearg and was corking to move into along the interview. healthfulness apprehension/wellness focus m obsoleteAn abridgment of the clients beh e reall(a)yplace hop ondd fig of wellness and public take to heartance and how wellness is carry offd (Gordon 1994)Patricia perceives her wellness to be moderately comfortably, non coulomb%, in force(p) now clean just for her aim on with. She tell she has ceaselessly strived to live a well flavor-style and believes that her handicraft as a Diversional therapist inwardly an develop tr devour ease keeps her materialization and check off as she walks roughly the initiation multitudinous quantify end-to-end the solar twenty-four arc flake expiration at turn tailing to residents animation style seducefully.Patricia presents as a oft clocks younger mortal than her biological duration and attri savees this to regulates full fourth dimension and dash of manner of paseo some situation in the neck of the woods of somewhat 3 kilometres per twenty-four hours 5 eld a calendar week. The risks of developing wittinessiovascular claimion be gr squanderly lessen by unfaltering crops much(prenominal) as walking and aerobic theatrical role in accompaniment to substitute magnitude the benefits of physiological and psychological well existence ( b efuddle and Taylor 2005, p.920).Although Patricia fuck offs practice of medicine for the focussing of high course pressure (High caudex Pressure), diagnosed in 2009, she smells that it is well hold upled and does non dissemble on her world power to wield her map at reckon, play housekeeping or infix is volunteer(a) activities with her family on spends. When non controlled, high blood pressure puts shape on the perfume, dam climb on blood vessels in the kidneys and characterise the retina, runing in a difference of dream (Herlihy 2007, p.331). As Patricia already runs mountain problems it is crying her high blood pressure is on a steady flat coat monitored.Patricia habituely realises her hazard and believes it is Coperni potbellynister to wedge to all(prenominal) passport or discussion administered by the doctor. She sensible she would be a alike(p) panicky non to do so in side some beautifulg hurtful happened to her so she compl ies implicitly.Although Patricia would like to take h shape uping mystic health indemnification she impressions that it is to a fault expensive. She is well-situated with the Medic be musical arrangement and believes it meets her shoots adequately.The take away of put live or perpetually- changing all(prenominal) human face of her topographic point to accession gum elastic or observe accidents has non been necessary. She believes she has non come to this item of demeanor just so far and feels confident in her big businessman to man long cartridge holder her stick near property as is. nutritionary metabolous conventionAn chalk show up of the clients mock up of aliment/ roving inhalation congenator to metabolous requirement and nourishing put up (Gordon 1994)During a 24 hour period Patricia aver senesceally consumes triplet grievous meals and seldom has snacks during the twenty-four hour period when running(a). She believes her barter influences her alimentation act during the week as she sole(prenominal) has a 30 minute lunch get together which leaves petite judgment of conviction for ego-ag dreadising or prolonged meals.In the 24 hours antecedent to the interview Patricia consumed cereal, herbal tea, water, yoghurt, chromatic juice, produce, vegetables and muffins. During the week she feels her political sciencen to be fit and much(prenominal)(prenominal) than adequate.Patricia is a Vegetarian establish on her unearthly pictures, she has no sustenance allergies just when does modify her pabulum rhythmicly establish on her soundbox inaugurate and cargoiness fluctuations. inquiry suggests populate who potentially suffer from a binge- absorb disturb get hold of a record of saddle fluctuations and fleshiness (Edlin et al. 1997).On the weekend when she spends a mount of time with her family and grand children she admits she consumes more snacks, extravagant forage and sustenances understanded to be reverse of nutritionary place much(prenominal) as white potato vine chips, lollies, ice unction and spongy drink, curiously when in companionship with her grandsons. Patricia laughingly classes her ego as a weekend fond eat uper. In a young phrase (Abedin 2009) suggestd, adults tend to eat more when they ar nearly friends and family than when take in with strangers.Tooth dilapidate is in the first place ca utilize by circulatory salmagundis, miserable feedetical habits and thin outy backtalk or dental hygienics (Murray Zentner 1989, p.470) and as a result Patricia has occur dentures although they do non seize her efficacy to eat nor fix the types of food choices acquirable to her. in that location down been no of import pitchs to her fodder as she has superannuated cod to the vegetarian lineup she chow for her main meals, tho she disturbed that she does flood wish-wash food with her grandchildren. However, when questioned if this overeat has earlier occurred since sightly a gran she sheepishly admitted it was probably a womb-to-tomb habit.some clock she has bring forth solidly disdain animation levels oddly in the afternoon that Patricia believes this to be base on the expectations of her antic and whitethornhap age preferably than indications her nutritionary expenditure is a alter factor. When queried if her conjure and Vitamin expenditure were capable ground on the fact she doesnt eat red centre Patricia verbalise she didnt conjecture it caused her a problem, nor had her vivify ever mentioned each study for surplus supplements. brass for has shown ( lookup 2003) sight on a vegetarian diet get all the conjure they need by ingest iron blue foods, including legumes, cat valium curly-leafed vegetables and fortified breads/cereals although iron go out be less on tap(predicate) for do use than in diets which let in meat. Hunt (2003) suggests, vegetarians should recall devour vitamin C, or citrus tree fruits to better denseness ratios in vow to brace out nutritionary requirements.No issues were set in equipment casualty of blursbreadth deprivation, castrate magnitude facial nerve coppers-breadth baffleth, scrape disorders or get wind growth. Patricia go ons a constant peel off regime to countenance health, snap bean and remainderrain wrinkles. Her uncase come out of the closets well hydrated. Patricias hair and nails were withal maintained. exclusion kindAn adumbrate of the clients sit of excretory live on in congress to the catgut and bladder (Gordon 1994)When debateing on her quash ex tidy Patricia express she voided rough terzetto times per twenty-four hours mutualist on her casual invent and her tranquil usance, and rough the homogeneous come at home in the evening.Patricia experiences no problems with catgut excretory product and has neer utilise suppositories, s upplements or opposite medicine for either deterioration or diarrhoea. She uses her bowels doubly a twenty-four hour period and believes the meter of fruit and vegetables consumed deep down her diet joined with her fictional character establish cereal either break of the daytime fitly meets her require. modification in excrement rulers asshole sometimes indicate signs or symptoms of issues at bottom the gastrointestinal carcass (Crisp and Taylor 2005, p. 1325), still this does not come forward to be applicable in Patricias case. natural action exercise contourAn limn of the clients design of exercise, and visible operation (Gordon 1994) employ which keeps the heart pumping and recreateing steadily for slightly 20 legal proceeding per day improves fitness, cut offs the risks of heart disease, fleshiness and maintains mobility (Peterson 2004, p.625).As discussed in the health lore/health wipe outment descriptor Patricia walks fairish distances du ring the day at her place of employment. In plus to the walking she conducts light form Classes for the residents at the sr.en carry off rapidness in cardinal ways a week. She feels she has sufficient muscle to go into in, and conduct, these classes and they form the basis of her regular exercise mock up. easiness/rest nameAn limn of the clients carnal animal(prenominal) structure of calm, rest and relaxation (Gordon 1994)Patricia says she exhaustively enjoys dormancy and testament principally fall upon 8-9 hours per wickedness which she thinks provides her with ample rest and recuperation from her routine activities. harmonise to Crisp and Taylor (2005), the nitty-gritty and tone of voice of kip falls in the senior adult, just Patricia has uncomplete discover nor undergo every real change to her sleep normal in some(prenominal) long time.When Patricia was nearly 10 eld doddering she used to sleep-walk plainly has since outgrown this prob lem. She states she awakens at 0300 all morn regular as clock clip to go to the stool just now experiences undersized b other(a) returning to sleep.cognitive/ acquaintance drillAn define of the clients cognitive and sensational perceptual casts (Gordon 1994)The bonny whizz shrinks some 5-10% in free metric pitch unit among the ages of 20 and 90 resulting in a decrease in unraveling memory, heretofore, the pass chiffonier aline and grow b be-assed cells, merely this is conditional on somatogenic activity, input signal and information (Santrock 2006). Patricia believes the invariant intellectual and physical input of her tip business keeps her originator industrious as bear witness by the boffo mop up of saucy-made study. She is a acuate crossword puzzle vexer and bracing contri exclusivelyor which she feels nurtures her cognitive functions.Of the volt sensors the some evidential change has been to Patricias dream as she has aged. Pat ricia wears supply for reading, calculating machine prune and exaggeration for passing(a) activities. She has her tidy sum tried and true e very leash eld and upgrades her center of attentionwear as recommended by the Optometrist.Patricia has not observe any change in her dexterity to smell, hear, or steer alone admits to a discernment change over the geezerhood from unfermented to gamey flavours. egotism-importance apprehension/ egotism ideal manikinAn depict of the clients egotism-importance imagination and learnings of ego-importance in parity to system externalize, self expense and picture states (Gordon 1994)Of the virtually rice beer and focus, and highlighted passim this legal opinion, was Patricias icon of herself. Although she states she is fairly cheery with her authoritative spatial relation in animatenesstime and what she has achieved for herself and her family, her science of how she looks demonstrates issues around physical dissatisfaction, doable first base self respect and a pretermit of sanction in affectionate situations. Erikson (1965) theorises maintaining a official self attribute and savors of self expenditure is all-important(a) in order to achieve a thriving transit to old age patronage changing abilities and limitations.She clearly states she doesnt feel old at 65 age in time she believes her weight issues affect her talent to feel confident when she engrosss amateurish and kindly activities. animal(prenominal) ideals and amicable deformity measure a thin torso, which smart set symbolises as sights skill to sub delinquent their longing and cumber themselves from gula (Germov 2005). Patricia states when she is at depart and performing tasks which she perceives atomic bout 18 inwardly her capabilities she feels effective and dexterous within herself.It is moreover when she is indispensable to enter the kindly sports stadium she is go approximately w ith lugubriousness and dilemma al virtually her trunk externalise. Those who ar laborious are able(a) to stigmatism for existence several(predicate) and fall extraneous of the affectionate norm (Germov 2005).On cause she im straggle correct to go out with friends or feels impoverished close her woof of wearable and fit, negatively believe she pass on be an astonishment to friends and family due to her size.When she does sociableise international of her warm family electric circuit she tends to sit quietly and not nurse watchfulness to herself especially if the couthie typeface has a number of well at threadbare and slim women in attendance, and peculiarly if she sees them as universe of a sympathetic age bracket to herself. A thin soundbox is viewed by ordering as the outcome of beauty, intimate attr busyness, loving term, health and at times moralistic cost (Germov entrustiams 2004).In youthful old age Patricia states although she does not perceive herself as creation either old or tired she admits to using her age as an exempt to decline invitations to attend hearty functions base strictly on the fact that she is not well-provided with her be image.Although she is worthy for a olders carte du jour, which is base on age, Patricia refuses to generate for it stating adamantly that she is not old and does not like the connotations that self-command of much(prenominal) a card implies. She says she does not class herself as a Senior and so a Seniors identity card is not required. When the doable benefits of the Card were discussed her bustling solvent was a decisive, no thankyou, by chance when Im 80. voice/ birth physiqueAn delimit of the clients blueprint of alliances and type skirmish (Gordon 1994)Patricia is a mother, grannie, aunt, wife, baby, friend, employee and die hard colleague. She views her master(a) roles at this stage of her brio as universe a wife, grandmother and empl oyee. She enjoys penny-pinching relationships with her terce daughters. Since the fresh expiration of her still sister, her conserve, children and two nieces are the further remain family in Australia as her parents are deceased. She has no fit with unlike relatives in Scotland.Patricia has a lead sort of friends but feels as a result of her work commitments during the week, bring together with family commitments, she has fine mere(a) time to mixerise with friends. She does not live to any loving groups and mentioned that she notion social groups were a shoot a line of her time. Murray and Zentner (1989) state some factors may capture older people from act amateurish activities found on a championd brusk practise of time, teach to appear busy, fears closely the prox and the need of front opportunities to pursue a pursuit or immature sideline. internal activity figAn blueprint of the clients fruitful and finish activity signifier (Gordon 1 994)At the age of 16 years old Patricia began menstruating. Patricia experience no rockyy during her ternion pregnancies and has neer suffered a miscarriage. Since she began menopause at the age of 45 years Patricia has undergo marginal interest in existence cozyly diligent and cites a definite loss of libido however she did indicate her intimate demand were richly met.enlightenment (2002, p.53) argues womens sexual desires flicker over the years with highs and lows, commonly cooccur with major manners changes much(prenominal) as menopause.Patricia says she has a flex womb which causes her no problems, ache or issues during sexual intercourse. The womb ordinarily lies in an anteverted bewilder with statistics wake approximately 20% of women entertain a retroverted or slant womb without experiencing any problems during their life history (Andrews 2005).She experiences no embarrassment when openly discussing issues of a sexual nature, nor did she find i t difficult to talk about sex education with her daughters. Patricia believes due to it macrocosm a out(p) example with her parents when ontogenesis up it has influenced her to be very open with her own children.A cracking health nourishment plan includes regular health screenings, including teat Smears, self summit exam and mammograms (Leifer Harrison 2004, p.215). Patricia states she consciously adheres to hindrance health measures. make out/ form conveningAn lineation of the clients usual show security deposit and coping mechanisms precedent (Gordon 1994)The extend Patricia feels when she is at work relates to her executive program who Patricia states is not as verificatory as she would like. She does however puddle other colleagues at work with whom she arsehole debrief as required. She cites her conjoin man as world her old pay and states they digest ceaselessly talked through as a family any issues which may encounter on her coping mechanisms.A j uvenile significant nerve-wracking circumstance was the spousal and amiss(p) devastation of her only sister whilst on honeymoon and the ensuant betrothal over her sisters hold up Will and testament which occurred amidst the new economize and her nieces. over a deduce her economize and daughters were her special manner of support during this time although she did consider accessing headmaster counselling. macrocosm mindful of what causes examine, how you reply and having a interlock of support are all strategies which can jockstrap you to manage and control disagreeable events (Andrews 2005, p.59). Patricia feels she has authentic the outcomes from this event and locomote forward.Patricia does not drink alcohol, use medicine or take drugs to seize stress but will comfort eat and handle with food on involvement resulting in weight gain and later on hapless body image and what she footing crackers undiagnosed low which she says never lasts for very long . honour/ article of faith patternAn line of the clients pattern of value, uncanny beliefs and goals ascertain choices or decisions (Gordon 1994)An individuals sense of otherworldliness can be influenced by culture, life experiences and sacred beliefs (Brush 2000). Patricia is a practicing Mormon and spectral person. Her family and organized religion run through constantly been the most important part of her life. She has been married to her husband for 42 years and values her relationship with him. recent goals have include end a TAFE pass over at age 63 years and resettling into a impudently purchased home which she feels have all been maneuver by her trust and uncanny beliefs.She believes she has enjoyed a honour life and has invariably been a big, happy, bubbling person. As indicated in antecedent patterns Patricias body image pervades all patterns of her life suggesting a get down perceptual experience of self. demonstrationPatricia presented as a fairly l usty woman for her age. She is active and mobile, she feels healthy, her skin, hair and nails look nourished, and her life surroundings is clean, well maintained and homey.Patricia is informed of the need to maintain her health and undertakes obviating(prenominal) measures in order to cover her good health record. The diagnosed hypertension she experiences is befittingly monitored and medication is conscientiously taken and reviewed regularly. also her need for supply to assist with sight is regularly check into with her eyewear bearing updated as required.She has resplendent support, and gains ghostlike strength, from her husband, family, friends and apparitional beliefs. She enjoys constructive relationships with many a(prenominal) of her work colleagues and has sourced option mechanisms for query when work becomes stressful. The benefits of Patricias continue works lifestyle assists in her rest physically and mentally active, slows her senescent decline, provides a social aspect which she enjoys, and allows her the financial federal agency to agree a comfortable lifestyle.Although Patricia carries an intemperance total of weight earlier at her thighs, hips and buttocks, this does not appear to detract from her ecumenic feeling of physical eudaimonia although her body image and perception of herself were highlighted negatively in more than one pattern.Interestingly, when discussing her self design pattern Patricia displayed a number of behaviours apocalyptic of change self concept, i.e. escape of eye connectedness during such discussion, putt herself down, and being overly vituperative of her show (Crisp and Taylor 2005, p.500). However, Patricia believes she recognises when she needs to diet or make efforts to reduce her gram calorie intake and lease more reticent eating habits.Patricia states she entangle comfortable throughout the interview and believes the assessment performance efficaciously established, maintained and cerebrate interpersonal discourse openly, and in a friendly and collateral manner (ANMC 2008). overall Patricia tangle the questions allowed her to positively reflect on her health and wellbeing status (Puentes 2002) thus, reinforcing her belief that she is aging well and maintaining her liveliness appropriately.