*** please comments each Peers DQs answers separately add citations and references:) ***

Response one: Functional health patterns are a useful tool for nurses to use to gain insight into a patients current and past state of health. They include health perception- values, nutrition/metabolic patterns, sleep/rest patterns, elimination patterns activity/exercise patterns, cognitive/perceptual patterns sensory perception- self-concept pattern, role relationship patterns, sexuality/reproductive patterns and coping.( Whitney S., 2018) A comprehensive interview with the patient can help a nurse target causative factors for disease, the patient’s perceptions about the disease and beliefs regarding restoration of optimal functioning. By evaluating the patients past and present psychological, social and cultural state of being, the nurse can formulate a plan to optimize restorative health by attending to all aspects of the patients being. For example, a patient who has a long-standing history of hypertension who has progressed to stage 4 kidney disease. Careful evaluation of all aspects of the history may link past behaviors and habits to the patient’s current health status.

References:

Whitney, S. (2018). Elimination complexities. Grand Canyon University. (Ed.) Pathophysiology: Clinical applications for client health (1^st Edition) URL: https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/pathophysiology_clinical-applications-for-client-health_1e.php

Response two: Useful wellbeing examples give an arrangement to the affirmation appraisal and a database for nursing analysis. There are two stages in this determination: history taking and assessment. The depiction is from the individual and family members point of view (Carper, 2019). It provides both emotional information as well as verbal reports. These reports are inspired by questions that help patients to tell the history and current status of their wellbeing. Perceptions in the assessment stage give information on design pointers and confirmation of data acquired during history taking. Functional patterns help the nurse to have a more comprehensive nursing assessment of the patient in order to provide care that is patient-centered, and evidence based. Through the functional patterns the nurse can perform a medical examination on the patient and ask relevant questions that will lead to an informed diagnosis and treatment of the patient accordingly based on the past and current medical condition.

For instance, kidney stones are a state of health where one experiences a problem in water and mineral salt absorption. This can lead to low amounts of urine, the constant need for vomiting, nausea, back pain, among other characteristics. Hence, the probing nurse will use a health perception pattern where the core answers may seek to know whether the kidney stones have made one forgo classes or daily activities and the essential coping approaches. However, the nurse may ask about nutrition and metabolic pattern where some characteristics given by the patient will be used to know the extent of this elimination complexity, whether it has caused dryness, loss of appetite, and weight loss. After establishing such facts of the past and present, the medical practitioner will eventually decide on the elimination pattern, which may comprise of bowel elimination, urinary elimination, or excess perspiration (O’Brien-Pallas, et.al. 2017). Such models help the nurses to choose the appropriate measure to take as well as knowing how the ailment has affected the life of the patient and the entire family.

References

Carper, B. A. (2019). Fundamental Functional Patterns of knowing in nursing. Perspectives on philosophy of science in nursing: an historical and contemporary anthology. Philadelphia: Lippincott, 12-20.

O’Brien-Pallas, L., Irvine, D., Peereboom, E., & Murray, M. (2017). Measuring Functional Pattern Workability in nursing Workload: understanding the variability. Nursing Economics, 15(4), 171-183.

Response three Systemic Lupus Erythematosus (SLE) is a result of disturbed immune regulation that causes an over the top production of autoantibodies. Renal involvement usually affects the glomeruli. Many symptoms occur slowly and the patient may not think twice about them. Asking questions about functional patterns will help with disease progression. Hematuria may be found on urinalysis. The extent of renal damage may indicate whether renal involvement will be reversible. No single lab test confirms SLE. Patient history and assessment of normal functioning changes help guide the on bringing of the disease. It can be brought on by some combination of genetics, medication taken, hormonal and environmental factors. Because multiple body systems are involved and slow changes are taking place, someone with SLE may go for years without being diagnosed. Encouraging patients with hope that maintaining a healthy balance can take place with treatment and follow up care. A sense of self-worth and meaningful family relationships should be addressed and access to resources to plan realistic goals for personal feelings of happiness (Jorge, Wallace, Lu, Zhang, & Choi, 2019)

Jorge, A., Wallace, Z. S., Lu, N., Zhang, Y., & Choi, H. K. (2019). Renal Transplantation and Survival Among Patients With Lupus Nephritis: A Cohort Study. Annals of Internal Medicine, 170(4), 240-247. Retrieved 11 27, 2019, from https://annals.org/aim/article-abstract/2722549/re…