Gordons Functional Health Patterns PDF

GORDON’S FUNCTIONAL HEALTH PATTERNS Introduction Gordon’s Functional Health Patterns (GFHP) is a framework used in nursing for assessing an individual's health and identifying areas of care Developed by Marjory Gordon, this model includes 11 categories that cover a person's overall hea...

GORDON’S FUNCTIONAL HEALTH PATTERNS Introduction Gordon’s Functional Health Patterns (GFHP) is a framework used in nursing for assessing an individual's health and identifying areas of care Developed by Marjory Gordon, this model includes 11 categories that cover a person's overall health and well-being  Introduction These patterns provide a comprehensive approach to gathering data on an individual’s lifestyle, habits, and functioning Health perception, health management pattern  Health perception, health management pattern Describes client perceptions of personal health and health care behaviors, prevention, and compliance with prescriptions for management of health and illness problems  Health perception, health management pattern Health management includes the actions taken to deal with these experiences Health management is based on health perceptions and reflects the judgments of individuals and families, the ways they solve problems, and the decisions or choices they make  Collect data on: General well being of the patient Health seeking behaviors Use of OTC drugs Health Waste disposal perception, Source of water health History of allergies, blood transfusion management Routine medical examination like cancer screening pattern Health financing Social history like smoking Past medical and surgical history, family history  Health perception, health management pattern ❑ND: Ineffective health maintenance Readiness for enhanced self health management Risk prone health behavior Ineffective therapeutic regimen management Nutrition metabolic pattern  Nutrition metabolic pattern Describes patterns of food and fluid intake Includes choice of foods and food supplements, eating habits, and schedules  Systems involved: Integumentary and endocrine system, oral pharyngeal area Collect data on: Weight, height and temperature Food and fluid patterns of the individual and Nutrition family How many meals per day metabolic Use of supplements and appetite stimulants pattern Nausea, vomiting, heart burn Diet preferences, avertions and restrictions Appetite Skin and dental problems Gag and swallowing reflex  Nutrition metabolic pattern ❑ND Impaired nutrition: less/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  Elimination pattern Describes patterns of bowel and bladder excretion Includes schedule and habit patterns and use of laxatives or other methods to facilitate excretory functions  Elimination pattern Systems involved: urinary system, abdominal organs, skin  Collect data on: Frequency of urination, dysuria, anuria, polyuria, pain on defecation, constipation Elimination Use of laxatives pattern Incontinence, urinary retention Color and odor of urine and faeces Presence of hemorrhoids Perspiration Elimination pattern ❑ND: Constipation Diarrhea Urinary retention Urinary incontinence (reflex, stress, overflow, functional, urge) Impaired urinary elimination Dysfunctional gastrointestinal motility Bowel incontinence Activity exercise pattern  Activity exercise pattern Describes patterns of activity and exercise, including: Type of activity Schedule of participation Vigor Effect on leisure Physical state Meaning of activity to the client  Systems involved: CVS, RS, musculoskeletal system Collect data on: Activity Chest pain, palpitations, dyspnea, syncope, orthopnea, peripheral exercise edema Cough, sputum, wheeze, pattern haemoptysis, chest pain Does the patient exercise Ability to engage in activities of daily living Joint pain, muscle pain  Activity exercise pattern ❑ND: Ineffective airway clearance Activity intolerance Impaired walking Ineffective breathing patterns Self care deficit Increased cardiac output Ineffective tissue perfusion Disuse syndrome Ineffective gaseous exchange Fatigue Sleep and rest pattern  Sleep and rest pattern Describes patterns of sleep and rest, including schedule, habits, aids to sleep, and perceived feelings of renewal, fatigue, or exhaustion  Sleep and rest pattern How much Sleep onset Inquire on: time for sleep Dreams problems and rest Sleep Use of Early interruptions sedatives awakening  Sleep and rest pattern ❑ND: Insomnia Sleep deprivation Sleep pattern disturbance Cognitive perceptual pattern  Describes sensory-perceptual and cognitive patterns, including adaptations to hearing, vision, or other perceptual losses Cognitive Includes the process of finding meaning from environmental stimuli perceptual and the effectiveness of efforts to compensate for deficits pattern Pain perception is a component  Cognitive perceptual pattern System involved: Nervous system Inquire about: Headaches, dizziness, vertigo, weakness, loss of sensation (numbness, paresthesia, dysthesia), seizures, tremors, fainting  Cognitive perceptual pattern Collect data on: Cranial nerves MSE Motor system Sensory system Deep tendon reflexes Pain (character, onset, location, duration, severity, pattern, associated factors)  ND: Pain Confusion Cognitive Altered thought process perceptual Impaired verbal communication pattern Disturbed sensory perception Deficient knowledge Impaired memory Self perception self concept pattern  Self perception self concept pattern Describes patterns of perception and valuing of the self, in addition to evaluation of strengths and weaknesses and sense of self-worth  Assessment is focused on the person's attitudes toward self, including identity, body image, and sense of self-worth: Self How do they describe themselves perception Feel good or bad self How are body changes affecting them concept How is their self esteem pattern Are they anxious about anything  Self perception self concept pattern ❑ND: Disturbed self concept Anxiety Situational low self esteem Disturbed body image Stress overload Role relationship pattern  Role relationship pattern Describes pattern of roles and responsibilities of the client and patterns of relationships with family and others  Role relationship pattern Patterns of relationships, role responsibilities, satisfaction with relationships and responsibilities Inquire about – Communication, family, loss, parenting, socialization, violence, responsibilities Family structure, any family problems Their role in the family (bread winner, housewife) Neighborhood Marital status Occupation Appropriate income Interaction with other family members  Role relationship pattern ❑ND Interrupted family process Care giver role strain Readiness for enhanced parenting Ineffective role performance Impaired social interaction Ineffective relationship Sexuality reproductive pattern  Describes patterns of satisfaction or dissatisfaction with sexuality and sexual relationships Sexuality reproductive Involves perception and pattern development of sexual identity, in addition to reproductive expectations, behaviors, and outcomes  Sexuality reproductive pattern LMP, menarche, past obstetrics and Description of the How many sexual FP use gynecology menses partners history Sexual patterns, Sexual orientation Abortions HIV status satisfaction  ND: Sexual dysfunction Sexuality Ineffective sexual patterns reproductive Risk for ineffective childbearing process pattern Risk for disturbed maternal-fetal dyad Fear Coping stress tolerance pattern  Coping stress tolerance pattern Describes patterns of coping with the range of stresses experienced Includes strategies used, effectiveness, support systems, and perceived ability to control and manage difficult situations  Coping stress tolerance pattern Assess the client's perception of stress and her coping strategies Support systems are evaluated, and symptoms of stress noted The effectiveness of a person's coping strategies in terms of stress tolerance may be further evaluated Ability to manage stress, knowledge of stress tolerance, sources of support, number of stressful life events in the recent past  ❑ND: Post trauma syndrome Coping Ineffective coping stress Care giver role strain tolerance Risk for suicide Compromised coping pattern Death anxiety Value belief pattern  Describes patterns of values and beliefs that influence daily living activities, guide decision-making, Value and provide meaning to life belief pattern Involves religious and spiritual activities and personal values and beliefs  Value belief pattern Assessment is focused on the person's values and beliefs (including spiritual beliefs), or on the goals that guide his or her choices or decisions Values, goals, beliefs, spiritual practices, perceived conflicts in values What are their plans? Do they have hope in life?  Value belief pattern ❑ND: Spiritual distress Readiness for enhanced spiritual well being Hopelessness Readiness for enhanced hope