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Functional Assessments     Maria Carmela L. Domocmat, RN ,MSN
Functional AssessmentsGordon’s Functional Health PatternsKatz Index of IndependenceBarthel Index           Maria Carmela L...
GORDON’S FUNCTIONALHEALTH PATTERNS      Maria Carmela L. Domocmat, RN ,MSN
Marjorie Gordon (1987) proposedfunctional health patterns as a guide forestablishing a comprehensive nursing database.    ...
These 11 categories make possible asystematic and standardized approach todata collection, and enable the nurse todetermin...
1 Health Perception and Management2 Nutritional metabolic3 Elimination4 Activity exercise5 Sleep rest6 Cognitive-perceptua...
1 Health Perception and Management2 Nutritional metabolic3 Elimination4 Activity exercise5 Sleep rest6 Cognitive-perceptua...
7 Self perception/self concept8 Role relationship9 Sexuality reproductive10 Coping-stress tolerance11 Value-Belief Pattern...
(1) Health Perception and Health          Management Data collection is focused on the persons   perceived level of health...
Health Perception and Health        ManagementHabits that may be detrimental to health arealso evaluated, including smokin...
(2) Nutrition and MetabolismAssessment is focused on the pattern of food and fluid consumption relative to metabolic need....
(3) EliminationData collection is focused on excretorypatterns (bowel, bladder, skin).Excretory problems such as incontine...
(4) Activity and ExerciseAssessment is focused on the activities of daily living requiring energy expenditure, including s...
Cognition and Perception. Assessmentis focused on the ability to comprehendand use information and on the sensoryfunctions...
Sleep and Rest. Assessment is focusedon the persons sleep, rest, and relaxationpractices. Dysfunctional sleep patterns,fat...
Self-Perception and Self-Concept. Assessment is focused on thepersons attitudes toward self, includingidentity, body image...
Roles and Relationships. Assessment isfocused on the persons roles in the worldand relationships with others. Satisfaction...
Sexuality andReproduction. Assessment is focused onthe persons satisfaction or dissatisfactionwith sexuality patterns and ...
Coping and Stress Tolerance.Assessment is focused on the personsperception of stress and on his or hercoping strategies Su...
Values and Belief. Assessment isfocused on the persons values and beliefs(including spiritual beliefs), or on the goalstha...
Maria Carmela L. Domocmat, RN ,MSN
Maria Carmela L. Domocmat, RN ,MSN
Maria Carmela L. Domocmat, RN ,MSN
Maria Carmela L. Domocmat, RN ,MSN
Maria Carmela L. Domocmat, RN ,MSN
Critical Thinking Exercise 2:      Clustering of Data        Maria Carmela L. Domocmat, RN ,MSN
On a separate piece of paper, cluster thefollowing data according to Gordon’sFunctional Health Patterns.When you organized...
Case historyAge 36Married, has three small childrenOccupation: landscape architect andhomemakerReligion: Baptist          ...
Case historyMedical diagnosis: PneumoniaT: 38.3; P: 100; R: 28; :BP: 104/68States she is concerned about how herhusband is...
States she feels weak and tired all thetime but can’t seem to rest because shekeeps coughing all the time.Appetite poor. H...
Before illness, she smoked a pack ofcigarettes a day but has not smoked sincehospitalizationStates she always has been in ...
States that all of the tests that have to bedone make her nervous; she is worriedabout getting AIDS from needle sticks.Lun...
Chest x-ray shows improvement over thelast 2 daysWhite blood cell count is elevated at16,000.           Maria Carmela L. D...
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functional assessments

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  1. 1. Functional Assessments Maria Carmela L. Domocmat, RN ,MSN
  2. 2. Functional AssessmentsGordon’s Functional Health PatternsKatz Index of IndependenceBarthel Index Maria Carmela L. Domocmat, RN ,MSN
  3. 3. GORDON’S FUNCTIONALHEALTH PATTERNS Maria Carmela L. Domocmat, RN ,MSN
  4. 4. Marjorie Gordon (1987) proposedfunctional health patterns as a guide forestablishing a comprehensive nursing database. Maria Carmela L. Domocmat, RN ,MSN
  5. 5. These 11 categories make possible asystematic and standardized approach todata collection, and enable the nurse todetermine the following aspects of healthand human function: Maria Carmela L. Domocmat, RN ,MSN
  6. 6. 1 Health Perception and Management2 Nutritional metabolic3 Elimination4 Activity exercise5 Sleep rest6 Cognitive-perceptual7 Self perception/self concept8 Role relationship9 Sexuality reproductive10 Coping-stress tolerance11 Value-Belief Pattern Maria Carmela L. Domocmat, RN ,MSN
  7. 7. 1 Health Perception and Management2 Nutritional metabolic3 Elimination4 Activity exercise5 Sleep rest6 Cognitive-perceptual Maria Carmela L. Domocmat, RN ,MSN
  8. 8. 7 Self perception/self concept8 Role relationship9 Sexuality reproductive10 Coping-stress tolerance11 Value-Belief Pattern Maria Carmela L. Domocmat, RN ,MSN
  9. 9. (1) Health Perception and Health Management Data collection is focused on the persons perceived level of health and well-being, and on practices for maintaining health Maria Carmela L. Domocmat, RN ,MSN
  10. 10. Health Perception and Health ManagementHabits that may be detrimental to health arealso evaluated, including smoking and alcoholor drug use.Actual or potential problems r/t safety & health management needs for modifications in the home or needs for continued care in the home. Maria Carmela L. Domocmat, RN ,MSN
  11. 11. (2) Nutrition and MetabolismAssessment is focused on the pattern of food and fluid consumption relative to metabolic need. The adequacy of local nutrient supplies is evaluated. Actual or potential problems related to fluid balance, tissue integrity, and host defenses may be identified as well as problems with the gastrointestinal system. Maria Carmela L. Domocmat, RN ,MSN
  12. 12. (3) EliminationData collection is focused on excretorypatterns (bowel, bladder, skin).Excretory problems such as incontinence,constipation, diarrhea, and urinaryretention may be identified. Maria Carmela L. Domocmat, RN ,MSN
  13. 13. (4) Activity and ExerciseAssessment is focused on the activities of daily living requiring energy expenditure, including self-care activities, exercise, and leisure activities. The status of major body systems involved with activity and exercise is evaluated, including the respiratory, cardiovascular, and musculoskeletal systems. Maria Carmela L. Domocmat, RN ,MSN
  14. 14. Cognition and Perception. Assessmentis focused on the ability to comprehendand use information and on the sensoryfunctions. Data pertaining to neurologicfunctions are collected to aid this process.Sensory experiences such as pain andaltered sensory input may be identifiedand further evaluated. Maria Carmela L. Domocmat, RN ,MSN
  15. 15. Sleep and Rest. Assessment is focusedon the persons sleep, rest, and relaxationpractices. Dysfunctional sleep patterns,fatigue, and responses to sleepdeprivation may be identified. Maria Carmela L. Domocmat, RN ,MSN
  16. 16. Self-Perception and Self-Concept. Assessment is focused on thepersons attitudes toward self, includingidentity, body image, and sense of self-worth. The persons level of self-esteemand response to threats to his or her self-concept may be identified. Maria Carmela L. Domocmat, RN ,MSN
  17. 17. Roles and Relationships. Assessment isfocused on the persons roles in the worldand relationships with others. Satisfactionwith roles, role strain, or dysfunctionalrelationships may be further evaluated. Maria Carmela L. Domocmat, RN ,MSN
  18. 18. Sexuality andReproduction. Assessment is focused onthe persons satisfaction or dissatisfactionwith sexuality patterns and reproductivefunctions. Concerns with sexuality may heidentified. Maria Carmela L. Domocmat, RN ,MSN
  19. 19. Coping and Stress Tolerance.Assessment is focused on the personsperception of stress and on his or hercoping strategies Support systems areevaluated, and symptoms of stress arenoted. The effectiveness of a personscoping strategies in terms of stresstolerance may be further evaluated. Maria Carmela L. Domocmat, RN ,MSN
  20. 20. Values and Belief. Assessment isfocused on the persons values and beliefs(including spiritual beliefs), or on the goalsthat guide his or her choices or decisions. Maria Carmela L. Domocmat, RN ,MSN
  21. 21. Maria Carmela L. Domocmat, RN ,MSN
  22. 22. Maria Carmela L. Domocmat, RN ,MSN
  23. 23. Maria Carmela L. Domocmat, RN ,MSN
  24. 24. Maria Carmela L. Domocmat, RN ,MSN
  25. 25. Maria Carmela L. Domocmat, RN ,MSN
  26. 26. Critical Thinking Exercise 2: Clustering of Data Maria Carmela L. Domocmat, RN ,MSN
  27. 27. On a separate piece of paper, cluster thefollowing data according to Gordon’sFunctional Health Patterns.When you organized these data, you havefound that some categories had no datalisted. If this happens to you in the clinicalarea, what should you do? Maria Carmela L. Domocmat, RN ,MSN
  28. 28. Case historyAge 36Married, has three small childrenOccupation: landscape architect andhomemakerReligion: Baptist Maria Carmela L. Domocmat, RN ,MSN
  29. 29. Case historyMedical diagnosis: PneumoniaT: 38.3; P: 100; R: 28; :BP: 104/68States she is concerned about how herhusband is caring for the children, that “itis tough on him.” Maria Carmela L. Domocmat, RN ,MSN
  30. 30. States she feels weak and tired all thetime but can’t seem to rest because shekeeps coughing all the time.Appetite poor. Has eaten less than half ofregular meals. Is forcing fluids well(1000ml per shift) Maria Carmela L. Domocmat, RN ,MSN
  31. 31. Before illness, she smoked a pack ofcigarettes a day but has not smoked sincehospitalizationStates she always has been in goodhealth and never had to be hospitalized(even gave birth at home) Maria Carmela L. Domocmat, RN ,MSN
  32. 32. States that all of the tests that have to bedone make her nervous; she is worriedabout getting AIDS from needle sticks.Lungs have bilateral rhonchi; she coughsup thick yellow mucus Maria Carmela L. Domocmat, RN ,MSN
  33. 33. Chest x-ray shows improvement over thelast 2 daysWhite blood cell count is elevated at16,000. Maria Carmela L. Domocmat, RN ,MSN
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