Gordon's Health Patterns Overview

Gordon's Functional Health Patterns

• Gordon's Functional Health Patterns (GFHP) is a nursing assessment framework used to evaluate an individual's overall health and identify areas for care.
• Developed by Marjory Gordon, it encompasses 11 categories that provide a comprehensive understanding of a person's well-being.
• The framework emphasizes lifestyle habits and overall functioning.

Health Perception-Health Management Pattern

• This pattern explores an individual's understanding of their health and their health-seeking behaviors like preventive measures, prescription compliance, and self-management strategies for health conditions.
• It considers individual and family judgments about health, problem-solving methods, and decision-making processes related to health issues.

Data Collection for Health Perception-Health Management Pattern

• General well-being
• Health-seeking behaviors
• Use of OTC drugs
• Waste disposal
• Source of water
• History of allergies, blood transfusions
• Routine medical examinations (e.g., cancer screenings)
• Health financing
• Social history (e.g., smoking)
• Past medical and surgical history
• Family history

Nursing Diagnoses for Health Perception-Health Management Pattern

• Ineffective health maintenance
• Readiness for enhanced self-health management
• Risk-prone health behavior
• Ineffective therapeutic regimen management

Nutrition-Metabolic Pattern

• This pattern focuses on food and fluid intake, including dietary choices, supplements, eating habits, and schedules.

Systems Involved in Nutrition-Metabolic Pattern

• Integumentary system
• Endocrine system
• Oral and pharyngeal areas

Data Collection For Nutrition-Metabolic Pattern

• Weight, height, and temperature
• Food and fluid patterns of the individual and family
• Number of meals per day
• Use of supplements and appetite stimulants
• Nausea, vomiting, heartburn
• Dietary preferences, aversions, and restrictions
• Appetite
• Skin and dental problems
• Gag and swallowing reflex

Nursing Diagnoses for Nutrition-Metabolic Pattern

• Impaired nutrition: less than/more than body requirements
• Readiness for enhanced nutrition
• Impaired swallowing
• Hypo/hyperglycemia, unstable blood glucose level
• Ineffective thermoregulation
• Fluid volume excess/deficit
• Impaired tissue/skin integrity

Elimination Pattern

• This pattern focuses on bowel and bladder excretion, including schedules, habits, and the use of laxatives or other methods to facilitate excretion.

Systems Involved in Elimination Pattern

• Urinary system
• Abdominal organs
• Skin

Data Collection for Elimination Pattern

• Frequency of urination
• Dysuria, anuria, polyuria
• Pain on defecation
• Constipation
• Use of laxatives
• Incontinence
• Urinary retention
• Color and odor of urine and feces
• Presence of hemorrhoids
• Perspiration

Nursing Diagnoses for Elimination Pattern

• Constipation
• Diarrhea
• Urinary retention
• Urinary incontinence (reflex, stress, overflow, functional, urge)
• Impaired urinary elimination
• Dysfunctional gastrointestinal motility
• Bowel incontinence

Activity-Exercise Pattern

• This pattern focuses on activity and exercise including the type of activity, schedule, vigor, impact on leisure, physical state, and personal meaning of activity.

Systems Involved in Activity-Exercise Pattern

• Cardiovascular System (CVS)
• Respiratory System (RS)
• Musculoskeletal system

Data Collection for Activity-Exercise Pattern

• Chest pain
• Palpitations
• Dyspnea
• Syncope
• Orthopnea
• Peripheral edema
• Cough
• Sputum
• Wheeze
• Haemoptysis
• Chest pain
• Exercise habits
• Ability to engage in activities of daily living
• Joint pain
• Muscle pain

Nursing Diagnoses for Activity-Exercise Pattern

• Activity intolerance
• Ineffective breathing patterns
• Ineffective airway clearance
• Increased cardiac output
• Disuse syndrome
• Ineffective tissue perfusion
• Ineffective gaseous exchange
• Fatigue
• Impaired walking
• Self-care deficit

Sleep-Rest Pattern

• This pattern focuses on sleep and rest including schedules, habits, sleep aids, and feelings of renewal, fatigue, or exhaustion.

Data Collection for Sleep-Rest Pattern

• The amount of time for sleep and rest
• Sleep onset
• Sleep interruptions
• Dreams
• Sleep problems
• Use of sedatives
• Early awakening

Nursing Diagnoses for Sleep-Rest Pattern

• Insomnia
• Sleep deprivation
• Sleep pattern disturbance

Cognitive-Perceptual Pattern

• This pattern describes sensory-perceptual and cognitive patterns, including adaptation to hearing, vision, or other perceptual losses. It explores the process of finding meaning from environmental stimuli and compensatory efforts for deficits, including pain perception.

Systems Involved in Cognitive-Perceptual Pattern

• Nervous system

Data Collection for Cognitive-Perceptual Pattern

• Headaches
• Dizziness
• Vertigo
• Weakness
• Loss of sensation (numbness, paresthesia, dysthesia)
• Seizures
• Tremors
• Fainting
• Cranial nerves
• Mental Status Examination (MSE)
• Motor system
• Sensory system
• Deep tendon reflexes
• Pain (character, onset, location, duration, severity, pattern, associated factors)

Nursing Diagnoses for Cognitive-Perceptual Pattern

• Pain
• Confusion
• Altered thought process
• Impaired verbal communication
• Disturbed sensory perception
• Deficient knowledge
• Impaired memory

Self-Perception-Self-Concept Pattern

• This pattern describes an individual's perception and valuation of themselves, including the evaluation of strengths and weaknesses, and sense of self-worth.

Data Collection for Self-Perception-Self-Concept Pattern

• Attitudes towards self, including identity, body image, and sense of self-worth
• Self-description (how they describe themselves)
• Feelings about self (good or bad)
• Impact of body changes on self-perception
• Self-esteem
• Anxieties

Nursing Diagnoses for Self-Perception-Self-Concept Pattern

• Disturbed self-concept
• Anxiety
• Situational low self-esteem
• Disturbed body image
• Stress overload

Role-Relationship Pattern

• This pattern describes the roles and responsibilities of the individual, and patterns of relationships with family and others.

Data Collection for Role-Relationship Pattern

• Patterns of relationships, responsibilities, satisfaction with relationships and responsibilities
• Communication patterns
• Family dynamics
• Loss experiences
• Parenting roles
• Socialization
• Violence
• Responsibilities within the family
• Family structure
• Family problems
• Role within the family (e.g., breadwinner, homemaker) Neighborhood
• Marital status
• Occupation
• Income
• Interactions with other family members

Nursing Diagnoses for Role-Relationship Pattern

• Interrupted family process
• Caregiver role strain
• Readiness for enhanced parenting
• Ineffective role performance
• Impaired social interaction
• Ineffective relationship

Sexuality-Reproductive Pattern

• This pattern describes patterns of satisfaction or dissatisfaction with sexuality and sexual relationships, including sexual identity, reproductive expectations, behaviors, and outcomes.

Data Collection for Sexuality-Reproductive Pattern

• Last menstrual period (LMP)
• Menarche
• Past obstetric and gynecological history
• Family planning use
• Description of menses
• Number of sexual partners
• Sexual patterns
• Sexual satisfaction
• Sexual orientation
• Abortions
• HIV status

Nursing Diagnoses for Sexuality-Reproductive Pattern

• Sexual dysfunction
• Ineffective sexual patterns
• Risk for ineffective childbearing process
• Risk for disturbed maternal-fetal dyad
• Fear

Coping-Stress Tolerance Pattern

• This pattern describes how individuals cope with stress, including coping strategies used, effectiveness, support systems, and perceived ability to control and manage difficult situations.

Data Collection for Coping-Stress Tolerance Pattern

• Coping strategies used
• Effectiveness of coping strategies
• Support systems available
• Perceived ability to manage stress

Explore Gordon's Functional Health Patterns with a focus on the Health Perception-Health Management Pattern. This quiz covers concepts of health assessment, health-seeking behaviors, and overall wellness strategies. Understand the framework developed by Marjory Gordon and its application in nursing care.