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Pattern of Health Perception and Health Management:
- How does the person describe current health?
- What does the person do to maintain health?
- What does person know about links between lifestyle and health?
- How big a problem is financing health care for this person?
- Can this person report his/her medications and the reason for taking them?
- If this person has allergies, what does he/she do to prevent/manage them?
- What does the person know about medical problems in his/her family?
- Have there been any important illnesses/injuries in this person's life?
Nutritional-Metabolic Pattern:
- Is this person well-nourished?
- How does this person's food intake compare with recommended food intake?
- Does this person have any disease that affects nutritional/metabolic function?
Pattern of Elimination:
- Are the person's excretory functions within normal range?
- Does the person have any disease of the digestive system, urinary system, or skin?
Pattern of Activity and Exercise:
- How does this person describe his/her weekly pattern of:
Activity/Leisure?--Exercise/Recreation?
- Does this person have any disease that affects his/her:
Cardio/Respiratory System?--Musculoskeletal System?
Cognitive/Perceptual Pattern:
- Does this person have any sensory deficits?If yes, are they corrected?
- Can this person express himself/herself clearly and logically?
- What is this person's level of education?
- Does this person have any disease that affects mental or sensory functions?
- If this person has pain, describe it and its causes.
Pattern of Sleep and Rest:
- Describe this person's sleep/wake cycle.
- Does this person appear physically rested and relaxed?
Pattern of Self-Perception and Self-Concept:
- Is there anything unusual about this person's appearance?
- Does this person seem comfortable with his/her appearance?
- Describe this person's feeling state.
Role-Relationship Pattern:
- How does this person describe his/her various roles in life?
- Has, or does this person presently have positive role models for these roles?
- Which relationships are most important to this person at this time?
- Is this person presently going through any changes in role or relationships?If yes, describe changes.
Sexuality - Reproductive Pattern:
- Is this person satisfied with his/her situation related to sexuality?
- Does this person have any disease/dysfunction of the reproductive system?
- Is this person satisfied with his/her plans regarding children?
Pattern of Coping and Stress Tolerance:
- How does this person cope with difficult situations/problems?
- Do these coping mechanism/actions help or make things worse?
- Has this person had any treatment for emotional distress?
Pattern of Value and Beliefs:
- What principles did this person learn as a child that are still important to him/her?
- Does this person identify with any social, religious, ethnic, regional, cultural, or other groups?
- What support systems does this person currently have?

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