Tuesday, June 12, 2012

PEDIATRIC FUNCTIONAL HEALTH PATTERN (sample)


PEDIATRIC FUNCTIONAL HEALTH PATTERN

A. Health Perception-Health Management Pattern

            Usually the child’s health is fair as describe by the mother but now it’s already poor. She said that in maintaining the child’s health she provided the child with nutritious food as much as possible and giving all the needs of the child like nice dress and proper hygiene. She gave the child time to play with other kids. The child’s immunization was complete.
            The child was admitted to the hospital because of the on & off fever for 2 days PTA. The mother did not know really the real cause of the illness because it occurs suddenly. It began on May 1, 2010 in the afternoon that the child was warm to touch and feels headache. The child was given paracetamol to relieve the fever but his fever didn’t subside. The child was hospitalized last February 2009 because of typhoid fever as stated by his mother. They expect that the child will get well soon as soon as possible so that the child will not suffer from staying in the hospital.
            During her pregnancy, the mother had her complete pre-natal check-up during her pregnancy stage. She did not take any medications & no complications during pregnancy.

B. Nutritional-Metabolic Pattern

            The child’s appetite is usually good but upon hospitalization the child’s appetite is poor. He doesn’t like to eat rice and vegetables. He was breastfed for 2 years and 4 months and then switch to formula fed. He can consume 4-5 bottles of Bearbrand milk in 24hrs but with mixed feeding of “lugaw” and rice with soup. Each feeding of milk is 250 ml. She started to introduce solid food when her child was 6 months old. The child likes to eat vegetables and fruits. They were not fun of going to fast food or restaurants. The mother was concern about the child’s health because he usually bought street foods rather than eat his mother prepared food.


C. Elimination Pattern

 The child defecates once a day, usually every morning with soft, brown, formed & moderate in amount stool. He was toilet trained. The child doesn’t have any problems in his urination. He doesn’t have any trouble in his skin.

D. Activity-Exercise Pattern

            Walks with steady gait, runs with few falls, walks on toes, stands on one foot, jumps, kicks ball, throws ball overhand. He participated in basketball games.
            The child could eat using spoon and fork. He doesn’t want to be helped. The child doesn’t need help in toileting since he knows where to defecate and urinate. He defecates and urinates on their comfort room. The child can dress by himself, bath and brush his teeth.
            The child watches TV for more than an hour He loves to watch cartoons. He watches with his parents. He was prohibited watching action movies to avoid being violent when he grows up.

E. Sleep-Rest Pattern

            The child usually sleeps 8pm & wakes at 6am. He sleeps 10 hrs a day without naps. The child’s usual sleep routine was singing with his parents & listening bedtime stories.  He had no usual sleep pattern problem.

F. Cognitive-Perceptual Pattern

         The child did not have any sensory perception deficits. He was 7 years old and a grade 2 pupil. He is an average pupil in his class.


G. Self-Perception Pattern

         The mother feels bad about her child’s illness and she was concerned about the wellness of the child. The child verbalizes that he feels restless.

H. Role-Relationship Pattern
The child uses appropriate words for his age. Spoken language in their home is bisaya. The child has one sibling. He was the eldest. Both the child’s parents do the decision making and in disciplining the child.  There was no marital problem and violence in the family.
I. Sexuality-sexual Functional Pattern

         The child did not verbalize any sexual curiosity according to her mother. The child always plays with boys and he loves to play basketball.

J. Coping-Stress Management Pattern

         The child learns to decide for himself and if greater decisions are to be made he would ask approval from his parents. There were no losses for the past year. When the child is stress he turns to her mother. When the child was frustrated he plays with his playmates. He was afraid of her mother when she brings stick to spank him.

K. Value-Belief System

         The whole family was Roman Catholic as claimed by the mother. The mother just likes to be prayed for her child’s wellness.



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