Gordon'S Functional Health Pattern

GORDON’S FUNCTIONAL HEALTH PATTERN
A. PATTERN OF HEALTH PERCEPTION AND HEALTH MANAGEMENT
STATEMENT OF THE PRIOR TO ADMISSION DURING HOSPITALIZATION SIGNIFICANCE PROBLEM IDENTIFIED

PROBLEM
1. How do you describe
your current health?
2. What do you do to
improve or maintain
your health?
ADL / INDEPENDENT/
DEPENDENT (level):
Preferred time for
personal care / bath:
Assistance required /
provided by:
3. How do you link

lifestyle choices and
health?
4. How big is the

problem in financing
health care for you?
5. Can you name

current medications
you are taking and
their purpose?
6. Do you have
allergies, what do
you do to prevent
these problems?
7. What do you know
about medical
problems in your
family?
8. Has there been any

important illness or
injuries in your life?
B. NUTRITIONAL METABOLIC PATTERN

PROBLEM
1. What is your usual
diet (type)?
2. Are there any cultural

/ religious
restrictions?
3. Can you recall and

state your meal
composition and
feeding pattern?
Carbohydrates/
proteins/ fats/ water/
vitamins and mineral
Food supplements:
4. How’s your appetite?

Are there any
changes you
observed?
5. Do you experience
nausea/ vomiting/
heartburn/indigestion
? How do you
manage it, is it
relieved or not?
6. Can you recall and

state the highest and
lowest weight you
have?
7. Last meal / intake
C. PATTERN OF ELIMINATION

PROBLEM
1. Usual voiding
pattern? Frequency?
Characteristics: color
/ odor?
any discomforts;
pain, burning and
difficulty in voiding?
How do you manage
it?
3. Usual bowel pattern?

Frequency?
Characteristics:
color/ consistency/
odor?
4. Do you experience any
discomforts; diarrhea,
constipation, bleeding
and hemorrhoids? How
do you manage it?
Laxative used?
5. Do you perspire
heavily, in what
occasion/ condition?
6. Do you have any

disease of the
digestive system,
urinary system or
skin?
D. PATTERN OF ACTIVITY AND EXERCISE

PROBLEM
your weekly pattern
of activity and
leisure, exercise and
recreation?
2. Do you have any

disease that affects
cardio-respiratory
system or
musculoskeletal
system?
fatigues / weakness,
pain after the
activity?
E. COGNITIVE – PERCEPTUAL PATTERN

PROBLEM
1. Do you have sensory
deficits (sight, smell,
auditory, taste and
vision)? Are they
corrected?
2. Can this person
express her/ himself
clearly and logically?
3. Does the person

have any disease
that affects mental
sensory functions?
4. If this person has
pain, describe it and
it’s causes:
F. PATTERN OF SLEEP AND REST

PROBLEM
1. Describe your
sleeping pattern?
Hours/ naps/ aids/
insomnia related to:
2. Do you feel tired

upon waking up?
any problem falling
asleep? What do you
think caused it?
4. Do you feel rested

and relaxed?
G. PATTERN OF SELF PERCEPTION AND SELF – CONCEPT

PROBLEM
1. Do you think that
there is anything
unusual about your
appearance and self?
2. Are you comfortable

with your
appearance?
3. Describe how you

feel right now?
4. What are your traits

that you’re proud of?
5. What are the traits

that you think that
needs changes and
improvements?
6. Are you open for

changes? In what
condition and how?
H. ROLE – RELATIONSHIP PATTERN

PROBLEM
various roles in life
(family, friends,
community) ?
(Has, or does this
person now have
positive role models
for these roles?)
2. Which relationships
are most important
to you at present?
3. Are you currently

going through any
big changes in role
or relationships?
What are they?
I. SEXUALITY – REPRODUCTIVE PATTERN

PROBLEM
1. Are you in a
relationship? How
many child you wish.
Have? Can you say
that you are sexually
active? Do you use
protection?
2. Do you use birth

control method? Do
you have sexual
concern/difficulties?
Recent change in
frequency / interest?
3. (Female) age of
menarche, cycle,
duration, no. of pads,
LMP, pregnant now,
menopause, vaginal
pap test,
mammogram,
practicing self breast
examination/.
J. PATTERN OF COPING AND STRESS TOLERANCE

PROBLEM
1. Have you
experienced any
discomforts in life?
What condition
brought it?
2. How do you usually

cope with problems?
3. Do these actions
help or make things
worse?
4. To whom would you

go if you have
problems?
5. Have you undergone
treatment for
emotional distress?
K. PATTERN OF VALUES AND BELIEFS

PROBLEM
1. What principle in life
did you learn as a
child? Do you think
that it is still
important? In what
condition/s?
2. Do you belong in any
cultural, ethnic,
religious, regional, or
other groups?
3. Does this give any
influence on your
health behaviors?
4. What support
systems do you have
currently?

Gordon'S Functional Health Pattern

Uploaded by

Copyright:

Available Formats

Gordon'S Functional Health Pattern

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Gordon'S Functional Health Pattern

Uploaded by

Copyright:

Available Formats

GORDON’S FUNCTIONAL HEALTH PATTERN

A. PATTERN OF HEALTH PERCEPTION AND HEALTH MANAGEMENT

STATEMENT OF THE PRIOR TO ADMISSION DURING HOSPITALIZATION SIGNIFICANCE PROBLEM IDENTIFIED

3. How do you link

4. How big is the

5. Can you name

8. Has there been any

B. NUTRITIONAL METABOLIC PATTERN

STATEMENT OF THE PRIOR TO ADMISSION DURING HOSPITALIZATION SIGNIFICANCE PROBLEM IDENTIFIED

2. Are there any cultural

3. Can you recall and

4. How’s your appetite?

6. Can you recall and

7. Last meal / intake

STATEMENT OF THE PRIOR TO ADMISSION DURING HOSPITALIZATION SIGNIFICANCE PROBLEM IDENTIFIED

3. Usual bowel pattern?

6. Do you have any

D. PATTERN OF ACTIVITY AND EXERCISE

STATEMENT OF THE PRIOR TO ADMISSION DURING HOSPITALIZATION SIGNIFICANCE PROBLEM IDENTIFIED

2. Do you have any

E. COGNITIVE – PERCEPTUAL PATTERN

STATEMENT OF THE PRIOR TO ADMISSION DURING HOSPITALIZATION SIGNIFICANCE PROBLEM IDENTIFIED

3. Does the person

F. PATTERN OF SLEEP AND REST

STATEMENT OF THE PRIOR TO ADMISSION DURING HOSPITALIZATION SIGNIFICANCE PROBLEM IDENTIFIED

2. Do you feel tired

4. Do you feel rested

G. PATTERN OF SELF PERCEPTION AND SELF – CONCEPT

STATEMENT OF THE PRIOR TO ADMISSION DURING HOSPITALIZATION SIGNIFICANCE PROBLEM IDENTIFIED

2. Are you comfortable

3. Describe how you

4. What are your traits

5. What are the traits

6. Are you open for

H. ROLE – RELATIONSHIP PATTERN

STATEMENT OF THE PRIOR TO ADMISSION DURING HOSPITALIZATION SIGNIFICANCE PROBLEM IDENTIFIED

3. Are you currently

I. SEXUALITY – REPRODUCTIVE PATTERN

STATEMENT OF THE PRIOR TO ADMISSION DURING HOSPITALIZATION SIGNIFICANCE PROBLEM IDENTIFIED

2. Do you use birth

J. PATTERN OF COPING AND STRESS TOLERANCE

STATEMENT OF THE PRIOR TO ADMISSION DURING HOSPITALIZATION SIGNIFICANCE PROBLEM IDENTIFIED

2. How do you usually

4. To whom would you

K. PATTERN OF VALUES AND BELIEFS

STATEMENT OF THE PRIOR TO ADMISSION DURING HOSPITALIZATION SIGNIFICANCE PROBLEM IDENTIFIED

You might also like