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?