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Running Head: LIFESTYLE PATTERN AND SECTION III1SOAP Note Section II: Lifestyle Pattern and Section III: ROSBlessy SamuelPurdue Global UniversityProfessor Lori CarreraMN552 Advanced Health Assessment and Diagnostic ReasoningMarch 19, 2019
LIFESTYLE PATTERN AND SECTION III2MN552 Advanced Health AssessmentUnit 3 SOAP Note Section II: Lifestyle Pattern and Section III: ROSII. Life style patternsaImmigrant status- Born in FloridabSpiritual resources/religion- CatholiccHealth perception- I’m feeling okay, getting old, body parts are starting to wear out.dNutritional patterns: No changes in appetite, satisfied with current weight. No weightgain/loss. No cultural restrictions. No food intolerances. I usually eat one meal perday. I eat small frequent meals. I eat a bread and jam for breakfast. I drink a cup ofcoffee. I drink water frequently.eElimination patterns: I have a bowel movement daily and it’s formed. Noincontinence. I urinate 5-6 times per day. It’s usually pale yellow. I get up once pernight to go to the restroom.fLiving environment: Currently I am living with my Son, daughter-in-law andgranddaughter in a house in a rural area. Most of my life, I worked on a farm and awork shop, so I’m sure I’ve been exposed to a lot of toxins over the years. I workedon a hog farm and methane gas most likely.gOccupational health: Known exposure to environmental toxins at workhFunctional assessment: Self-Esteem-I feel pretty good about myself. I am a highschool graduate.Exercise/Activity- I walk the dogs 3-4 times per day around the neighborhood. I walka couple miles two or three times per day. I’m capable to shower myself and take careof my physical needs. I shower daily. Walking is hard sometimes because I broke myleft ankle a couple years ago and left hip and knee cause pain. I like to watchtelevision and read books.Sleep/Rest- I sleep pretty well and get an average of 6 hours per night. Sometimes Itake naps.
LIFESTYLE PATTERN AND SECTION III3Nutrition/Elimination-I do feed myself. I had a bread and Jam for breakfast. Mydaughter-in-law does all the shopping for me and I help carry in groceries, but shedoes the cooking and makes sure I eat healthy most of the time. On the rare occasion Igo to the local restaurants for a change. I usually drink a cup of regular coffee per day.I love to drink coke also. Occasionally, I do like to drink sweet tea. I have no issueswith bladder and bowel. No concerns with constipation or incontinence. No prostateissues, I’m able to empty my bladder and my stream is normal.I try to help my family as much as I can. I’m here when my granddaughter needssupervision if my son or daughter-in-law is not available and I take care of the dogsand also help with laundry. I also help fix things and do most of our yard work.

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Term
Spring
Professor
N/A
Tags
pains, Hearing impairment, Medical signs

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