Nursing Diagnosis and Nursing Intervention

Pleural Effusion - Functional Health Pattern Assessment

Functional Health Pattern Assessment



1. Health Perception and Management

The presence of medical treatment and hospitalization affect change perceptions about health, but also raises sometimes wrong perception of health care. The possibility of a history of smoking, drinking alcohol and drug use may be a predisposing factor of disease.


2. Nutritional metabolic pattern

In the study of nutrition and metabolic patterns, we need to take measurements of height and weight to determine the nutritional status of the patient, as well as eating habits need to be asked and drinking before and during hospital admission of patients with pleural effusion will decrease appetite and shortness of breath as a result of emphasis on the structure of the abdomen. Increased metabolism will occur as a result of the disease process. patients with pleural effusion generally weak state.


3. Elimination pattern

In the assessment of the pattern of elimination have any questions about illusion and defecation habits before and after hospital admission. Because the patient's general condition is weak, the patient will be much bed rest so will cause constipation, digestive apart due to the structure of the abdomen causing a decrease in the peristaltic muscles degestivus tract.


4. Activity exercise pattern

Due to shortness of breath, tissue oxygen demand will be less fulfilled and the patient will quickly experience fatigue on minimal exertion. Besides, patients will also reduce its activity due to a chest pain. And to meet the needs of the ADL, the needs of patients assisted by nurses and patients' families.


5. Sleep rest pattern

The presence of chest pain, shortness of breath and an increase in body temperature will affect the fulfillment of the needs of sleep and rest, other than that due to changes in the environmental conditions of a quiet home environment to the hospital setting, where many people are walking around, noisy and so forth.


6. Cognitive-perceptual pattern

As a result of illness, the patient will experience a direct role changes, eg a housewife patient, the patient can not function as a mother who must care for their children, taking care of her husband. In addition, the patient's role in society is also changing and all that affects the patient's interpersonal relationships.


7. Self perception/self concept pattern

Patients' perception of him will change. Patients who are otherwise healthy, a sudden onset of pain, shortness of breath, chest pain. As a layman, the patient may be assumed that the disease is dangerous and deadly disease. In this case the patient may have lost a positive image of him.


8. Role-Relationship Pattern

Sensory function of patients did not change, as well as thought processes.


9. Sexuality-Reproductive Pattern

Sexual needs of the patient in this case sexual intercourse will be disturbed for a while because the patient was in the hospital and his physical condition is still weak.


10. Coping-stress tolerance

For patients who do not know the disease process may be experiencing stress and many patients will ask nurses and doctors who cared for him or anyone who may know more about the disease considered.


11. Value-Belief pattern

As a religion, a patient will be praying to God.

Anxiety related to Pleural Effusion
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