An Advanced Health Assessment Using Functonal Patten

Topics: Cardiac arrest, Supraventricular tachycardia, Cardiac dysrhythmia Pages: 6 (2221 words) Published: April 27, 2013
A well-organized interview is one of the most sufficient ways to make the client’s situation to be acknowledged by health professionals. I recently conducted a health assessment interview with a client, aiming to gain a thorough understanding of her general health. Instead of using a systems approach which is focusing more on the health status of each part of the human body, I would rather choose a more person-centered approach, functional approach which look at the person as a whole, examine how the health status affect the way they function both as an individual and as a part of the society, but the systemic review is integrated where relevant. The proforma was designed based on a functional health patterns (Javrvis & Denmead 2012, p.456). Under each heading of these patterns, I designed questions aims to obtain the normal and abnormal findings, and the client’s answers are summarized in this assignment followed by a discussion from literature as indicated. The patient I interviewed named Anne (pseudonym), 28 years old, admitted in a metropiltan public hospital for supraventricular tachycardia (SVT). She is otherwise physically sound, but has been experienced multiple hospital admission for the same diagnosis in the past 3 months. She is married with 3 children, smoker, moderate drinker, and having the family history of heart disease (her father has experienced several times of heart attack, alive). The other condition will be explored as the presentation of the interview outcome flow. Health perception- Health management pattern

To Anne, to be healthy needs healthy diet, plenty of exercise and sleep, and just being happy inside and out. And she thinks it is quite hard for her at this stage. Being a mother of 3 children (9months, 2years old, 5 years old) and a first-year nursing student in the mean time, she rarely have time to engage in any exercise and looking after her children stops her from getting enough sleep. She is expecting that when her children grown up and she got a job after finishing studying, she would be “saved”, but she felt like stuck now, cannot stop smoking even though she know it is harmful to both herself and the children. Anne has a fair knowledge of what healthy life means and requires. However, she has a low level of conscientiousness which refer to one’s ability to restrain own behavior and to accomplish plan (Conner& Norman 2005, p.325). It plays a pivotal role in moderating the relationship between health beliefs and health behaviors, and could also be reflected on the coping strategies she frequently uses which will be discussed later. Nutritional-Metabolic pattern

Anne eats typical western food, but could forget to have meal or does not have appetite when she is depressed, which is quite often. Her height is 165cm, weight 55kg, did not have substantial weight change, stating she is always like this. She does not have tooth problem or other chronic illness that could affect her dietary routine. The last time she had her oral check is 3 years ago as she cannot afford to get it done too often. She is not allergic to any food as she knows. Her body mass index(BMI) is calculated as 20.2. It measures weight corrected for height which estimate the percentage of body fat. Crisp & Taylor suggested that people with a BMI of less than 20 are at higher medical risk of morbidity and prolonged hospitalization (2008, p.1244). Anne is very close to the bottom line, and can be considered as a risk of her recurrent admission even though the direct link between underweight and SVT has not been identified. This is considered to be associated with her dietary pattern.

Elimination Pattern
She does not have problems with bowel movement, normally once every morning. But when not eating well, she could have constipation for at most 3 days, but it is often relieved without any other treatment. She has not got any history of black or bloody stool. Regarding the urinary pattern, she has got recurrent...
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