Gordon’s Health Patterns
“HEALTH PATTERN DEFINITION ASSESSMENT”
HEALTH PERCEPTIONHEALTH MANAGEMENTPATTERN
Perceived pattern of healthand well being and how healthis managed.Quality of usual health (scale 1 – 10).Perceived ability to control health. Healthhistory. Self care measures used. Medications.Allergies. Reason for this admission andhistory of presenting challenge(s).Expectations for outcome of current healthproblem.
NUTRITIONAL –METABOLIC PATTERN
Food and fluid consumptionrelative to metabolic need andpattern indictors of localnutrient supply.
Endocrine SystemGastrointestinal System Integumentary System
Diet. 24 hour diet recall. Quality of appetite.Swallowing. Dentures. Food likes anddislikes. Use of supplements. Usual weight.Nutrition knowledge. Skin.
Excretory function (bowel,bladder, and skin).
Genitourinary System Integumentary System Musculoskeletal System Neurological System
Usual bladder pattern (discomfort voiding,difficulty starting stream, frequency, nocturia,incontinence, self care, assistance, other ie.,catheter and etc.)
Gastrointestinal System Musculoskeletal System Neurological System
Usual bowel pattern (frequency, description,last bowel movement, incontinence, ileostomy,colostomy, aids, self care, assistance).
Exercise, activity, leisure, andrecreation
Cardiovascular System Musculoskeletal System Neurological SystemPulmonary System
Self care ability. Activities of daily living(eating/drinking, bathing, dressing/grooming,toileting, bed mobility, transferring,ambulating, other). Description of usual dailyand, if different, weekend activities.Gait/balance. Respirations. Cough. Hobbies.Occupation.
COGNITIVE –PERCEPTUAL PATTERN
Sensory perceptual andcognitive pattern
Neurological SystemSensory System
Mental status. Ability to understand.Education level. Eyes, vision, hearing, taste,smell, feel, and sensation. Communication.Pain (description, frequency, duration, location,and relief measures).
SLEEP – REST PATTERN
Sleep, rest, relaxation.
Genitourinary System Musculoskeletal SystemPulmonary System
Sleep schedule. Usual bedtime and wakingtime. Naps. Uncommon sleeppatterns/difficulty sleeping (problems fallingasleep or staying asleep and solutions).
SELF-PERCEPTION – SELFCONCEPT PATTERN
Self concept and perceptionsof self (body comfort, bodyimage, feeling state).Body image and feelings about self. Emotionalstatus. Effects of illness on self perception.Personal factors contributing to illness,recovery, and health maintenance.
ROLE – RELATIONSHIPPATTERN
Pattern of role engagementsand relationships.Significant others. Next of kin/emergencycontact. Family members and their relationshipto client. Roles client and family members fill.Housing arrangements. Available assistance athome. Destination upon discharge.Anticipated changes as related to healthchallenges. Previous utilization of communityresources. Discharge transportation.
Satisfaction and dissatisfactionwith sexuality pattern,describes reproductivepatterns.
Genitourinary System Reproductive SystemSexuality and Reproduction System
Sexuality activity. Contraception. Concerns(discharge, bleeding, sores, and itching)Last menstrual period. Menstrual concerns.Obstetrical history. Pregnancy.
COPING – STRESSTOLERANCE PATTERN
General coping patterns andeffectiveness of patterns interms of stress tolerance.
Cardiovascular System Endocrine SystemGastrointestinal SystemGenitourinary System Integumentary SystemPulmonary System
Possible problems or concerns anticipated asrelated to your hospitalization or healthchallenges. Coping strategies used and theireffectiveness. Personal losses or major stressesin last year. Comfort and security needs.Tobacco use. Alcohol use – CageQuestionnaire. Street drugs.
VALUE – BELIEFPATTERN
Values, beliefs (includingspiritual) or goals that guidechoice of decisions.Religious/cultural/spiritual practices. Sourcesof strength and hope. Life goals. Spiritualneeds generally and during time of stress.Need for clergy/support person visits
Functional Health Patterns
Describes client’s perceived pattern of health and well-being and how health ismanaged
Describes pattern of food and fluid consumption relative to metablock need andpattern indicators of local nutrient supply
Describes patterns of excretory function (bowel, bladder, and skin)
Describes pattern of exercise, activity, leisure, and recreation
Describes sensory-perceptual and cognitive pattern
Describes patterns of sleep, rest, and relaxation
Describes self-concept pattern and perceptions of self (eg. body comfort, body image,feeling state)
Describes pattern of role-engagements and relationships
Describes client’s patterns of satisfaction and dissatisfaction with sexuality pattern;describe reproductive patterns
Describes general coping pattern and effectiveness of the pattern in terms of stresstolerance
Describes patterns of values, beliefs (including spiritual), or goals that guide choicesof decisions
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