Pattern Before
1. Health Perception- Patient’s mother does not
Health Management want any consultations or
even go for check-ups
because she thinks that her
baby is healthy and there
is nothing wrong with her.
Present Interpretation
Patient’s mother considered
her daughter a healthy
person though she was
diagnosed “pneumonia”.
She is expecting to recover
from her baby’s present
condition with the help of
the health care providers
attending to his needs. All
of the medications
prescribed to patient are
available.
Analysis
Patient cannot function Pneumonia is an
normally like before abnormal inflammatory
because of her condition of the lung.[1] It
confinement and her is often characterized as
hospital condition. Her including inflammation of
body image changed due the parenchyma of the lung
to the present condition. (that is, the alveoli) and
abnormal alveolar filling
with fluid (consolidation
and exudation).
2.Nutritional- Patient’s life before her
Metabolic pre confinement stage was
Management normal; she can do
whatever she wants. She
eats fruits like apples and
bananas, most of the time.
She drinks milk 5-8 bottles
a day.
During hospitalization, the
patient in on Diet As
Tolerated. She eats fruits
like apples and oranges.
She also eat bread instead
of rice. The mother said she
loss her appetite due to
uncomfortable feeling.
Patient nutritional and An individual’s health
metabolic status has been status greatly affects eating
changed due to his habits and nutritional
confinement and his status (Fundamentals of
medical health condition. Nursing by Kozier p.
His pre-confinement status 1178) The patient was
is totally affected. brought to the hospital
because of cough and
fever.
3.Elimination Pattern Bowel Bowel Bowel
Patient defecates two Patient defecates once a There was a change in the
times a day without day but not everyday. Stool frequency, consistency and
experiencing discomforts, is soft, is minimal in amount of stool.
usually morning and amount and is brown in
afternoon. Stool is brown color.
in color and is well-
formed.

Bladder
Bladder Bladder There was a change in the
Patient voids usually 6-8 Patient voids 3-4 times a frequency, and amount
times a day. Urine is day without pain and
yellow in color. No pain discomfort.
when voiding.
 .
4. Activity, Leisure In the morning, Patient Patient activities in the During Patient
and Recreation daily activities include hospitals are nebulizing. confinement in the
Pattern playing with her mother. hospital, there is limitation
in his activities of daily
living and a disruption in
his leisure and recreation
pattern.
5. Sleep and Rest Patient’s mother puts her
Pattern baby to sleep giving her
bottle of milk and singing
some lullabies. The patient
does not have usual time
for sleep. She sleeps for a
long period of time.
6. Self-Perception- Patient is playful; she
Self-Concept Pattern loves being played by her
parents and the people
around her.
Patient’s mother
complained difficulty of
sleeping of the patient due
to the cough and
unfamiliarization to the
environment. She doesn’t
feel rested and comfortable.
Patient’s mother considered
her baby as a holistic
person.
Patient’s sleep and rest
pattern was changed due
to Pneumonia. Presence of
cough and sputum
contributes a big factor for
disturbances of sleep.
“Illness that causes pain or
physical distress can result
in sleep problems. People
who are ill require more
sleep than normal and the
normal rhythm and
wakefulness is often
disturbed.” (Fundamentals
of Nursing, 7th ed by
Barbara Kozier, et al, p.
1117). There is disruption
of the sleep-wake cycle
because of the patient’s
disease.
“Events or situations may
change the level of self
concept over time. Illness
and trauma can also affect
the self-concept.”
(Fundamentals of Nursing
7th ed by Barbara Kozier
p.959 & 962)
7. Coping and Stress When she is anxious The recent hospitalization
Tolerance patient wants her mother was not a traumatic
to carry her. And wants to experience for the patient.
have a bottled of milk. Though there might be
changes in the
environment, the people
around her don’t make her
feel she’s away from home.
Due to her condition the According to Folkman and
patient always want her Lazaruz, coping is “the
mom beside her. cognitive and behavioral
effort to manage specific
external and/or internal
demands that are appraised
as taxing or exceeding the
resources of the
person”(Fundamentals Of
Nursing by Kozier P.
1020).