7/29/2019 Functional Assessment and Personal History

http://slidepdf.com/reader/full/functional-assessment-and-personal-history 1/2

FUNCTIONAL ASSESSMENT

A.  Health Perception

She has anxiety after knowing her condition. She was afraid of dying and how her 

disease affects her family. She experienced: intermittent abdominal pain in right

and left upper quadrant and back pain before admission, tea colored urine, greycolored stool 1-2 per day, blurred vision unrecalled when it was started,

generalized body malaise, nervousness, hypertension for 10 years with

maintenance of amlodipine, icteric jaundice for 2 weeks prior to admission andupon assessment she has pallor conjunctiva, chicken pox unrecalled, mumps

unrecalled, measles unrecalled. She has colds in the past. For her to keep healthy:

to exercise daily for 30 mins-1 hour, to eat proper diet and to have 8-10 hours of sleep. She thinks that this kind of hobbies suggest by nurses and doctors. She

thinks that the cased of her illness was eating oily foods especially fried foods.

When symptoms were perceived she went to the doctor to consult about her 

condition.B.  Self-Esteem, Self-Concept/Self Perception Pattern

She described herself as a thin, old, confident woman and most of the time shefeels good about herself. Before the illness started she feels that she can do what

she can when she was still young like eating what she wants but when the diseasestarted she feels that she was near to past away and she needs to limit herself 

especially in her diet like eating oily foods. Before the illness started she feels

flexible and strong like in her younger years but when the illness started she feelsweak and easy to acquire diseases. When her grandchild was naughty makes her 

angry frequently. She fears to die immediately in her disease.

C.  Activity-Exercise Pattern

She has sufficient energy for completing desired/required activities. Her exercisewas walking daily. In her spare time from 9 AM to 7PM was watching television.

She has full self care. She has 8 hours of sleep and enough rest. She feels goodupon waking up. Being tired of daily activities puts her asleep. Her sleeping pattern was every 9 PM-5AM.

D.  Nutritional/Elimination

Her typical daily food intake was fried foods while her typical daily fluid intakewas 8-16 glasses per day. Last 2 months she has weight loss of 10 lbs. She has a

good appetite. She has no food or eating discomfort but she restrict herself not to

eat fried foods since she knows that this contributes to her disease. She has no

allergies or intolerance. She recalled that water only was the beverage that shetaken over the last 24 hours. She said that she heal well. She has no skin

 problems. She was wearing dentures but no dental problem. She has acholic stool

for 1-2 per day but no discomfort in bowel elimination. She has a tea colored stool6-8 times and sometimes she can’t control her urination. She has no excessive perspiration and odor problems.

E.  Sexuality-Reproductive Pattern

When she was 10 years old when her menstruation started and when she was 36years old she was already menopause. She has 7 Para and 7 Gravida.

Personal/Social History

7/29/2019 Functional Assessment and Personal History

http://slidepdf.com/reader/full/functional-assessment-and-personal-history 2/2

Her habits are watching television from 9 AM to 7 PM and walking daily. She has no

vices. Her lifestyles are to sleep from 9 PM to 5 AM, drink water 8-16 glasses daily, and eat fried

foods or oily foods. She is the oldest daughter in her family. She was born in Makati and lives to

Cavite with her sister.