Module 02: Gordon's Functional Health Patterns (Part 01) Flashcards
What are the eleven (11) functional health patterns?
(1) Health Perception- Health Management Pattern
(2) Nutritional-Metabolic Pattern
(3) Elimination Pattern
(4) Activity Exercise Pattern
(5) Sleep-Rest Pattern
(6) Cognitive-Perceptual Pattern
(7) Self Perception-Self Concept Pattern
(8) Role Relationship Pattern
(9) Sexuality-Reproductive Pattern
(10) Coping-Stress Tolerance Pattern
(11) Value-Belief Pattern
What are the three (3) ways in which data are used in professional judgement in the nursing process?
(1) Diagnostic Judgement
(2) Therapeutic Judgement
(3) Ethical Judgement
This professional judgement in the nursing process is the identification of an actual or potential health problem.
Diagnostic Judgement (judge and define what the actual problem is being experienced by the client)
This professional judgement in the nursing process refers to the decisions about intervention, outcome projection and evaluation.
Therapeutic Judgement (varies depending on the nursing diagnosis, perceive the overall health status of the patient so that it becomes congruent to their actual needs)
This professional judgement in the nursing process refers to the identification of an actual or potential moral problem.
Ethical Judgment
These are guides which information to collect, in what sequence, and how extensive the assessment should be.
Functional Health Patterns
What do functional health patterns provide?
(1) Items to assess
(2) Structure for organizing assessment data
(3) Purpose and direction to health status evaluation and diagnosis
What are the characteristics of Gordon’s functional health patterns?
(1) Can be used in all nursing specialties, levels of care, age groups and setting
(2) Represent a holistic framework of person-environmental (support system, metaphysical dimensions) interaction
(3) Influenced by age, culture, gender and pathophysiology or mental alterations
What should the nurse do when assessing health patterns?
(1) The nurse should be clear as to what are good clinical data
(2) Remember that the nurse are the sensitive, measuring instrument
(3) Consider the environment to ensure privacy and facilitate information sharing
What is the nurse’s role in health patterns?
(1) Know what cues to pay attention to during assessment
(2) Combines analytic, logical reasoning and intuition to interpret assessment data
(3) Verifies assumptions and intuitive knowing
(4) Uses communication and technical skills to ensure accurate assessments and diagnoses
(6) Demonstrate an empathetic, compassionate manner and establishes therapeutic relationship
(7) Avoid sharing own similar feelings
What should the nurse do to prepare the patient’s environment?
(1) Ensure the physical environment is: 1) adequately lit and comfortable temperature, 2) free of distractions 3)
proper positioning to maximize hearing and sight
(2) Ensure interpersonal environment is: 1) the procedure is explained well 2) establish comfortable rapport 3) unhurried pace of assessment
When should the nurse avoid conducting assessment?
(1) Immediately before or after patient meals
(2) Immediately before or after patient has had medical, diagnostic or therapeutic procedures
(3) When the patient is experiencing pain or discomfort
(4) Immediately after a patient awakens from sleep (at least 30 mins after)
Time so that the patient will give you a good or optimal answer.
This health pattern describes perceived pattern of health and well-being and how health is managed.
Health Perception - Health Management Pattern
This health pattern verifies patient understanding of his or her condition so that misperceptions of illness, treatment, and health-risk management can be clarified.
Health Perception - Health Management Pattern
What does Health Perception - Health Management Pattern identify?
It identifies the client’s nonadherence to therapeutic regimen and the reasons why.
Who are at risk under Health Perception - Health Management Pattern?
(1) Denial of Illness
(2) Perceived low vulnerability
(3) Cognitive impairment
(4) Language barrier
(5) Visual or hearing deficit
(6) Complex therapeutic regimen
(7) Elderly, particularly with sensory deficits
(8) Lack of knowledge of health policies and resources
(9) Nontherapeutic relationship with care provider
What are the families at risk under Health Perception - Health Management Pattern?
(1) History of a pattern of absences from school or work
(2) Low income
(3) No health insurance
(4) High Housing costs or crowding
What should nurses consider under Health Perception - Health Management Pattern?
Consider cultural and religious values and beliefs that influence
health perception and management
What should nurses do under Health Perception - Health Management Pattern?
(1) Always use assessment data rather than cultural stereotypes in judgments.
(2) Use open-ended questions to allow the patient to voice his or her concerns
(3) In a nonjudgmental manner, review compliance with medication prescriptions: “Let’s go over the pills you take. Tell me when you take each one and the dose.”
(4) Use judgment in choosing the time for in-depth assessment of the health management pattern. Determine when the person is ready to think about health promotion. This may or may not be at the admission interview.
(5) Allow the patient to describe his or her illness and treatment. It is the patient’s perception that is needed (Not your own perception of the disease). Then misperceptions can be corrected
Why is it important to use open-ended questions?
Open-ended questions may elicit problems that will be assessed in another pattern. If this occurs, say the concern is important and that you will come back to it. Exceptions to this are emotionally charged concerns that should be talked about when expressed.
This health pattern describes the pattern of food and fluid consumption relative to metabolic need. Also included are pattern indicators of local nutrient supply.
Nutritional Metabolic Pattern
What do deficiencies in the Nutritional Metabolic Pattern imply?
Deficiencies in this pattern can explain problems in other areas, such as constipation, skin breakdown, and fatigue.
Under Nutritional Metabolic Pattern, this is important because metabolism occurs in a fluid medium.
Fluid Intake
What does the Nutritional Metabolic Pattern identify?
(1) Identification of patients at risk for pressure ulcers and detection of any break in the skin are important in preventing infection.
(2) Safe food handling and preparation in the home are important to prevent infections.
(metabolic, fluid, GI, and integument are under the metabolic pattern)