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 HIVE+ and hides his sexual orientation and HIVE status from his employers. He is suddenly terminated for supposedly losing an important document.
Andrew uses 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 oscilloscope.
He also has Kapok’s Sarcoma, which can affect the gastrointestinal tract. Assessment Contain due 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.
Pattern of Self Perception and Self Concept Andrew appears normal at first but suffers from Kapok’s Sarcoma that leaves purple lesions on his face. He is not informal blew with his appearance. Role/Relationship Patterns Andrew has the role of an aspiring attorney, roles change and he ends up having to be his own advocate. He has a partner that he is very close with and a very supportive family. Sexuality/Reproved active Patterns Andrew is in a stable long term relationship with his partner. Unknown if he had pans for children with his current disease state.
Assessment Complete Pattern of Coping and Stress Tolerance Andrew has been faced with an extremely difficult situation and seems to cope with it very well during the movie. Coping mechanisms used do seem to help and he does not eek treatment for any emotional distress only physiological because of his illness. Pattern of Values and Beliefs Parents encourage him to fight for his rights, stating that they did not raise their children “sit in the back of the bus”. He seems to be close with the gay community, no ethnic or cultural groups identified but his partner seemed to be form Hispanic culture.
No religious preference identified. Analysis of Health Assessment Normal Assessment Findings Andrew has a great support system and handles his tough situation very well considering his condition. He is coping positively and is very open about the fact that he s dying. Abnormal or Risk-Based Findings He has a lot of late stage AIDS diseases that takes a toll on his body and is wasting away slowly during the movie. He questions his faith and is worried about his partner after he dies. He knows death is imminent and is at risk for emotional distress.
Additional Observations Cultural: Unable to distinguish a specific culture in the movie. Geographical: Movie is staged in Philadelphia Religious: There is no indication of religious preference noted with the main character. Ethnic: Andrew is Caucasian Spiritual: Andrew does start to question spirituality as his disease progresses, skiing his lawyer if he prays. Nursing Considerations Powerlessness r/t confirmed diagnosis of AIDS babe dependence on others for care and decision making. Interventions Identify factors that contribute to the patient feeling powerless by his diagnosis of AIDS and related diseases.
Encourage the patient to complete his living will and durable medical power of attorney. Discuss end of life desires and assist with any planning. Resources Center for Disease Control and Prevention includes information and resources: http://www. CDC. Gob/hive/ Nevada AIDS Project includes information and resources: http://inappropriateness. Org/ Conclusion The main character, Andrew Becket, was discriminated against because of his HIVE status at a time where people were not fully educated on HIVE/AIDS and the scare was still there.
He hides his homosexuality and HIVE status in fear that he would be judged but is exposed by one of the illnesses telltale signs of AIDS, Kapok’s Sarcoma lesion on his face. Andrew hires a homophobic lawyer, sues for discrimination and wins the case. You see the strength of the character and his us port system throughout this movie and this showers the importance of a strong support system. Andrew robbery would not have been able to go through this situation without them. He received tremendous support throughout his declining condition.