Nursing Functional Health Pattern Essay

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Nursing Functional Health Pattern Essay

Patient states he lives at home with his wife. Patient also states he tries to stay active and to do what the doctors tells him. Objective: Patient is up to date on immunizations. He is compliant with the healthcare team. Call bell is within reach and ID bracelet is on his right wrist. | None| | Nutrition/Metabolic| ? YES? NO| Subjective: Patient states “My wife and I still go shopping”. He also states his wife does most of the cooking. Patient denies any weight loss. Patient states he wears dentures. Objective: Height 5ft 8in, weight 165. Mucus membranes are wet, pink, and intact. Patient’s diet is house regular. Nursing Functional Health Pattern Essay.

Patient’s appetite is good, eats well. Temperature (oral) 98. 4, skin is warm, dry, and intact. WBC 14. 4, HGB 11. 3, HCT 33. 7| Risk for fluid volume deficit related to losses secondary to diarrhea as evidenced by loose stools. | 1| Elimination | ? YES? NO| Subjective: Patient states he has a bowel movement once a day. Patient states “I started to have terrible diarrhea and I spotted some blood in the toilet”. Patient states he has no problems urinating. Objective: Patient is out of bed, in chair, Bowel sounds are hyperactive in all four quadrants. Abdomen is soft and mildly tender. Patient had three large loose bowel movements today. Diarrhea related to inflammation secondary to acute colitis. | 2| Activity/Exercise| ? YES? NO| Subjective: Patient states “I still try to do things around the house; I just have to take small breaks to rest”. Patient states he generally feels well rested and energetic enough to complete daily activities. Objective: Respirations 16 equal and unlabored, blood pressure 150/90, pulse 74, lung sounds clear. Patient observed getting up and around without signs of shortness of breath, Patient dressing himself independently without difficulty. Full range of motion observed. | None| | Sleep/Rest| ? YES?

NO| Subjective: Patient states “I usually get at least six hours of sleep at night”. Objective: Patient observed awake, alert and active. Patient refuses to lay in bed during the day. | None| | Cognitive/Perceptual| ? YES? NO| Subjective: Patient states “my hearing is starting to go and my eyesight is fading, and I can’t taste things the way I used to”. Patient states “I have a hearing aid and I wear glasses”. Objective: Patient is alert and oriented X 3 (person, place and time). Speech is clear and appropriate. Nursing Functional Health Pattern Essay. Hearing aid and glasses are visible on patient. Pupils are equal, round and reactive to light. Disturbed sensory perception related to misinterpretations secondary to sensory organ alterations as evidenced by use of hearing aid and glasses. | 3| Self Perception/Self Concept| ? YES? NO| Subjective: Patient states “ I live a good life”, “Health issues sometimes scare me but I always pull through”. Objective: Patient appears calm, pleasant, and cooperative. No visible anxiety. Appears to have a strong self-concept. | None| | Coping/Stress| ? YES? NO| Subjective: Patient states “I usually feel relaxed, and when I have a problem I work through it”. Objective: Patient does not appear in any distress. Patient is calm and collected.

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Gordon’s functional health pattern was proposed and developed by Marjory Gordon. It is the method used by nurse to provide a comprehensive assessment on the client. Gordon’s functional health pattern is divided into 11 categories. These categories are a systematic and standardized approach to data collection. Each of the categories enables the nurse to determine the different factors of health and human function. These categories are health perception and health management, nutrition and metabolism, urine and waste elimination, activity and exercise, cognition and perception, sleep and rest, self-perception and self-concept, roles and relationships, sexuality and reproduction, coping and stress tolerance, and values and belief (Functional.
The second is category is nutritional and metabolic. This refers to the client’s usual pattern of food and fluid intake, diet, oral cavity health, and weight loss or gain. The data collected is focused on the pattern of food and fluid consumption. This includes the types of food eaten, the amount, and the frequency. The adequacies or inadequacies of the nutrient supplies are also evaluated. This may help to determine the actual or potential problems related to fluid balance, tissue integrity, malnutrition, or other gastrointestinal problems. The risks in this category include blood sugar problems, impaired fluid levels, impaired organ functions and aspiration (Koshar, N.D.). A sub category for this pattern is risk for unstable glucose. The nurse would ask the client “How often do you check your blood glucose?” A nursing intervention for the category is for the client to monitor their blood sugar before and after meals. A second intervention would be for the client to lose twenty pounds within the next 3 months (Gordon, 2007). The third category is urine and waste elimination. This refers to the client’s bowel and bladder elimination. The data collected is focused on elimination patterns, control problems, the use of assistive devices and the use of medications. Data is also collected on the consistency, color, smell, and characteristics of the urine or waste. Problems such as incontinence, constipation, diarrhea, and urinary

Gordon’s Functional Health Pattern In 1987 Marjorie Gordon proposed a functional health pattern as a guide to establish a comprehensive nursing data base. A comprehensive family assessment provides a foundation to promote family health (Edelman and Mandel, 2001).There is 11 categories that provide a systematic and standardized approach to determine the aspects of health and human function. Nursing Functional Health Pattern Essay. By interviewing the entire family it becomes possible to determine the functional and dysfunctional (or risky) behaviors for the individual and well as the family as a whole. I began my interview by first creating and then asking two open-ended questions from each of the eleven functional health patterns. This tool was utilized in helping me to develop…show more content…
The mother and father take home prepared food to work. They also enjoy a night out alone twice a month and eat off the healthy menu. They all drink plenty of water. When it comes to sleep patterns they are all very different. The father sleeps like a “rock”. The mother is a light sleeper and wakes up frequently though out the night. She worries periodically about her children, finances and ill parents. The son sleeps well and takes regular one hour naps after work. The daughter seldom gets more than six hours of sleep due to her after work social life. The entire family denies and bowel or urinary issues. The have regular and daily bowel movements and understand the importance of a high fiber diet and water intake to promote intestinal health. They do not have any issues with hematuria, pain or difficult urination. It was obvious when asking the family about the importance of exercise how crucial it was to their daily routine. The daughter however has become less involved again due to her social activities. They all belong to a gym and the mother and father have been regular competitors in various events over the course of their marriage. The mother, father and son spend at least one hour every day exercising by doing a variety of cardio classes, yoga, weight training and outdoor sports. They are very active at work, in their community and with church activities. In the cognitive and

Overall Introduction:

I am presenting here my overall health assessment by using the Gordon’s functional health patterns. Then, my stress is presented as focused assessment. This part of assessment assist me in knowing the level of stress while the internet source help me in gaining more knowledge about causes , effects of stress in normal health status and the methods to reduce the stress or its management. Finally essay on the health promotion is presented at the last.

Part 1: Self Health Assessment and plan

Functional Health Pattern (Gordon)

Biographical Data

Name: Lalita Bhandari

Address: 3/5 Danica Ct., Kearneys Spring

Date of Birth: 13^th Feb. 1992

Place: Nepal

Age: 22 years

Gender: Female

Occupation: Student

Marital status: Single

Qualification: Bachelor in nursing (ongoing)

Contact number: 0404473722

Height: 162 cm.

Weight: 60 kg.

Health perception and management pattern:

Past health history: No history of any chronic illness
Present condition: Stress due to study workload and homesickness

-Immunized all the vaccines which include tuberculosis, all three doses of Diphtheria, Pertusis and Tetanus, polio, measles, BCG, hepatitis and Rubella. Nursing Functional Health Pattern Essay.

-No habit of alcohol consumption, smoking and chewing of tobacco and no use of other injectable drugs.

Nutritional-metabolic pattern:

Good appetite
Food intake: 2-3 times a day and many snacks
No any food allergies
Fluid intake: 3-4 liters of water per day
Have no difficulties with eating and swallowing

Vitals (at the time of doing assignment)

Temperature: 36.8 deg. centigrade
Pulse: 74/min.
Respiration: 78/min
Blood Pressure: 110/60 mm of Hg.
Height: 162 cm.
Weight: 60 kg.

But sometimes get disturbed with stress.

Elimination pattern

Bowel: regular bowel at least once daily
Bladder: normal frequency of menstruation and no problem associated with bladder or urination

Activity-Exercise pattern

No planned routine for regular exercise regime
Depends upon mood and only on leisure time but rare

Sleep and rest pattern

Normally no problem of insomnia
Have 5-6 hours of sleeping pattern
Never use of any sleeping aids and sedatives to rest

But sometimes, when I get stress, I suffer from insomnia

Cognitive-Perceptual patterns

Good sensory and auditory adequacy
No difficulties in learning
Good memory
Oriented

Self-Perception and self concept patterns

I am kind, helpful and soft-hearted
Show positive attitudes towards others
Respect others feelings

But sometimes I feel losing hope when nobody cares.

Roles and relationship pattern

Family life: Recently I live with my friends as a family. I have responsibility towards my parents as a daughter and sister. I can cope with the difficulties that arise among family members and have good bond among all family members.
Student life: Being a student, I have responsibility towards my studies. As with the case with most of international students I need to cope with various level of difficulties like stress, anxiety and workload. Nursing Functional Health Pattern Essay.

Coping-Stress tolerance pattern

New environment, new face, new rules, new study patterns make me stress. always listen to songs, watch pictures/photos of my cell and also talk to my close friend and family. If the stress is too severe and cannot be controlled, I cry silently and let the stress burst out with tears and feel like relaxed then after.

Values-Beliefs pattern

Cultural and religious beliefs
Goal set to be a qualified and dedicated Registered Nurse
Punctual, obedient and hardworking
Never give up and learn from every mistake and move forward

Part B: Focused Assessment

While performing self health assessment, I found some problems in my behavior, which is mainly caused by stress due to new environment, new place, new rules and regulation. Study and distance between me and my family are the other factors that lead to stress. In this focused assessment, I am focusing in assessing level of stress.

I browse internet to gain more knowledge on my stress level. I assessed my stress level using “life change index scale/ The Stress Test”, written by Thomas H. Holmes and Richard H. Rahel. This stress test has three different rows including event, impact score and my score. As event adds up, there occurs increase in score. The higher the score, the chance of becoming ill will also be higher and also the change of returning back to normal health will decrease.

LIFE CHANGE INDEX SCALE : THE STRESS TEST

Event	Impact Score	My Score
Death of spouse	100
Divorce	73
Marital Separation	65
Jail Term	63
Death of close family member	63
Personal injury or illness	53
Marriage	50
Fired at work	47
Marital reconciliation	45
Retirement	45
Change in health of family member	44
Pregnancy	40
Sex difficulties	39
Gain of a new family member	39
Business readjustment	39
Change in financial state	38	38
Death of a close friend	37
Change to a different line of work	36
Change in number of arguments with spouse	35
Mortgage over $20,000	31
Foreclosure of mortgage or loan	30
Change in responsibilities at work	29
Son or daughter leaving home	29
Trouble with in laws	29
Outstanding personal achievement	28
Spouse begins or stop work	26
Begin or end school	26	26
Change in living conditions	25
Revisions of personal habits	24
Trouble with boss	23
Change in work hours or conditions	20	20
Change in residence	20
Change in schools	20
Change in recreations	19
Change in church activities	19
Change in social activities	19
Mortgage or loan less than $20,000	17
Change in sleeping habits	16	16
Change in number of family get-togethers	15
Change in eating habits	15
Vacation	13
Christmas approaching	12
Minor violation of the law	11
Total		100

Life Change Units Likelihood Of Illness In Near Future

Life change units	Likelihood Of Illness In Near Future
300+	about 80 percent
150-299	about 50 percent
less than 150	about 30 percent

According to the score interpretation presented above in the table, my level of score is 100 which is less than 150 so I have less risk of illness in my near future. Nursing Functional Health Pattern Essay. In this way Homes and Rahes stress life change index scale helps me to assess my level of stress and help me in reducing the stress and promote my health.

References

Holmes, T. H., & Rahe, R. H. (1967). The social readjustment rating scale. Journal of psychosomatic research, 11(2), 213-218.

Retrieved from http://www.dartmouth.edu/~eap/library/lifechangestresstest.pdf

Part 3 Internet Sources

While doing my individual self assessment, i determine that stress is the main cause for detoriating my healthy living and daily activities. For promoting my own health, I have selected two internet sources to reduce my stress. As per the source, i came to know that stress is determined as the physical reaction to several events of our life in our daily way of living. Both the sources provide brief information about the stress, causes, management and technique to relief or cope with the stress. According to the helpguide.org, “stress is a normal physical response to events that make you feel threaened or upset balanc e in some ways”. Also with the help of the source i came to know that stress have both merits and demerits . Nursing Functional Health Pattern Essay.These both explained about the stress and mainly focused on various strategies for stress management which include 4As-Avoid unnecessary stress , Alter the situation, Adapt the streesor and Accept the things cannot be changed. Similarly the article prepared by University of South Australia also has been presented with more information about the management of stress. This source focuses mainly in different strategies of managing stress according to our body, mind, thinking and behaviour.

As both the sources have the name of the author with the date and name of publication with more information , i found these are the reliable and trustworthy for me. I found both the sources important and informative in handling with the stress.

References :

Managing stress Monday (2013). Retrieved April 22, 2013, from

http://w3.unisa.edu.au/counsellingservices/wellbeing/stress.asp

Smith, M., Segal, R., Segal, J. (2013). Stress Symptoms, signs and causes. Retrieved

http://www.helpguide.org/mental/stress_signs.htm

Part 4. Health Promotion Essay

Health is considered to be the precious wealth of an individual. It is an important aspect of our life. According to the definition provided by World Health Organization, “Health promotion is the process of enabling people either individually or in group like community to increase control over, and to improve their health” as cited by Selekman,( 2006).Health is affected by various factors so that to promote the health a teamwork is required between health personal, community and other different sectors. Being a health person, Nurses play vital role for accessing the health of patients, identify their health needs and encourage them to promote their health in an effective way. This essay explains about the problems in student nurses health and the programs to promote their health.

Nurses are the key persons to promote the health. They are well experienced either with the knowledge they gain or exposing with the patient of different health condition. According to Dempsey(2009), “ Health promotion model is important for an individual to promote their health”. . According to Mary,Sally and Kathleen (2011) , the student nurse are known as the main person to identify health issues where low school performance and change in health status are found more common ,as cited by American Academy of Pediatrics Council on School Health (2008). This explains that the students are found to be more stressed which causes great changes in academic achievement and also their health status will detoriate. Nursing Functional Health Pattern Essay. The student nurse may face problem like difficulty in identifying the problem in their clinical placement , sometimes hard even to understand the medical term. As per Fethiye and Fatos(2009),there are numerous factors that causes negative influence on decision making and nursing practices such as individual variables such as personal character traits and value , lack of knowledge and sensitivity about ethics and patients rights ,limited autonomy and unsatisfactory working .

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There are different approaches to health promotion and different health promotion model are in use. Health promotion model include characteristics models to promote environment where healthy decisions can be made about attaining high standard lifestyles reducing. According to Jennifer , fran and janat (2013) explain that the health-promoting behaviors of nursing students might be the key factor for their academic success and also facilitate them for post graduate practices . the health promotion behavior includes change in lifestyle , adjustment with new environment of study as well as hospital and development o, lifestyle, beliefs and thoughts, motivation health and promoting behavior. Practicing nurse can use these health f strength to cope with various people. According to Chambers and Thompson(2009), “empowerment is the other main focus on health promotion and participate” The student nurses should be encouraged to promote their health, change their behavior and also motivate them in changing their lifestyle and behavior and also reduce stress by avoiding , adapting the stressor and accepting the changes .

At conclusion, there are many factors that cause stress in the student life of the nurses which causes problem in their health. There are many reasons to promote health. Encouragement helps nursing student to promote their health by brining change in their lifestyle

Overall conclusion

I have done my own self assessment with stress as a focused assessment. I found stress as a main factor that chauses change in my normal health status. Finally the essay on health promotion is presented at list of references the end of the assignment. Nursing Functional Health Pattern Essay.