functional health patterns

What are the 11 functional health patterns?

  • Health Perception – Health Management Pattern. …
  • Nutritional – Metabolic Pattern. …
  • Elimination Pattern. …
  • Activity – Exercise Pattern. …
  • Cognitive – Perceptual Pattern. …
  • Sleep – Rest Pattern. …
  • Self-perception – Self-concept Pattern. …
  • Role – Relationship Pattern.

What are functional health patterns?

Gordon’s functional health patterns is a method devised by Marjory Gordon to be used by nurses in the nursing process to provide a more comprehensive nursing assessment of the patient.

What are the five areas of focus in Gordon’s functional health patterns?

– Identify areas of strength, limitation, alteration, and response to therapies. Gordon identified which 5 areas of focus? Role relationship, family values, and societal mores. Individuals performance levels.

What is Gordon’s Functional Health Patterns assessment?

Gordon’s functional health patterns provide a holistic model for assessment of the family because assessment data are classified under 11 headings: health perception and health management, nutritional-metabolic, elimination, activity and exercise, sleep and rest, cognition and perception, self-perception

The case scenario provided will be used to answer the discussion questions that follow.

Case Scenario

Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2–3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control with sodium restriction. He current works at a catalog telephone center.

Objective Data

  1. Height: 68 inches; Weight 134.5 kg
  2. BP: 172/96, HR 88, RR 26
  3. Fasting Blood Glucose: 146/mg/dL
  4. Total Cholesterol: 250mg/dL
  5. Triglycerides: 312 mg/dL
  6. HDL: 30 mg/dL

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Critical Thinking Questions

What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not?

Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered:

  1. Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime.
  2. Ranitidine (Zantac) 300 mg PO at bedtime.
  3. Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime.

The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.

  1. Assess each of Mr. C.’s functional health patterns using the information given. (Hint: Functional health patterns include health-perception – health management, nutritional – metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception – self-concept, role-relationship, sexuality – reproductive, coping – stress tolerance.)
  2. What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each.
 
OVERVIEW OF GORDON’S TYPOLOGY•A guide for establishing a comprehensive nursing data base. Composed of 11 categories that make possible a systematic and standardized approach to data collection and enable the nurse to determine aspects of health and human function.
Marjory Gordon’s Functional Health Pattern Model ensures a holistic approach for the patient. Aim: To examine the effectiveness of Gordon’s Functional Health Pattern Model in reducing depressive symptoms, increasing self-efficacy, coping with depression and increasing hope in people with depression.
In 1990 during the 9th conference of NANDA, the group approved an official definition of nursing diagnosis: “Nursing diagnosis is a clinical judgment about individual, family, or community responses to actual or potential health problems/life processes.
Narrowed focus of attention (e.g., altered time perception, withdrawal from social contact, impaired thought process) Distraction behavior (moaning, crying, pacing, seeking out other people and/or activities, restless) Facial mask of pain (eyes lack luster, “beaten look,” fixed or scattered movement, grimace)

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