Gordon’s Functional Health Pattern (Teen)
Adolescent Summary – Gordon’s Functional Health Pattern
Biographical Data
Date of Visit: 8/31/2012, 10:30am.
Age
DOB: 3/2/1999
Race/Gender Hispanic, Female
Weight: 34 kg.
Height: 4ft. 7 inches
BMI: Normal Range 16.6 kg/m2
Phone [HIDDEN]
Reason for Visit: Evidence of exasperated asthmatic conditions. (Not an acute asthma attack). Became overexerted at school, 8/30/12. Restless night and complaints of tightness in chest and inability to catch breath. Slight wheezing can be heard during exhales. Potential asthma complications; albuterol has proven slightly ineffective in easing symptoms and discomfort.
Financial History: Patient is fully covered under parent’s insurance. Mother works; serving as informant and escort to physician. Single parent household.
Past Health History: Patient is fully immunized and receives all routine health and wellness physicals and exams as appropriate. Last physical exam 5/30/2011, prior to beginning of summer camp. History includes struggle with exercise-induced asthma (albuterol use via bronchodilator). Describes an allergy to pineapple (reaction includes appearance of red, rash like spots on face). Mother provides multi-vitamin supplements. No reported childhood illness. No chronic illness.
Wellness Young Adult Behavior Assessment History Screening: In good, general health and physical condition. Mother indicates normal, full term pregnancy, although patient did have jaundice during first two weeks of life. Otherwise healthy infancy and early childhood. Patient is active in school activities (participates in physical education and cheerleading). Enjoys swimming and bike riding, helps with household chores. Lives in middle class community and walks/plays with two younger female siblings and peers within subdivision. No depression. Normal menstruation began age 11. Last menstrual period began 8/17/12. Becomes winded in prolonged activities. Describes normal eliminations and voids. No history of hospitalizations, serious accidents or injuries.
Nutrition: Mother emphasizes healthy eating habits and fresh fruits and vegetables. Junk and processed food consumption is limited. Water consumed daily. 3-4 meals eaten per day with snacks allowed in between. No underage tobacco, drug or alcohol usage known or suspected.
Family History: Mother has Type 2 diabetes mellitus (T2DM), which she has been living with for 7 years. Father has hypertension and is overweight. Family history indicates susceptibility to T2DM with the disease occurring in both the maternal and paternal families. History of high blood pressure and depression on material side of family. Youngest sibling also has asthma. No other instances of asthma in family.
Review of Systems (as applicable)
General Health State: Facial expression and demeanor appropriate to situation. Speech is clear. Being monitored by mother. Withheld from school due to labored breathing. Self-medicating with albuterol and light pain medication as needed.
Skin: Mostly dry, warm. No excessive sweating.
Hair: Normal texture. No loss reported.
Nails: Normal color. No abnormalities reported.
Head: Aspirin taken at 9:10 AM for “slight head-ache.” No dizziness reported.
Eyes: No change in vision reported. Patient wears eyeglasses.
Ears: Examination reveals no discharge, fluid or infection. Past history of infections in left ear — typically in conjunction with cold/flu.
Nose/Sinuses: No change in sense of smell. Examination reveals no concerns.
Mouth/Throat: Recent tooth filling in back molar. No current toothache, alteration in taste or hoarseness. No throat irritation and normal coloring and appearance. Reports daily dental care.
Neck: Normal range of motion. No tenderness in lymph nodes. Strep throat at age 8.
Neurological System: Normal and well-oriented. Grips and flexion strong.
C-V: Temperature normal. Heartbeat regular. Pulse rate 70. S1, S2 auscultated over aortic, pulmonic, erb’s point, tricuspid and mitral areas. No edema.
Respiratory System: Describes slight tightness in chest. Labored, shallow breathing with intercostals retractions and wheezes throughout. Intermittent cough.
Musculosketal System: Describes a slight fatigue due to poor rest the night prior. Accessory muscle employed to complete breathing function.
GI and G-U Systems: Abdomen normal is appearance, size and shape. No BM reported for day. Voids described as normal. No bladder pain, urgency, distention or tenderness.
Pain: Only a slight discomfort from continued labored breathing.
Primary Nursing diagnosis:
Ineffective breathing pattern related to inflammation of airway, bronchospasm. Impaired gas exchange of alveoli and excess secretions secondary to asthma manifested by low oxygen saturation. Ordered oxygen therapy (breathing treatment). Monitor O2 saturation and assess respiratory functioning regularly throughout day of care. Goal that patient will tolerate a wean off of O2 by 1830 as demonstrated by an O2 saturation of 92% or better on room air.
Rationale:
Asthma is an inflammatory disease characterized by mucosal edema, increased viscid secretions, and smooth muscle contraction which result in wheezing, dyspnea, and cough (Hull et al., 2009). The increased secretions can lead to airway obstruction which will cause O2 saturation to drop. Regular monitoring of oxygen saturation for early detection of abnormalities is required. Conducting a complete respiratory assessment allows accurate ratings of patient status and evaluation of treatment options.
Wellness nursing diagnosis:
Instruct Melissa to notify parents or school administrators immediately if there are any changes in respiratory status. Provide instruction for proper use of metered dose inhaler; not use more than 4 puffs/day or risk an increase in asthma symptoms. Instruction to increase water intake (add O2 to body) during physical activity and avoid overexertion.
Rationale:
Melissa needs improved education in pre-empting asthmatic symptoms.
“Risk For” nursing diagnosis:
Ensure that patient is aware that Albuterol inhaler is not to be used for an acute asthma attack. Medication should be used 30 to 60 minutes prior to physical activity.
Rationale:
Risk for activity intolerance related to potential for breathing difficulties. Melissa needs improved education in identifying symptoms of an asthma episode. Requires demonstration of proper use of her peak flow meter and interpretation of the identified result. Medication protocols should be discussed with school staff as needed to support Melissa at school. Must stress that Melissa’s asthma may cause current or unknown allergic reactions to be more severe. Collaborate with physical education and recess staff to highlight Melissa’s need for medication as well as limited physical activity during periods of asthma exacerbations.
Reference
Hull, J., Hull, P., Parsons, J., Dickinson, J., & Ansley, L. (2009). Approach to the diagnosis and management of suspected exercise-induced bronchoconstriction by primary care physicians. BMC Pulmonary Medicine, 929.
Get Professional Assignment Help Cheaply
Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?
Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.
Why Choose Our Academic Writing Service?
- Plagiarism free papers
- Timely delivery
- Any deadline
- Skilled, Experienced Native English Writers
- Subject-relevant academic writer
- Adherence to paper instructions
- Ability to tackle bulk assignments
- Reasonable prices
- 24/7 Customer Support
- Get superb grades consistently
Online Academic Help With Different Subjects
Literature
Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.
Finance
Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.
Computer science
Computer science is a tough subject. Fortunately, our computer science experts are up to the match. No need to stress and have sleepless nights. Our academic writers will tackle all your computer science assignments and deliver them on time. Let us handle all your python, java, ruby, JavaScript, php , C+ assignments!
Psychology
While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.
Engineering
Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.
Nursing
In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.
Sociology
Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.
Business
We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!
Statistics
We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.
Law
Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.
What discipline/subjects do you deal in?
We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.
Are your writers competent enough to handle my paper?
Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.
What if I don’t like the paper?
There is a very low likelihood that you won’t like the paper.
Reasons being:
- When assigning your order, we match the paper’s discipline with the writer’s field/specialization. Since all our writers are graduates, we match the paper’s subject with the field the writer studied. For instance, if it’s a nursing paper, only a nursing graduate and writer will handle it. Furthermore, all our writers have academic writing experience and top-notch research skills.
- We have a quality assurance that reviews the paper before it gets to you. As such, we ensure that you get a paper that meets the required standard and will most definitely make the grade.
In the event that you don’t like your paper:
- The writer will revise the paper up to your pleasing. You have unlimited revisions. You simply need to highlight what specifically you don’t like about the paper, and the writer will make the amendments. The paper will be revised until you are satisfied. Revisions are free of charge
- We will have a different writer write the paper from scratch.
- Last resort, if the above does not work, we will refund your money.
Will the professor find out I didn’t write the paper myself?
Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.
What if the paper is plagiarized?
We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.
When will I get my paper?
You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.
Will anyone find out that I used your services?
We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.
How our Assignment Help Service Works
1. Place an order
You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.
2. Pay for the order
Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.
3. Track the progress
You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.
4. Download the paper
The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.
PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!
