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.
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...