SUPPLEMENTARY MATERIAL IN NCM110 RLE
Prepared by: ROY S. QUITO, MSN, RN
Clinical Instructor
GORDON’S FUNCTIONAL HEALTH PATTERNS
1. HEALTH PERCEPTION AND HEALTH
MANAGEMENT PATTERN 7. SELF-PERCEPTION AND SELF-CONCEPT
Perception of own health and well-being PATTERN
How does he keep self healthy? Description of personal characteristics?
Understand and aware of diagnosis and prognosis? How does he see self as a person?
Complies with treatment regimen? If not, reason for Feeling about appearance?
not complying Effects of illness and hospitalization to self-concept?
Plan for faster recovery
8. ROLE RELATIONSHIP PATTERN
2. NUTRITIONAL-METABOLIC PATTERN Roles and responsibilities in the family
Appetite in general? Usual eating pattern? Likes? Relationship with spouse/partner/significant others?
Dislikes? Dietary restrictions? Availability of support persons?
Effects of illness and hospitalization to appetite and Significant persons?
nutritional intake? Effects of illness and hospitalization to role
24-hour diet recall performance and relationship with significant persons?
Weight loss or gain?
Uses vitamins or supplements, slimming aids? 9. SEXUALITY-REPRODUCTIVE PATTERN
Sexually active?
3. ELIMINATION PATTERN With one or more than one partner?
Urination (frequency, urine characteristics, discomfort Positive and negative aspects of sexual
felt)
functioning?
Defecation (frequency, stool characteristics, discomfort
Difficulty with sexual desire? Arousal? Orgasm?
felt)
Effects of illness and hospitalization to urination and Pain with sexual intercourse?
defecation patterns? Problems affecting sexual relationship with
Use of laxatives and diuretics partner?
Illness altered sexual functioning?
4. ACTIVITY-EXERCISE PATTERN Other sexual concerns?
Ability to perform activities of daily living (ADL)? Gravida? Parity?
Type of exercise? Frequency? Use family planning? method? Reason?
Tires easily?
Occasion of dizziness, shortness of breath? Triggers?
10.COPING AND STRESS TOLERANCE
Perceived benefit of exercise
Use of energy-giving supplements PATTERN
General mobility since hospitalized? Usual stressors
Effects of illness and hospitalization to general mobility Coping strategies? Effective?
and self-care? Feelings about illness? Coping?
Stressed with illness and hospitalization? Coping?
5. SLEEP-REST PATTERN
Usual hours of sleep? Intermittent or continuous? 11.VALUE-BELIEF PATTERN
Sleeping problems? Describe.
Important religious practices
Use of coffee, tea, caffeinated beverages and alcohol?
Illness interferes with religious practices?
Amount per day?
Difficulty falling asleep? Wakes up during the night? Perceived help of faith?
How often? Ways that could support spirit?
Feels rested after sleep Effects of illness and hospitalization to faith and
Snoring, sleepwalking? Sleep apnea? belief?
Use of sleeping aids or medications?
Effects of illness and hospitalization to sleeping pattern
Functional Health Patterns prior to six
6. COGNITIVE-PERCEPTUAL PATTERN
months and during hospitalization are
Sensory deficits?
reflected in this assessment.
Memory lapses?
Pain perception (tolerance, threshold)
Ability to understand instructions Analysis and Interpretation for each functional
Learning patterns pattern are also included in your presentation
Use of pain medications
Effects of illness and hospitalization to memory and
perception?
-rsquito2023
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