Presentation
Philadelphia
Overview of Presentation
This presentation will focus on Andrew, the main character of the movie, Philadelphia.
A functional health assessment will be done.
Two normal and two abnormal health patterns identified.
A nursing diagnosis with interventions and resources included. Background of Movie and
Character
Andrew is an up and coming lawyer working for a prestigious law firm in Philadelphia. He is a gay man who is HIV+ and hides his sexual orientation and HIV status from his employers. He is suddenly terminated for supposedly losing an important document. Andrew sues his employers for wrongful termination.
Functional Assessments
Health Perception/Health Management
Andrew knows he is sick, attends doctor visits, knows the medication he is taking and focuses on maintaining his condition Nutrition/Metabolic
Andrew took care of himself but because of the AIDS disease process, nutrition and metabolic function is affected. He progressively lost weight and looked malnourished due to his condition. Pattern of Elimination
Andrew has a bout of diarrhea in the movie and was advised to have a colonoscopy. He also has Kaposi’s Sarcoma, which can affect the gastrointestinal tract.
Assessment Continued
Pattern of Activity/Exercise
Andrew is battling AIDS and is in a weakened state, unable to exercise as the disease progresses
Cognitive/Perceptual Pattern
Towards the end of the movie, he loses vision in one eye, he is able to express himself clearly and logically until he has breathing issues. Andrew is college educated. Pattern of Sleep and Rest
Unknown in the movie if sleep is interrupted. He appears extremely fatigued as the movie progresses.
Assessment Continued
Pattern of Self Perception and Self Concept
Andrew appears normal at first but suffers from Kaposi’s
Sarcoma that leaves purple lesions on his face. He is not comfortable with his appearance.
Role/Relationship Patterns
References: WebMD. (2015). HIV, AIDS, and Cytomegalovirus.