USUAL PATTERN INITIAL APPRAISAL (now) ONGOING APPRAISAL (after 2 days or

more)
I. Health Perception Health Management
Pattern
Describes himself to be a healthy individual
Occasionally engages in drinking activities
Smokes 3 to 4 cigarettes a day
Understands the difficulties of finances for his
health care
No previous history of hospitalization
Does not maintain any medications or
supplemental therapy.
States that he is allergic to crabs
Occasionally gets cough and colds
If he gets sick, he buys OTC drugs and rest in
the house.
Blood Type = O (+),




II. Nutritional Metabolic Pattern
States that he is well nourished, and is a big
eater. His usual choice of food include
vegetables, canned foods, meat and fish
Usual intake pattern
Breakfast
2 cups rice, 1 glass water,I egg or 1 canned food
Lunch
(sometimes does not have lunch) 2 cups rice, 1
viand (vegetable, fish,meat or poultry), 1 cup
soup
Dinner
2 cup rice, 1 viand (vegetable, fish, meat, dried
fish), 1 cup soup
No tooth problem noted
Previous Visits in Ward/Room: Currently has
Cough and Colds for 2 days now


















Normal Diet, is still able to consume share
served with good appetite
Has poor appetite as of now due to current
condition
Did not brush his teeth today









I. Health Perception Health Management
Pattern
Patient still smokes today

















II. Nutritional Metabolic Pattern
Was only able to consume portion of the
served diet with good appetite
Weight = 49 kg










No current diseases that affect nutritional-
metabolic function
Positive history of alcohol drinking (drinks 1-2
times a month, sometimes drinks 3 times a
week during drinking seasons)
Brushes teeth once a day

III. Elimination Pattern
Defecates 1-2 times a day
Urinates at least 20 times a day with 1500
ml/day of urine
No pain upon elimination
No history of digestive system, urinary system
or skin complications except for minor
complaints as stated..



IV. Activity Exercise Pattern
Has a job as a government worker in the
capitol.
His duties includes using the computer, printing
files
Describes his activity schedule daily as work,
play, sleep
Hangs out with friends at least 1 to 2 times a
week.
Plays basketball for a hobby at most once a
week.

V. Cognitive Perceptual Pattern
No history of vision blurring
No history of difficulty in hearing











Was not able to defecate today and yesterday









States that he is able to do things on his own.
No diseases affect his cardio-respiratory system
and musculo-skeletal system.
States that he has good exercise and that he is
comfortable with himself
Patient states that he sometimes gets dandruff
when he doesnt take a bath (sometimes doesnt
take a bath for an entire day).




Able to express himself clearly and logically.
Able to rate pain on his head as 5 in a scale of 1-
10, 1 = least, 10 = most painful. States that the
pain is lesser now compared before
Some history of fainting spells/dizziness.









III. Elimination Pattern
Was able to defecate once 12/04/12. Stool is
formed, brownish in color, (-) difficulty or
pain upon defecation
Now only urinates at most 10-12 times a day





IV. Activity Exercise Pattern
Still goes to work in the Capitol from 8am
to 4am.









V. Cognitive Perceptual Pattern
Able to speak properly. No difficulty in
hearing
No vision changes


VI. Sleep-Rest Pattern
Usually sleeps at around 11pm in the night and
wakes up at around 6am in the morning. Does
not use any particular pillows or blankets when
sleeping. Usually has only one pillow when
sleeping. Sleep interrupted during frequent
voiding. Since easily get fatigue, often need
rest.
No history of difficulty in sleeping, recurring
dreams/nightmares/night-terrors.


VII. Self-Perception Self Concept Pattern
Has no history of any difficulty in perceiving
self.
States that physical symptoms that are not too
serious are sometimes ignored, and the need to
seek medical advice often postponed and
delayed, as symptoms are off and on..
Adherence to meds regiment are not observed
religiously, funds and resources are insufficient.
Express concern of physical symptoms but
cannot go in depth to consider due to financial
and economic reason.

VIII. Role Relationship Pattern
States that he views himself as a person with
ambition in life that wants to be start a family
and be a father someday

IX. Sexuality-Reproductive Pattern
States that he still imagines sexuality roles once
in a while (everyday). Experience however,
poor responses, and decreased orgasm.


Appears to be physically rested and relaxed. Has
no difficulty in sleeping still









Appears comfortable while he was sitting. Feels
relaxed and worried free in relation to his
present condition. Having high tolerance of
physical complaint, and with knowledge deficit
of possible consequence of complication.









Has a girlfriend





States that sexuality pattern is not decreasing




Appears to be physically rested and relaxed.
Has no difficulty in









VII. Self-Perception Self Concept Pattern
Verbalized, understanding of the possible
long effect of his condition, and aim to
prevent or lower the tendency of getting
adverse effect of the pt. condition.









VIII. Role Relationship Pattern
Has a good relationship with his siblings
and parents


IX. Sexuality-Reproductive Pattern
Sexual patterns remain the same




X. Coping Stress Tolerance Pattern
Defines himself as a relaxed person in situations
about handling problems in the family. States
that he sometimes goes to sleep, or take a long
walk away from the stressor when he is angry.
No history of emotional distress/intense hatred
in the family

XI. ValueBelief Pattern
Is a Roman Catholic
Does not usually go to church every Sunday
No history of membership to any religious
affiliations
Appears happy and relaxed






His hospitalization/recuperation in the Dipolog
City Medical Center ( 2 years ago) hasnt
affected his belief in God. Has no Bible in the
Institution.
X. Coping Stress Tolerance Pattern
Appears happy and relaxed






XI. ValueBelief Pattern
No changes in his belief.