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Gordon's Functional Health Pattern

SHK is a 21-year-old pregnant woman who has experienced two preterm deliveries and one miscarriage in the past. She reports no history of glucose problems during previous pregnancies. She presents with complaints of easy fatigability and ankle edema. On examination, the area around her nipples shows changes and she reports getting swollen and sore gums that may bleed during pregnancy. She reports normal sleep patterns of 7-9 hours per night but increased likelihood of sleep disturbances due to pregnancy. She manages nausea and vomiting from pregnancy by drinking lemon water and avoiding greasy, spicy and fatty foods.

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100% found this document useful (1 vote)
2K views3 pages

Gordon's Functional Health Pattern

SHK is a 21-year-old pregnant woman who has experienced two preterm deliveries and one miscarriage in the past. She reports no history of glucose problems during previous pregnancies. She presents with complaints of easy fatigability and ankle edema. On examination, the area around her nipples shows changes and she reports getting swollen and sore gums that may bleed during pregnancy. She reports normal sleep patterns of 7-9 hours per night but increased likelihood of sleep disturbances due to pregnancy. She manages nausea and vomiting from pregnancy by drinking lemon water and avoiding greasy, spicy and fatty foods.

Uploaded by

Dianne
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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GORDON’S FUNCTIONAL PATTERN

1. GENERAL DESCRIPTION OF CLIENT.


SHK is a 21-year-old pregnant woman. Her past obstetric history
included two preterm spontaneous deliveries and her full-term deliveries via
cesarean section and one miscarriage. She was never told of any glucose
problems during pregnancies. Her last menstrual period was last March 27,
2021. Her weight was complained of easy fatigability and ankle edema.
2. HEALTH-PERCEPTION-HEALTH-MANAGEMENT PATTERN
- How has general health been?
- Any colds in the past year? If appropriate, absences from work/school?
- Most important things done to keep healthy? Did these things make a
difference to health (include family folk remedies, if appropriate)? Breast self-
examination? Use cigarettes? Drugs? Ever had a drinking problem? When was
your last drink?
- Accidents (home, work, driving)? Falls? The patients have no accident
history
- In the past, easy to find ways to follow suggestions of doctors or nurses?
- If appropriate, what do you think caused this illness? Action taken when
symptoms are perceived? Results of action?
- If appropriate, what is important to you while you are here? How can we be
most helpful?
3. NUTRITIONAL-METABOLIC PATTERN
- Typical daily food intake? Describe. Supplements?
- Typical daily fluid intake? Describe.
- Weight loss/gain? Amount? Height loss/gain? Amount?
- Appetite?
- Food or eating discomfort? Swallowing? Diet restrictions? If appropriate,
breastfeeding? Problems with breastfeeding?
- Heal well or poorly?
Skin problems, such as lesions, dryness? Pig mentation changes. The area around
her nipples changes.
- Dental problems? The patients get swollen and sore gums, which may
bleed, during pregnancy
4. ELIMINATION PATTERN
- Bowel elimination pattern? Describe. Frequency? Character? Discomfort? Problem in
control? Laxatives? The patients have mild twinges or cramping in the uterus. The
patients also feel aching in her vagina, lower abdomen, pelvic region, or back. It
feels like menstrual period cramps.
- Urinary elimination pattern? Describe. Frequency? Discomfort? Problem in control Excess
perspiration? Odor problems?
5. ACTIVITY-EXERCISE PATTERN
- Sufficient energy for desired/required activities?
- Exercise pattern? Type? Regularity?
- Spare time (leisure) activities? Child’s play activities?
- Perceived ability for the following (code level according to Functional Levels Code
below)

Feeling Grooming

Bathing General Mobility

Toileting Cooking

Bed mobility Home maintenance

Dressing Shopping

6. SLEEP-REST PATTERN
- Generally rested and ready for daily activities after sleep?
- Sleep-onset problems? Aids? Dreams (nightmares)? Early awakening?
Between 7 and 9 hours of sleep each day
- Rest/relaxation periods?
Physical, psychological and hormonal changes make pregnant women more
likely to suffer from sleep disturbances. The most common sleep-related
disorders during pregnancy include insomnia, restless legs syndrome,
obstructive sleep apnea and night-time gastroesophageal reflux disease.

7. COGNITIVE-PERCEPTUAL PATTERN
- Hearing difficulty? Aid? Certain hormonal and circulatory system
changes during pregnancy can make hearing loss and tinnitus more
common for expectant mothers.
- Vision? Wear glasses? Last checked? The patients vision was normal
- Any change in memory lately? None
- Easy/difficult to make decisions?
- Easiest way for you to learn things? Any difficulty learning?
- Any discomfort? Pain? How do you manage it? The patients feel Nausea and
vomiting. The patients drink Lemon consumption it can help relieve
nausea and vomiting during pregnancy. To manage nausea the patient,
avoid greasy, spicy and fatty foods.
8. SELF-PERCEPTION-SELF CONCEPT PATTERN
- How would you describe yourself? Most of the time, do you feel good (not so
good) about yourself?
- Changes in your body or the things you can do? Are these problematic for
you?
- Changes in the way you feel about yourself or your body (since illness
started)?
- Find things that frequently make you angry? Annoyed? Fearful? Anxious?
Depressed? What helps?
- Ever feel you lose hope? Not able to control things in life? What helps?

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