1) Health Perception – Health Management Pattern
The presence of medical treatment and hospitalization affect change perceptions about health, but sometimes also led to wrong perception of health care. The possibility of a history of smoking, drinking alcohol and using drugs could be a factor predisposing disease.
2) Nutritional - Metabolic Pattern
In the assessment of nutritional and metabolic pattern, we need to take measurements of height and weight to determine the nutritional status of the patient, as well as the need to be asked eating and drinking habits before and during hospital admission, patients with pleural effusion will experience a decrease in appetite due to shortness of breath and an emphasis on abdominal structures. Increased metabolism will occur as a result of the disease process. patients with pleural effusion generally weak state.
3) Elimination Pattern
In the assessment of the pattern of elimination need to be asked about the illusion and defecation habits before and after hospital admission. Because the patient's general condition is weak, the patient will be much bed rest that will cause constipation, in addition to the structure of the abdomen due to gastrointestinal causes a decrease in the peristaltic muscles degestivus tract.
4) Activity - Exercise Pattern
Due to shortness of breath, tissue oxygenation needs to be less fulfilled and the patient will quickly experience fatigue on minimal exertion. Besides, patients will also reduce activity due to chest pain. And to meet the needs of patients ADL partly assisted by nurses and their families.
5) Sleep – Rest Pattern
The presence of chest pain, shortness of breath and an increase in body temperature will affect the fulfillment of the need for sleep and rest, other than that due to changes in the environmental conditions of a quiet home environment to the hospital setting, where many people are paced, noisy and others.
6) Role - Relationship Pattern
As a result of illness, the patient directly will change roles, eg a housewife patient, the patient can not perform the function as a mother who must care for their children, taking care of her husband. In addition, the patient's role in society is also changing and all that affects the patient's interpersonal relationships.
7) Self-perception - Self-concept Pattern
Patient's perception of the self will change. Patients who are otherwise healthy, a sudden onset of pain, shortness of breath, chest pain. Patients may be assumed that the disease is dangerous and deadly disease. In this case the patient may lose the positive image of the self.
8) Cognitive - Perceptual Pattern
Sensory function of patients did not change, as well as thought processes.
9) Sexuality - Reproductive Pattern
Sexual needs of the patient in this case sexual intercourse will be disturbed for a while because the patient is in the hospital and his physical condition is still weak.
10) Coping - Stress Tolerance Pattern
For patients who do not know the disease process may be experiencing stress and many patients will ask nurses and doctors who cared for him or those who might be considered more to know about the disease.
11) Value - Belief Pattern
As a religious patient will get closer to God.
Gordon's Functional Health Patterns for Pleural Effusion
Disturbed Sleep Pattern NCP for Pleural Effusion