) CHAPTER 8 / Assessing the Endocrine System 489 FUNCTIONALHEALTH PATTERN INTERVIEW Endocrine System rn Interview Questions and Le ing Statoments HeakhPercestion-Meath a Management Describe your overall state of health rating itn a scale of 1 to 10 with 10 being the best health you have had, Describe any problems you have had with an endocrine gland (ptuitary, thyroid, parathyroid, adrenal, ppancroas, ovaries, testes) I you had a problem with any of these glands, how was it treated (medications, surgery dit, ho” mone reslacerent)? Do you smoke, ctink alechol, andlor use recreational drugs? If so, how much and what kind? Have you ever been tested for high or low blood sugar? ‘Natrional-Metabolic Describe what you eat and how much fand type of fluid you drink in @ 2€-hour period Do you take ary nutritional supplements, herbs, or vitamins? Have you noticed any change in your hunger or thirst? Has your weight changed? If so, how many pounds and over what time period? Have you noticed any change in your energy level? If so, explain Have You noticed any change in your ability to tolerate heat or cold? I so, describe the change. Have You naticea any dificuty swallowing? Exaai, Have you noticed any changes in the texture of your skin? If so, wat were they? Elimination Have you noticed any change in the color, odor, amaunt, or recuency of urination? If so, describe it Have You ever had ksney stones? If so, how ware they treated? Has there been a change in your bowel elimination {such as earrhea or constipation? If so, ‘explain the change. Activiy Exercise Deseribe your physical activities ina usual day Has your energy level increased or decreased? Explain, Do some activities make you very tied? Explain how you fel. ‘Sloop-Rest How many hours af sleep do you get each right? Do you feel nervous and unable to rest? Explan, Have you ever sweated st night? Describe if so. Cognitive Perceptual Have you naticed any problem with your memory? What was it? Do you feel restless, anxious, or contused? Explain. Have you noticed any change in your voice? Explain. Have you noticed any change in the color or condition of your skin and hai (color, dryness, oliness, bruises)? Deserve i so Have you had any headaches, memory oss, changes in sensation, depression? Describe if so. Have you noticed any change in your vision? Describe i so. Have you had any heart palpitations? When aid they occur? Have you had any aodorinal pain? What sit ike and where is it located? Have you had any pain or stiffness in your muscles and joints? Sel-Perception-SeltConcept = How does this condition make you feel about yourself? = How do yeu feel about taking medications? Fole-Relationships 1 How does this condition make you feel about yourself? How does this condition affect your rela- tionships with others? 1= Doss anyone in your family have an endocrine disorder? If so, when did it begin and how doas it affect them? What family member is atfected and at whet age did it begin? Coping-Stess-Tolerance _m _Dioes stress seem to make your condition worse? Explain 1 Has this condition created stress for you? 1 Describe what you do when you feel stressed. Value-Belef “ell me haw specific relationships or activites help you cope with this condition, Descrive spectc cultural belefs or practices that affect how you care for and feel about this condition. Is there anything interfering with your spiritual belies, needs, or practices during your ness? What can or another ceregiver do to help you with your spiritual neecs? ‘Aro thare any specific teatments that you would not use to treat this condition?