Before assessing the patient, check first the medical chat of the patient which contains information and
relevant events that happened to a person
Perform hand hygiene before and after an interaction a patient to reduces the risk of being a carrier and
being contaminated with various microorganism and diseases.
JAIME: Good Evening, Ma’am! I’m Jaime R. Aglugob Jr. Your nurse practitioner for today from MCNP
and I will be completing your appointment today.
: I’m just going to ask you few questions ma’am about why you are here and a little bit background
or history about you.
: If you feel uncomfortable answering the question just let me know ma’am, okay?
: So before we will start kindly state you name and date of birth ma’am?
Px:………………………………………………………………………………………………….
JAIME: So , we’re just doing this to ensure that I’m with the right patient and you don’t have to worry about
the information you’re going to share with me because it will remain confidential, unless any health care
providers would want to know your information for your care plan.
JAIME: Let’s start the first set of question with the health perception and health management pattern.
: HOW WOULD YOU DESCRIBE YOUR HEALTH STATUES NOW?
:ARE YOU SATISFIED WITH YOUR HEALTH STATUS RIGHT NOW?
:DO YOU HAVE ANY ALLERGY? IF YES WHAT TYPE OF ALLERGY?
:ARE YOU USING MEDICINE LATELY?
: DOYOU KNOW ABOUT THESE MEDICINES?
JAIME: Now the 2nd set of question if to know about your nutritional and metabollic pattern.
IS THERE ANY FOOD RESTRICTION REGARDING ON HEALTH SATUS?
HOW ABOUT IN RELIGION POINT OF VIEW?
WHAT IS YOUR DITE MENU
ANY FOOD ALLERGY?
How much and what types of fluids do you drink?”
JAIME: let’s now jump to elimination pattern
Do you have any urinary problem? HOW ABOUT DURING DEFECATION?
WHAT USUALLY THE COLOR OF YOUR URINE? HOW ABOUT YOUR STOOL?
ARE YOU USING ANY LAXATIVE DRUG?
JAIME: During activity and exercise pattern ma’am
HOW OFTEN DO YOU EXERCISE IN A WEEK?
WHAT TYPE OF EXERCISE YOU DO?
WHAT OS YOUR DAILY PATTERN OF ACTIVITY
HOW WILL DESCRIBE YOUR BREATHING BEFORE, DURING, AND AFTER?
JAIME: Now I will ask about your cognitive and perceptual pattern ma’am
DO YOU HAVE DIFFICULTY IN SENTENCE MAKING?
DO YOU SUFFER FROM SHORT TERM MEMORY/ LOSS OF MEMORY?
JAIME: Let’s talk about you sleep rest pattern ma’am
TELL ME ABOUT YOUR SLEEPING PATTERNS
DO YOU HAVE TROUBLR FALING ASLEEP OR STAYING SLEEP?
WHAT YOU DO TO HELP YOU FALL SLEEP
DO YOU FEEL RESTED WHEN AWAKEN?
JAIME: know I will ask question about your self perception and self concept ma’am
HOW DO YOU FEEL ABOUT YOURSELF
WHAT IS YOUR TALENT OR SPECIAL ABILITIES
HOW OFTEN DO YOU HAVE MEDICAL CHECK-UPS?
JAIME: Now let’s proceed to Role Relationship pattern
Do you live alone or are you living with anybody? (With partner and/or family member/s)
- Actually I live with my parents right now
Can you describe your relationship with your family? What is your role in your family?
- I do have close relationship with my family ever since I was a child. and I am the youngest. We are 7 in the
family and I’m task to do the house hold choirs because I used to be an organized person.
Is there anyone we can contact in case of an emergency?
- Yes, it’s my eldest sister since I used to have her contact number in my ID also inside my bag
Do you have friends/peers? Can you describe your relationship with them?
- I do have few true friends which I can vent out if I feel like I can’t handle my problems and they are my go
to persons.
How often do you see your friends?
-we often meet personally due to our daily schedule but we always talk and communicate via messenger
JAIME: this set of questions will talk about your sexuality and reproduction pattern.
IS YOUR MONTHLY PERIOD NORMAL?
- yes po
Are you currently in a relationship with someone?
- yes I do have a boyfriend but he’s in Manila right now
Is it possible that you may have engaged with sexual activities with your partner?
- we did it once in our anniversary and that’s the first and last time we did before he went to manila.
DO YOU HAVE ANY CHILD?
- wala pa po
ARE YOU SEXUALLY ACTIVE?
- hindi po
DO YOU HAVE SEXUAL PROBLEMS?
- wala po
JAIME: Let’s talk about stress and coping tolerance pattern
What stresses you recently?
- I’m currently facing financial problem right now because of the loan I borrowed due to my health statues
and little bit of misunderstanding with my boyfriend
How do you cope with stress?
- I used to talk to my family and friends to ask for some guidance and to seek help on how can I pay my loans
How does stress affect you?
- I guess it slowed my recovery process
Do you have any sort of activities that keep you relaxed?
-I used to play song and read books
Are you taking any medicine for emotional/mental issues?
- hindi po
JAIME: So this is the last set of questions and we will gonna talk about values and beliefs pattern
What religion or sources of hope, strength, comfort, and peace do you practice?
- I am a roman catholic devotee and I always go to church every Sunday to attend the holy mass together
with my family.
Have your beliefs had an impact on how you care for yourself?
- Yes, because they taught me to believe and have fear to God which I used to do.
Is there anything specific about your culture, beliefs, or religious practices that I/ we should be aware of?
- My family believes in quack doctors and use of herbal plants.
So that’s all ma’am,
Do you have any concern or question?
Ok since you don’t have any concern anymore I will now send the information to the physician for your
further consultation.
thank you for your cooperation good bye and keep safe.
