Gordon’s Functional Health Patterns – Flashcards

- Holism and the totality of the person's interactions with the environment form the philosophical foundations of Gordon's functional health patterns. - "View the individual as a whole being using interrelated behavioral areas". - "Nurses can perceive and record complex interactions of the individuals biophysical state, psychological make up and their relationship to the environment. - Data is collected and organized into the Functional Health Patterns (FHPs). Assessment information is displayed as a concept map.

- The 11 patterns serve as an assessment tool to collect and organize data. - Historically is the most accepted framework for assessment in all areas of nursing. - Identify areas of strength, limitation, alteration, and response to therapies. - Provides the foundation for nursing diagnoses, actual and potential - Provides for more effective nursing interventions and outcomes that promote health and well-being

- provide consistent nursing focus through means of collecting, organizing, presenting, and analyzing data to arrive at a nursing diagnosis - format is flexible & tailored to the individual, situation, and nurse - information collected is suitable to any area of practice, such as home or clinic, child or adult, family or community

pattern focus individual-environmental focus age-developmental focus functional focus cultural focus

patterns or sequences of behavior over time. Example: blood pressure, activity, exercise

Role relationship, family values, and societal mores. Example: parents control nutritional intake of children

Growth and development; developmental tasks

Individuals performance levels. Example: Surgeon's focus is pt.'s ability to void after bladder surgery Nurses also look at the ability to perform activities such as shopping or socializing, climbing stairs to bathroom, can pt. manage care independently

Culturally competent care is delivered with knowledge of and sensitivity to cultural factors influencing health behavior

the systematic approach to reduce or eliminate the individuals health problem

assessment diagnosis planning implementation evaluation

First step in the nursing process Individualized Description of client's health status Organization of interdependent parts describing Health, function, or patterns of behavior that reflect the whole individual and environment

data collection: interview, observation, examination Subjective: what client says objective: nurse observes

Perceived health and well-being and how health is managed Health and safety practices Use of health care system Previous adherence/compliance pattern Knowledge of health services Health care seeking patterns Access to health care What are their beliefs about health

Food/Fluid consumption patterns Satisfaction Nutrient intake Metabolic needs Preferences Problems

Function of Bowel/Bladder/Skin Regularity/Control Perceived problems Changes

Sleep adequacy (quality/quantity) Rest Relaxation Energy levels Perceived problems/changes

Personal identity Self-image Sense of worth Relationship patterns Developmental level Changes

Health belief model Spiritual beliefs, Religious practices Personal values Perception of right/wrong Value conflicts? Environmental influences

Perception/level of stress Ability to manage stress Sources of support Defense/coping mechanisms Alterations to coping pattern

Sexual self-concept Sexual functioning Intimacy patterns Reproductive issues Satisfaction Cultural influences

The individuals perception/satisfaction with: Social circumstances- family, friends, work Role responsibilities Loss Change Threat

Ability to follow/understand directions Retain information Decision making Problem solving Language The 5 senses (taste, smell, see, touch, hear) Pain

Exercise Daily/Leisure activity-recreation Movement capability Activity tolerance Self-care abilities Use of assistive devices Satisfaction level Perceived problems Changes Vital signs