The document describes Marjorie Gordon's Functional Health Patterns (GFHP) which proposes 11 functional health patterns that are common to all humans and contribute to their health. The 11 patterns provide a framework for comprehensive nursing assessment and include: 1) health perception/management, 2) nutrition, 3) elimination, 4) activity/exercise, 5) sleep/rest, 6) cognition/perception, 7) self-perception, 8) roles/relationships, 9) sexuality/reproduction, 10) coping/stress, and 11) values/beliefs. The patterns allow nurses to systematically collect subjective and objective health data to identify strengths, problems, and nursing diagnoses.
Marjorie Gordon proposed 11 functional health patterns as a standardized approach to comprehensive nursing data collection. The patterns include health perception, nutrition, elimination, sleep, roles and relationships, sexuality, coping, and values. For each pattern, the nurse collects subjective and objective data to identify health issues and needs. Functional health patterns provide a systematic framework to assess all aspects of a person's health.
Application of theory to nursing practiceArun Madanan
Here is an analysis of this case using Neuman's Systems Model:
- Janice's normal line of defense was weakened by the stress of moving and adjusting to a new environment and job.
- Her flexible line of defense was also impacted as she had difficulty coping with stressors like an unsupportive work environment and missing her social support network.
- This left her vulnerable to stressors penetrating her lines of defense and affecting her normal stable state, resulting in symptoms of anxiety and depression.
- Nursing interventions could aim to strengthen her normal and flexible lines of defense, such as providing social support, stress management techniques, and assertiveness training to better cope with workplace issues.
- The goal would be to help
Application of theories in nursing processArun Madanan
This document discusses several nursing theories and their application in nursing process. It summarizes King's Theory of Goal Attainment, which focuses on the nurse-client relationship and how communication and mutual goal setting can lead to increased satisfaction and goal attainment. It also reviews Roy's Adaptation Model and its concepts of adaptive modes and coping mechanisms. Additionally, it outlines Johnson's Behavioral Systems Model for holistically assessing an individual's needs based on their subsystems. Finally, it summarizes Henderson's 14 Basic Needs which encompass the possible functions of nursing care for a patient.
The document discusses legal and regulatory issues related to nursing practice. It covers topics such as sources of law, criminal and civil law, tort law including malpractice, intentional torts, strategies to prevent incidents, standards of care, selected laws including nurse practice acts, licensure, boards of nursing, advance directives, HIPAA, and privacy versus confidentiality. The overall document provides an overview of the legal and regulatory framework that governs nursing practice.
Complimentry therapy, therapeutic touch and massage and pet therapyPriyanka Kumari
know about the complimentary therapies and effect of the therapeutic massage, therapeutic touch and pet therapy and it's effect in Mental health nursing
The Roy Adaptation Model sees the person as a biopsychosocial being in continuous interaction with a changing environment. The environment includes focal, contextual and residual stimuli. A focal stimulus is the confrontation with one's internal and external environment.
The document outlines the role of the RN in medication assessment and administration. It discusses collecting a thorough drug history, medical history, and physical exam. The RN is responsible for creating a medication profile, identifying all substances taken by the client, and considering factors like development, allergies, and organ function. Proper assessment involves open-ended questions, vital signs, and a holistic approach. The RN prioritizes nursing diagnoses, sets goals, and follows the eight rights of administration to ensure safety. Monitoring the client and effects of the drugs is also important.
Marjorie Gordon proposed 11 functional health patterns as a standardized approach to comprehensive nursing data collection. The patterns include health perception, nutrition, elimination, sleep, roles and relationships, sexuality, coping, and values. For each pattern, the nurse collects subjective and objective data to identify health issues and needs. Functional health patterns provide a systematic framework to assess all aspects of a person's health.
Application of theory to nursing practiceArun Madanan
Here is an analysis of this case using Neuman's Systems Model:
- Janice's normal line of defense was weakened by the stress of moving and adjusting to a new environment and job.
- Her flexible line of defense was also impacted as she had difficulty coping with stressors like an unsupportive work environment and missing her social support network.
- This left her vulnerable to stressors penetrating her lines of defense and affecting her normal stable state, resulting in symptoms of anxiety and depression.
- Nursing interventions could aim to strengthen her normal and flexible lines of defense, such as providing social support, stress management techniques, and assertiveness training to better cope with workplace issues.
- The goal would be to help
Application of theories in nursing processArun Madanan
This document discusses several nursing theories and their application in nursing process. It summarizes King's Theory of Goal Attainment, which focuses on the nurse-client relationship and how communication and mutual goal setting can lead to increased satisfaction and goal attainment. It also reviews Roy's Adaptation Model and its concepts of adaptive modes and coping mechanisms. Additionally, it outlines Johnson's Behavioral Systems Model for holistically assessing an individual's needs based on their subsystems. Finally, it summarizes Henderson's 14 Basic Needs which encompass the possible functions of nursing care for a patient.
The document discusses legal and regulatory issues related to nursing practice. It covers topics such as sources of law, criminal and civil law, tort law including malpractice, intentional torts, strategies to prevent incidents, standards of care, selected laws including nurse practice acts, licensure, boards of nursing, advance directives, HIPAA, and privacy versus confidentiality. The overall document provides an overview of the legal and regulatory framework that governs nursing practice.
Complimentry therapy, therapeutic touch and massage and pet therapyPriyanka Kumari
know about the complimentary therapies and effect of the therapeutic massage, therapeutic touch and pet therapy and it's effect in Mental health nursing
The Roy Adaptation Model sees the person as a biopsychosocial being in continuous interaction with a changing environment. The environment includes focal, contextual and residual stimuli. A focal stimulus is the confrontation with one's internal and external environment.
The document outlines the role of the RN in medication assessment and administration. It discusses collecting a thorough drug history, medical history, and physical exam. The RN is responsible for creating a medication profile, identifying all substances taken by the client, and considering factors like development, allergies, and organ function. Proper assessment involves open-ended questions, vital signs, and a holistic approach. The RN prioritizes nursing diagnoses, sets goals, and follows the eight rights of administration to ensure safety. Monitoring the client and effects of the drugs is also important.
The document discusses a nursing assessment and plan of care for a patient experiencing disturbed sleep patterns due to environmental factors. The nursing diagnosis is disturbed sleep pattern related to environmental noise and light. Short term goals are for the patient to understand their sleep disturbance and verbalize their usual sleep pattern. Interventions include observing the patient's sleep habits, addressing misconceptions, and advising limiting caffeine and taking naps. The objective is to evaluate sleep quality measures and the long term goal is improved sleep and well-being.
This document discusses the nursing process and standardized nursing languages including NANDA-I, NIC, and NOC. It defines each component and explains how they are used together. The nursing process involves assessment, diagnosis, planning, implementation, and evaluation. NANDA-I provides standardized nursing diagnoses, NIC identifies nursing interventions, and NOC establishes nursing-sensitive patient outcomes. An example is provided of how these could be used together in a nursing care plan for a patient with osteosarcoma who developed postoperative complications including hyperthermia and ineffective breathing.
Geriatric Assessment , Assessment of Elderly Anant Layall
Geriatric assessment is a multidimensional evaluation of elderly patients that includes medical history, physical exam, and assessment of functional abilities. The assessment evaluates patients' physical and cognitive functioning, social support systems, nutritional status, and risk of functional impairment requiring assistance with activities of daily living. A comprehensive geriatric assessment provides a holistic view of elderly patients to develop appropriate care plans.
This document provides techniques for communicating effectively with children of different age groups. For toddlers, it recommends using simple language and vocabulary they understand, speaking in complete sentences, allowing movement when possible, and giving them a sense of control. For preschoolers, it suggests getting down to their eye level, using short sentences, asking open-ended questions, and praising their efforts. For school-aged children, the techniques include explaining procedures in an age-appropriate manner, encouraging them to ask questions, and being honest but reassuring.
This document discusses the assessment of elderly patients. It outlines several key points regarding the assessment of elderly patients:
1) A geriatric assessment should be interdisciplinary and evaluate both medical and non-medical domains like function and quality of life.
2) Physiologic changes that occur with aging can impact assessment findings. For example, sensory deficits may interfere with history taking and many disorders only manifest as functional decline in elderly patients.
3) Several assessment tools are described, including the Timed Get Up and Go Test to evaluate mobility.
4) Certain findings may be misinterpreted in elderly patients. For example, fever responses can be blunted with infection and age-related crackles are common but
This document provides an overview of normal aging processes and suggestions for supporting aging individuals. It discusses common changes that can occur with aging in various body systems like vision, hearing, skin, and cognition. It also addresses potential psychological and social issues in aging and provides ideas for accommodating issues like impaired balance or mobility. The goal is to continue providing high-quality, person-centered care as individuals age and to find creative ways for them to actively participate.
This document discusses fecal elimination problems and diarrhea. It defines diarrhea as the passage of liquid feces and increased bowel movements. Diarrhea results from rapid movement of stool through the large intestine. Some of the major causes of diarrhea include inflammation of the intestinal mucosa from infection or medication, malabsorption, and increased intestinal motility. Managing diarrhea involves staying hydrated, eating foods with sodium and potassium, limiting fatty and insoluble fiber foods, cleaning the anal area, and reestablishing normal gut bacteria with yogurt after diarrhea stops. Healthy defecation involves exercise, a high fiber diet, adequate fluid intake, and establishing a regular time each day to have a bowel movement.
This nursing care plan outlines the diagnosis, goals, interventions, and evaluations for a child with pneumonia across 7 problems:
1) Ineffective airway clearance addressed through positioning, humidification, suctioning, and chest physiotherapy.
2) Ineffective breathing pattern assessed frequently and treated with positioning and supplemental oxygen.
3) Impaired gas exchange monitored via pulse oximetry and treated by encouraging coughing and administering bronchodilators.
4) Risk of fluid volume deficit prevented by IV or NG tube fluids and monitoring intake/output.
5) Altered nutrition addressed with small, frequent meals and encouragement of calorie-rich foods.
6) Fear and anxiety reduced via establishing trust
This document discusses evidence-based practice (EBP) in nursing. It defines EBP as making clinical decisions based on evidence from scientific research combined with clinical experience and patient preferences. The history of EBP in nursing began in the 1970s with projects that developed research-based clinical protocols and demonstrated improved patient outcomes. EBP requires nurses to critically assess scientific evidence and implement high-quality interventions. It can help standardize care, reduce delays, and increase confidence in decision-making while maintaining professional standards and guiding further research. Factors that facilitate EBP include knowledge, skills, beliefs, capabilities, tools, and mentors while barriers include lack of value for research and lack of time, resources, and administrative support.
Nurses face various legal issues and responsibilities in their work. They can be held personally liable for negligence in caring for patients, such as medication errors, failure to follow orders, or not monitoring patients properly, which could result in malpractice suits. Employers may also be held liable for employees' negligence. Nurses have a duty to obtain proper medical care for patients, secure informed consent, maintain privacy, and follow all relevant laws and standards of care. Documentation of all care provided is important to defend against any potential malpractice claims.
This document discusses patients' rights in healthcare. It begins by defining a patient's bill of rights as a list of guarantees for those receiving medical care, including the right to information, fair treatment, and autonomy over decisions. The document then outlines specific rights in more detail, such as the right to receive respectful and safe care, provide informed consent, privacy and confidentiality, refuse treatment, and make complaints. It discusses patients' rights during medication and treatment. Overall, the document aims to clearly define the rights and protections that should be afforded to all patients.
Legal & ethical aspects in mental health nursingNursing Path
This document discusses several key ethical and legal issues in psychiatric and mental health nursing. It covers principles of bioethics like beneficence, autonomy, and informed consent. It also discusses laws around civil commitment, patients' rights to treatment or refuse treatment, confidentiality, reporting abuse, and negligence. The document provides an overview of these complex topics and notes the nurse's duty to adhere to standards of care, document carefully, and protect patient safety and well-being.
Nursing fundamentals covers nurses' rights and legal responsibilities. Nurses have rights that must be respected in the workplace. They also have important legal responsibilities to patients that could result in consequences if not properly followed. Overall, the document discusses the basic rights and obligations of nurses in their important roles as healthcare professionals.
Virginia henderson's theory of nursingMandeep Gill
Virginia Henderson's nursing theory defines nursing as assisting individuals with 14 basic human needs. Henderson believed nurses should help patients gain independence. She developed her theory based on her nursing education and practice. Her theory views individuals as biopsychosocial beings and defines health as one's ability to meet their own needs. Henderson's theory provides a framework for nursing assessment, diagnosis, planning, implementation, and evaluation. It emphasizes holistic care and moving patients towards independence.
This document discusses group psychotherapy and provides information on various aspects of conducting group therapy sessions. It defines group psychotherapy as a treatment involving carefully selected emotionally ill individuals who meet under a trained therapist's guidance to help one another effect personality change. The document outlines three major types of groups - group therapy, therapeutic groups, and adjunctive groups. It provides details on group size, session frequency and length, therapeutic factors involved, steps of group therapy, techniques used, and contraindications for certain patient types.
This document contains a list of over 200 nursing diagnoses organized into 12 domains: health promotion, nutrition, elimination and exchange, activity/rest, perception/cognition, self-perception, role relationships, sexuality, coping/stress tolerance, life principles, safety/protection, and comfort. The diagnoses range from risks, readiness, and impairments to ineffective or deficient areas. The list covers a wide variety of physical, mental, emotional, social, and spiritual concerns that nurses assess and develop care plans to address.
The lecture introduces the ANMC Codes & Standards, nursing assessment, and Gordon's Functional Health Patterns. Gordon's patterns categorize 11 different health patterns including health perception, nutrition, activity, sleep, and roles. Holistic nursing considers people as greater than the sum of their parts by taking a holistic rather than reductionist view of health.
This document outlines the objectives of a study on Hepatitis C Virus Disease (HCVD), Cirrhosis of the Liver Secondary to Hepatitis C (CASHD), and Nursing Intervention Formulation (NIF). The objectives are to gain knowledge about these conditions, increase awareness, and teach proper patient care. Specific objectives include determining the patient's health history, functional health patterns, review of systems, physical assessment, affected anatomy/physiology, disease process, lab/test results, medical management, medications, and developing a discharge/care plan.
The document discusses communicating respectfully with elderly patients. It provides examples of unacceptable caregiver responses that fail to meet patients' needs and respect their dignity. It emphasizes the importance of ethical principles like maintaining patients' autonomy and respecting their physical and psychological well-being. The objectives are to help students reflect on how to avoid mistreatment and establish warm relations through minor acts of empathy. Responding to requests can satisfy needs and build trust if caregivers break from routines to think creatively and personalized care.
The roles and responsibilities of a geriatric nurse include providing specialized care to older adults that addresses their complex physical and mental health needs. Geriatric nurses work in various settings like hospitals, nursing homes, and patients' homes. Their responsibilities involve assessing patients' health status, understanding health issues, educating patients and families, and linking patients to community resources to help older adults stay independent for as long as possible. Geriatric nurses play an important advocacy role in the care of older patients.
The document discusses the roles and responsibilities of nurses. It outlines four main goals of nursing: promoting health, preventing illness, treating human responses to health or illness, and advocating for patients. Key aspects of the nursing process are also summarized, including assessment, diagnosis, planning, implementation, and evaluation. Assessment involves collecting both subjective and objective data to understand a patient's health status. The nursing process provides an organized framework for delivering patient care.
The document provides an overview of the components of a nursing assessment. It discusses Gordon's 11 Functional Health Patterns which provide a framework for collecting comprehensive nursing data. It also describes the purpose and techniques for obtaining both subjective and objective data, including conducting a nursing interview, performing a physical examination using inspection, palpation, percussion, and auscultation, and developing a health history. The document aims to help nursing students understand how to systematically assess a client's health status.
The document discusses a nursing assessment and plan of care for a patient experiencing disturbed sleep patterns due to environmental factors. The nursing diagnosis is disturbed sleep pattern related to environmental noise and light. Short term goals are for the patient to understand their sleep disturbance and verbalize their usual sleep pattern. Interventions include observing the patient's sleep habits, addressing misconceptions, and advising limiting caffeine and taking naps. The objective is to evaluate sleep quality measures and the long term goal is improved sleep and well-being.
This document discusses the nursing process and standardized nursing languages including NANDA-I, NIC, and NOC. It defines each component and explains how they are used together. The nursing process involves assessment, diagnosis, planning, implementation, and evaluation. NANDA-I provides standardized nursing diagnoses, NIC identifies nursing interventions, and NOC establishes nursing-sensitive patient outcomes. An example is provided of how these could be used together in a nursing care plan for a patient with osteosarcoma who developed postoperative complications including hyperthermia and ineffective breathing.
Geriatric Assessment , Assessment of Elderly Anant Layall
Geriatric assessment is a multidimensional evaluation of elderly patients that includes medical history, physical exam, and assessment of functional abilities. The assessment evaluates patients' physical and cognitive functioning, social support systems, nutritional status, and risk of functional impairment requiring assistance with activities of daily living. A comprehensive geriatric assessment provides a holistic view of elderly patients to develop appropriate care plans.
This document provides techniques for communicating effectively with children of different age groups. For toddlers, it recommends using simple language and vocabulary they understand, speaking in complete sentences, allowing movement when possible, and giving them a sense of control. For preschoolers, it suggests getting down to their eye level, using short sentences, asking open-ended questions, and praising their efforts. For school-aged children, the techniques include explaining procedures in an age-appropriate manner, encouraging them to ask questions, and being honest but reassuring.
This document discusses the assessment of elderly patients. It outlines several key points regarding the assessment of elderly patients:
1) A geriatric assessment should be interdisciplinary and evaluate both medical and non-medical domains like function and quality of life.
2) Physiologic changes that occur with aging can impact assessment findings. For example, sensory deficits may interfere with history taking and many disorders only manifest as functional decline in elderly patients.
3) Several assessment tools are described, including the Timed Get Up and Go Test to evaluate mobility.
4) Certain findings may be misinterpreted in elderly patients. For example, fever responses can be blunted with infection and age-related crackles are common but
This document provides an overview of normal aging processes and suggestions for supporting aging individuals. It discusses common changes that can occur with aging in various body systems like vision, hearing, skin, and cognition. It also addresses potential psychological and social issues in aging and provides ideas for accommodating issues like impaired balance or mobility. The goal is to continue providing high-quality, person-centered care as individuals age and to find creative ways for them to actively participate.
This document discusses fecal elimination problems and diarrhea. It defines diarrhea as the passage of liquid feces and increased bowel movements. Diarrhea results from rapid movement of stool through the large intestine. Some of the major causes of diarrhea include inflammation of the intestinal mucosa from infection or medication, malabsorption, and increased intestinal motility. Managing diarrhea involves staying hydrated, eating foods with sodium and potassium, limiting fatty and insoluble fiber foods, cleaning the anal area, and reestablishing normal gut bacteria with yogurt after diarrhea stops. Healthy defecation involves exercise, a high fiber diet, adequate fluid intake, and establishing a regular time each day to have a bowel movement.
This nursing care plan outlines the diagnosis, goals, interventions, and evaluations for a child with pneumonia across 7 problems:
1) Ineffective airway clearance addressed through positioning, humidification, suctioning, and chest physiotherapy.
2) Ineffective breathing pattern assessed frequently and treated with positioning and supplemental oxygen.
3) Impaired gas exchange monitored via pulse oximetry and treated by encouraging coughing and administering bronchodilators.
4) Risk of fluid volume deficit prevented by IV or NG tube fluids and monitoring intake/output.
5) Altered nutrition addressed with small, frequent meals and encouragement of calorie-rich foods.
6) Fear and anxiety reduced via establishing trust
This document discusses evidence-based practice (EBP) in nursing. It defines EBP as making clinical decisions based on evidence from scientific research combined with clinical experience and patient preferences. The history of EBP in nursing began in the 1970s with projects that developed research-based clinical protocols and demonstrated improved patient outcomes. EBP requires nurses to critically assess scientific evidence and implement high-quality interventions. It can help standardize care, reduce delays, and increase confidence in decision-making while maintaining professional standards and guiding further research. Factors that facilitate EBP include knowledge, skills, beliefs, capabilities, tools, and mentors while barriers include lack of value for research and lack of time, resources, and administrative support.
Nurses face various legal issues and responsibilities in their work. They can be held personally liable for negligence in caring for patients, such as medication errors, failure to follow orders, or not monitoring patients properly, which could result in malpractice suits. Employers may also be held liable for employees' negligence. Nurses have a duty to obtain proper medical care for patients, secure informed consent, maintain privacy, and follow all relevant laws and standards of care. Documentation of all care provided is important to defend against any potential malpractice claims.
This document discusses patients' rights in healthcare. It begins by defining a patient's bill of rights as a list of guarantees for those receiving medical care, including the right to information, fair treatment, and autonomy over decisions. The document then outlines specific rights in more detail, such as the right to receive respectful and safe care, provide informed consent, privacy and confidentiality, refuse treatment, and make complaints. It discusses patients' rights during medication and treatment. Overall, the document aims to clearly define the rights and protections that should be afforded to all patients.
Legal & ethical aspects in mental health nursingNursing Path
This document discusses several key ethical and legal issues in psychiatric and mental health nursing. It covers principles of bioethics like beneficence, autonomy, and informed consent. It also discusses laws around civil commitment, patients' rights to treatment or refuse treatment, confidentiality, reporting abuse, and negligence. The document provides an overview of these complex topics and notes the nurse's duty to adhere to standards of care, document carefully, and protect patient safety and well-being.
Nursing fundamentals covers nurses' rights and legal responsibilities. Nurses have rights that must be respected in the workplace. They also have important legal responsibilities to patients that could result in consequences if not properly followed. Overall, the document discusses the basic rights and obligations of nurses in their important roles as healthcare professionals.
Virginia henderson's theory of nursingMandeep Gill
Virginia Henderson's nursing theory defines nursing as assisting individuals with 14 basic human needs. Henderson believed nurses should help patients gain independence. She developed her theory based on her nursing education and practice. Her theory views individuals as biopsychosocial beings and defines health as one's ability to meet their own needs. Henderson's theory provides a framework for nursing assessment, diagnosis, planning, implementation, and evaluation. It emphasizes holistic care and moving patients towards independence.
This document discusses group psychotherapy and provides information on various aspects of conducting group therapy sessions. It defines group psychotherapy as a treatment involving carefully selected emotionally ill individuals who meet under a trained therapist's guidance to help one another effect personality change. The document outlines three major types of groups - group therapy, therapeutic groups, and adjunctive groups. It provides details on group size, session frequency and length, therapeutic factors involved, steps of group therapy, techniques used, and contraindications for certain patient types.
This document contains a list of over 200 nursing diagnoses organized into 12 domains: health promotion, nutrition, elimination and exchange, activity/rest, perception/cognition, self-perception, role relationships, sexuality, coping/stress tolerance, life principles, safety/protection, and comfort. The diagnoses range from risks, readiness, and impairments to ineffective or deficient areas. The list covers a wide variety of physical, mental, emotional, social, and spiritual concerns that nurses assess and develop care plans to address.
The lecture introduces the ANMC Codes & Standards, nursing assessment, and Gordon's Functional Health Patterns. Gordon's patterns categorize 11 different health patterns including health perception, nutrition, activity, sleep, and roles. Holistic nursing considers people as greater than the sum of their parts by taking a holistic rather than reductionist view of health.
This document outlines the objectives of a study on Hepatitis C Virus Disease (HCVD), Cirrhosis of the Liver Secondary to Hepatitis C (CASHD), and Nursing Intervention Formulation (NIF). The objectives are to gain knowledge about these conditions, increase awareness, and teach proper patient care. Specific objectives include determining the patient's health history, functional health patterns, review of systems, physical assessment, affected anatomy/physiology, disease process, lab/test results, medical management, medications, and developing a discharge/care plan.
The document discusses communicating respectfully with elderly patients. It provides examples of unacceptable caregiver responses that fail to meet patients' needs and respect their dignity. It emphasizes the importance of ethical principles like maintaining patients' autonomy and respecting their physical and psychological well-being. The objectives are to help students reflect on how to avoid mistreatment and establish warm relations through minor acts of empathy. Responding to requests can satisfy needs and build trust if caregivers break from routines to think creatively and personalized care.
The roles and responsibilities of a geriatric nurse include providing specialized care to older adults that addresses their complex physical and mental health needs. Geriatric nurses work in various settings like hospitals, nursing homes, and patients' homes. Their responsibilities involve assessing patients' health status, understanding health issues, educating patients and families, and linking patients to community resources to help older adults stay independent for as long as possible. Geriatric nurses play an important advocacy role in the care of older patients.
The document discusses the roles and responsibilities of nurses. It outlines four main goals of nursing: promoting health, preventing illness, treating human responses to health or illness, and advocating for patients. Key aspects of the nursing process are also summarized, including assessment, diagnosis, planning, implementation, and evaluation. Assessment involves collecting both subjective and objective data to understand a patient's health status. The nursing process provides an organized framework for delivering patient care.
The document provides an overview of the components of a nursing assessment. It discusses Gordon's 11 Functional Health Patterns which provide a framework for collecting comprehensive nursing data. It also describes the purpose and techniques for obtaining both subjective and objective data, including conducting a nursing interview, performing a physical examination using inspection, palpation, percussion, and auscultation, and developing a health history. The document aims to help nursing students understand how to systematically assess a client's health status.
The document discusses the nursing process, which is a systematic, problem-solving framework for planning and delivering nursing care. It involves assessing a patient's health needs through various methods like observation, interview, and examination. The assessment data is then analyzed and a nursing diagnosis is made to inform the planning, implementation, and evaluation of care. Gordon's 11 functional health patterns are described as a framework to comprehensively assess patients.
The document provides an overview of health, the nursing process, and key concepts in nursing. It defines health and discusses what impacts health, such as the physical and social environment. It then explains the nursing process, which consists of 5 steps: assessment, diagnosis, planning, implementation, and evaluation. Assessment involves collecting both subjective and objective data from the client. Diagnosis involves analyzing the data to identify nursing diagnoses. Planning establishes goals and interventions. Implementation involves applying the planned interventions. The nursing process provides a systematic way for nurses to plan and provide individualized client care.
The 7 Dimensions of Addiction Treatment ModelPeter Dimaira
The 7 Dimension Addiction Treatment Model proposes a multidimensional approach to addiction treatment and recovery that assesses patients across 7 life functioning dimensions: medical, self-regulation, education/occupation, social, financial/legal, mental/emotional, and spiritual. This model incorporates assessments, treatment planning, and outcome measures to track patient progress across all 7 dimensions. The goal is to move beyond simply measuring the reduction of problematic behaviors to also measure increases in healthy behaviors across multiple life domains.
The document discusses the role of medical assistants in coaching patients. It covers how medical assistants can coach patients on disease prevention, health maintenance, diagnostic tests, and treatment plans. Medical assistants should understand the stages of grief, health belief model, and domains of learning to effectively coach patients. They can adapt coaching based on a patient's specific needs, culture, development level, and any communication barriers. Medical assistants should coordinate care, act as patient navigators, and provide referrals to community resources when needed. Proper documentation and ensuring patient-centered care are important legal and ethical considerations for medical assistants in their patient coaching role.
This document discusses several models for health maintenance and disease prevention, including ecological models, the health belief model, relapse prevention model, stages of change model, social cognitive theory, and theory of planned behavior. It provides details on key concepts and components of each model. Additionally, it covers strategies for facilitating dietary change and assessing and treating pain.
This document discusses health and behavior. It defines behavior and mentions types of health-related behavior. Factors affecting human behavior are discussed, including knowledge, attitudes, culture, and social norms. The stages of behavior change are also outlined, from precontemplation to termination. Behavior change involves altering habits for long-term health improvements in areas like smoking cessation, diet, exercise, and safe sex practices.
The document discusses various definitions and models of health, prevention, and nursing's role in health promotion. It defines health according to WHO and describes views that health is more than just the absence of disease. It also summarizes levels of prevention from primordial to tertiary. Several health models are explained briefly, including Health Belief Model, Health Promotion Model, Neuman Systems Model, and Nightingale's Environmental Theory. Health promotion frameworks like PRECEDE-PROCEED and OMAHA System are also summarized. Milio's framework for prevention focusing on community-oriented care is described.
Running head: ASSESSMENT METHODS 1
ASSESSMENT METHODS 2
Assessment Methods
PSYCH 628
October 20, 2014
Assessment Methods
Changing bad behavioral can sometimes be a difficult process. One of the best ways to stay on track is to monitor the behaviors. “Self-monitoring is a systematic observation and recording of target behavior and is the most effective technique of behavioral treatment” (Burgard & Gallagher, 2006). A health behavior other than exercise that can help an individual to lead a better lifestyle is improving nutritional intake. A self-monitoring scale is essential in measuring compliance to the dietary plan. The aim of initiating this desirable health behavior is to help me understand my dietary status in order to identify the possible nature, extent, and occurrence of impaired nutritional status. I believe that understanding my dietary status will aid me in preventing the incidence of some lifestyle diseases such as obesity, hypertension and diabetes. Apart from self-monitoring, other current behavioral assessment techniques include behavioral interviews, self-report behavioral inventories and cognitive behavioral assessment techniques. Articulating my self-monitoring scale for healthy dieting and analyzing some of the behavioral assessment techniques can help to create a better understanding about their effectiveness in promoting the desired health behaviors.
Self-Monitoring Scale for Healthy Dieting
The self-monitoring will entail observing and recording my eating patterns over a period of three months in order to get concrete feedback that I can use to take corrective measures where I feel there is an impaired nutritional status. Throughout the period, I will use labels found on the food packaging to record and monitor the levels of caloric intake in the beverages or food that I consume. The scale highlights the compulsory dietary requirements that I should consume on a daily or weekly basis, and will serve to complement my daily food diaries. Through the scale, I will be able to increase self-awareness about the target behaviors and realization of outcomes.
Compulsory Requirements
Action
Quantity consumed
Time
Bread, potatoes and other cereals (at least one of these not cooked in fat or oil)
Yes/No
Action taken
Fruit and fruit juice
Yes/No
Action taken
Vegetables and Salads
Yes/No
Action taken
Milk and dairy foods (did they consist of lower fat options)
Yes/ No
Action taken
Is fish accessible at least twice in a week? (with one serving being oily fish)
Yes/No
Action taken
Is red meat available, for at least three times a week? What type is served?
Yes/No
Action taken
Is safe drinking water accessible free of charge every day? Other beverages consumed throughout the day
Yes/No
Action taken
· Overall comments
The ...
The nursing process document describes the steps of the nursing process and how it is used to plan and provide individualized patient care. It outlines the 6 main steps as assessment, diagnosis, planning, implementation, evaluation, and reassessment. Assessment involves collecting both subjective and objective patient data to develop an understanding of their health status. This data is then analyzed during diagnosis to identify any health problems or needs. The following steps of planning, implementation, and evaluation are used to create a care plan and provide nursing interventions to address the identified needs and problems. The nursing process is cyclic and repeated to allow for continuous reassessment and adaptation of the care plan based on the patient's changing condition.
This document provides an overview of community nutrition. It begins by defining community nutrition as applying nutritional knowledge to identify and solve population groups' nutritional problems. Community nutrition and health are interrelated, as nutritional and health problems coexist and influence each other within communities. The document then discusses methods of assessing nutritional status, including anthropometry, biochemical tests, clinical exams, and dietary surveys. Key conditions related to protein-energy malnutrition like kwashiorkor, marasmus, and marasmic kwashiorkor are also described. The treatment of protein-energy malnutrition involves resolving life-threatening conditions through hospital care and providing a calorie- and protein-rich diet.
The Health Promotion Model Nola J. PenderChapter 18Ov.docxoreo10
The Health Promotion Model:
Nola J. Pender
Chapter 18
Overview of Pender’s Health Promotion Model
Three major categories to consider in Pender’s health promotion model:
Individual characteristics and experiences
Behavior-specific cognitions and affect
Behavioral outcome
Individual Characteristics and Experiences: Prior Behavior
Prior behavior directly and indirectly effects likelihood of engaging in health-promoting behaviors
Direct effect of past behavior on current health-promoting behavior is due to habit formation
Prior behavior indirectly influences health-promoting behavior through perceptions of self-efficacy, benefits, barriers & activity-related affect
Individual Characteristics and Experiences: Personal Factors
Personal biological factors include age, body mass index, pubertal status, menopausal status, aerobic capacity, strength, agility, or balance
Personal psychological factors include self-esteem, self-motivation, perceived health status
Personal sociocultural factors include education, ethnicity, acculturation, socioeconomic status
Behavior-Specific Cognitions and Affect
Perceived benefits of action or the anticipated positive outcomes resulting from health behavior
Perceived barriers to action or anticipated, imagined, or real blocks or personal costs of a behavior
Behavior-Specific Cognitions and Affect
Perceived self-efficacy or the judgment of personal capability to organize and execute a health-promoting behavior
Activity-related affect or the subjective positive or negative feelings that occur before, during, and following behavior based on the stimulus properties of the behavior
Behavioral Outcome
Commitment to a plan of action marks the beginning of a behavioral event
Interventions in the health promotion model focus on raising consciousness related to:
Health-promoting behaviors
Promoting self-efficacy
Enhancing the benefits of change
Control of environment to support behavior change
Managing the barriers to change
Major Concepts of Nursing
According to Pender
Person: the individual who is the primary focus of the model
Environment: the physical, interpersonal, and economic circumstances in which persons live
Health: a positive high-level state
Major Concepts of Nursing
According to Pender
Nursing: role of nurse includes raising consciousness related to health-promoting behaviors, promoting self-efficacy, enhancing the benefits of change, controlling the environment to support behavior change, and managing barriers to change
Assumptions of the Health
Promotion Model
Persons seek to create conditions of living through which they can express their unique human potential
Persons have the capacity for reflective self-awareness, including assessment of their own competencies
Persons seek to actively regulate their own behavior
Assumptions of the Health
Promotion Model
Persons value growth in directions viewed as positive and attempt to achieve a personally acceptable balance between change ...
- Mr. Chandan Biswas, age 50, was admitted to the hospital with abdominal pain and diagnosed with peptic perforation and peritonitis.
- Using Orem's Self-Care Deficit Theory, his self-care abilities and needs were assessed. He required assistance with activities of daily living due to pain.
- A post-operative nursing care plan was developed based on Orem's theory to help Mr. Biswas meet his universal, developmental, and health-deviation self-care requisites as he recovered from surgery. This included supporting his medication regimen and lifestyle modifications to promote healing and prevent future health issues.
Nursing care plan based on self care deficit theory by Dorothea Orem. The process is on Medical Surgical Nursing. It is helpful for students of M.Sc Nursing.
This randomized controlled trial examined the effects of a home-based exercise and caregiver behavioral management program on 153 patients with Alzheimer's disease. The intervention group received training over 12 hours in the first 3 months. Results found the intervention reduced functional dependence and depression at 3 months, with only SF-36 differences maintained at 24 months. However, the program did not delay institutionalization. The study suggests home-based programs may improve physical and mental health in the short-term but repeated training may be needed to sustain effects. Limitations included potential information bias and an outdated diagnostic criteria for Alzheimer's.
Theories and-models-frequently-used-in-health-promotionDanzo Joseph
The document discusses several theories and models that are frequently used in health promotion. At the individual level, theories include the health belief model, stages of change model, and relapse prevention model. Interpersonal level theories cover social learning theory, theory of reasoned action, and theory of planned behavior. Community level models involve the community organization model, ecological approaches, organizational change theory, and diffusion of innovations theory. Each theory or model addresses key concepts relevant to health behavior change.
Dorothea Orem developed her Self-Care Theory between 1949-1957 while working as a nurse in Indiana. Her theory has three related parts: the theory of self-care, theory of self-care deficit, and theory of nursing systems. Orem defined nursing as helping individuals maintain or change their health conditions. Her theory specifies that nursing is needed when a person's self-care abilities do not meet their self-care needs.
Similar to GORDONS 11 HEALTH FUNCTIONAL PATTERNS.ppt (20)
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Hypertension and it's role of physiotherapy in it.Vishal kr Thakur
This particular slides consist of- what is hypertension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is summary of hypertension -
Hypertension, also known as high blood pressure, is a serious medical condition that occurs when blood pressure in the body's arteries is consistently too high. Blood pressure is the force of blood pushing against the walls of blood vessels as the heart pumps it. Hypertension can increase the risk of heart disease, brain disease, kidney disease, and premature death.
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CHAPTER 1 SEMESTER V COMMUNICATION TECHNIQUES FOR CHILDREN.pdfSachin Sharma
Here are some key objectives of communication with children:
Build Trust and Security:
Establish a safe and supportive environment where children feel comfortable expressing themselves.
Encourage Expression:
Enable children to articulate their thoughts, feelings, and experiences.
Promote Emotional Understanding:
Help children identify and understand their own emotions and the emotions of others.
Enhance Listening Skills:
Develop children’s ability to listen attentively and respond appropriately.
Foster Positive Relationships:
Strengthen the bond between children and caregivers, peers, and other adults.
Support Learning and Development:
Aid cognitive and language development through engaging and meaningful conversations.
Teach Social Skills:
Encourage polite, respectful, and empathetic interactions with others.
Resolve Conflicts:
Provide tools and guidance for children to handle disagreements constructively.
Encourage Independence:
Support children in making decisions and solving problems on their own.
Provide Reassurance and Comfort:
Offer comfort and understanding during times of distress or uncertainty.
Reinforce Positive Behavior:
Acknowledge and encourage positive actions and behaviors.
Guide and Educate:
Offer clear instructions and explanations to help children understand expectations and learn new concepts.
By focusing on these objectives, communication with children can be both effective and nurturing, supporting their overall growth and well-being.
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2. Gordon's functional health patterns
Proposed by Marjorie Gordon as a guide for establishing
and organizing a comprehensive nursing data base
Based on the belief that all human beings have in
common 11 functional health patterns that contribute to
their health.
The format addresses and reflects concepts of holism
The 11 categories make possible a systematic and
standardized approach to data collection, and enable the
nurse to determine the aspects of health and human
function:
2
3. Functional health patterns
All human beings have in common certain
functional patterns that contribute to their health
,quality of life and achievement of human
potentials
These common patterns are the focus of nursing
assessment
Description and evaluation of health patterns
permit the nurse to identify functional patterns
( client's strengths) and dysfunctional patterns
(nursing diagnosis)
3
4. For each pattern, combine subjective and objective
data to identify diagnosis and etiological
/contributing factors.
Health is measured by parameters and norms in
combination with a subjective client description.
Health-Defined within the context of functional
health patterns is the optimum level of functioning
that allows individuals , families and communities
to develop their potentials to the fullest
4
5. Summary of functional health patterns
1. Health Perception-health Management Pattern
2. Nutritional-metabolic Pattern
3. Elimination Pattern
4. Activity-exercise Pattern
5. Sleep-rest Pattern
6. Cognitive-perceptual Pattern
7. Self-perception and Self-concept Pattern
8. Role Relationship Pattern
9. Sexuality-reproductive Pattern
10. Coping-stress Tolerance Pattern
11. Value-belief Pattern
5
6. Advantages
Guides collection of information on client
,client’s family and community
Encompasses a holistic approach and
Incorporates the concepts of client –
environment interaction
6
8. 8
1:Health Perception-health Management:
Data collection is focused on the person's perceived level of
health and well-being, and on practices for maintaining
health. Actual or potential problems related to safety and
health management may be identified as well as needs for
modifications in the home or needs for continued care in the
home.
Describes the client’s perceived pattern of health and well
being and how her/his health is managed.
It includes the client’s perception of his/her health status and
its relevance to current activities and future planning
Habits that may be detrimental to health are also evaluated,
including smoking and alcohol or drug use
9. It also includes the general level of health care
behavior
Promotional activities
Self examinations-breast , testicular exams
Preventive practices
Medical and nursing perceptions
Follow up care.
The focus is the individual ,family and
community perceived level of health, well-being
and practices for promoting and maintaining
health
9
10. 10
Assessment of functional health perception- health
management patterns
Individual assessment
History
How has general health been
Previous and current health problems and diseases
Activities for promoting and maintaining health
Perceptions on causes of previous and current health or
disease status
Examination-General health status
Family assessment
History & Examination
Community assessment
History & examination
11. Sample NANDA nursing diagnosis
Health Maintenance, Ineffective
Infection, Risk for
Injury, Risk for
Risk for injury, Suffocation , Poisoning
Management of Therapeutic Regimen (Individual,
Family, Community), Ineffective
Management of Therapeutic Regimen, Readiness for
Enhanced
Surgical Recovery, Delayed
11
12. 12
2:Nutrition and Metabolism:
Assessment 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, feeding difficulties tissue integrity, and
host defenses may be identified as well as
problems with the gastrointestinal system.
Assessment objective
To obtain data about typical pattern of food
and fluid consumption
Identify gross indicators of metabolic need
13. Individual assessment
13
History
Typical daily food and
fluid intake
Weight loss/gain
Height
Discomforts with
eating ,swallowing
Diet preference or
restrictions
Appetite
Skin problems /lesions
and healing of wounds
Dental problems
Examination
Skin
Bony prominences
Oral mucous
membranes
Teeth
Actual weight and
height
Anthropometric
measurements
Temperature
Parenteral /enteric
feeding modes
14. Sample Nutritional Metabolic Patterns NANDA
Nursing Diagnoses
Risk for Infection
Impaired Oral Mucous
Membranes
Risk for Impaired Skin
Integrity
Impaired Swallowing
Ineffective
Thermoregulation
Impaired Tissue Integrity
Risk for Aspiration
Risk for Imbalanced
Body Temperature
Feeding Self-Care
Deficit
Fluid Volume Excess
Risk for Deficient Fluid
Volume
Hyperthermia
Imbalanced Nutrition:
Less than Body
14
15. 15
3:Elimination:
Data collection is focused on patterns of (bowel, bladder,
skin) functions.
Excretory problems such as incontinence, constipation,
diarrhea, and urinary retention may be identified.
Individual assessment
History
Bowel elimination-frequency ,character, discomfort,
use of laxatives
Urinary elimination-retention
Excessive perspiration
Body cavity drainage-suction
Examination-If indicated-Excreta amount &
characteristics
17. 17
4:Activity and Exercise:
Assessment is focused on the activities of daily living
requiring energy expenditure, including self-care
activities, exercise, recreation and leisure activities.
The status of major body systems involved with activity and
exercise is evaluated, including the respiratory,
cardiovascular, and musculoskeletal systems
Individual assessment.
History
Sufficient energy for required activities
Exercises
Recreational activities
Perceived ability for ADLs- Functional level assessment
18. 18
Level 0:Full self care
Level 1:Requires use of equipment
Level11:Requires assistance or supervision
Level 111:Requires assistance from another and use of
equipment device
Level IV: Is dependant and does not participate
Examination
Demonstrated ability to perform ADLs
Gait
Posture
Range of motion-Joints
Muscle strength
Blood pressure
Pulse and respirations
General appearance (grooming, Hygiene ,energy level)
20. 20
5:Cognition and Perception:
Describes sensory-perceptual and cognitive
adequacy.
Assessment is focused on the sensory
functions and ability to comprehend and use
information.
Data pertaining to functions of the sensory
modes, pain and cognitive abilities are
obtained.
21. Individual assessment
History
Hearing difficulty,
hearing aids
Vision-use of glasses
Any change in
memory
Ability to make
decisions
Learning difficulties
Examination
MSE
Hearing tests
Tests of vision
Reading tests
Language
spoken
21
23. 23
6:Sleep and Rest.
Assessment is focused on the person's sleep, rest,
and relaxation practices.
The objective is to describe effectiveness of the
pattern from the client’s perspective
Data on sleep characteristics during 24-period is
collected to include whether the client feels
rested
Dysfunctional sleep patterns, fatigue, and
responses to sleep deprivation may be identified.
24. Individual assessment
History
Sleep onset problems
Sleeping aids
Early awakening
Rest-relaxation periods
Sleep interruptions-dreams
Generally rested and ready for daily activities
Examination
Sleeping times & presence of sleep pattern
Interruptions during sleep
Prescribed nocte drugs
24
26. 26
7.Self-Perception and Self-Concept: Assessment
is focused on the person's attitudes toward self, including
identity, body image, and sense of self-worth. The person's
level of self-esteem and response to threats to his or her self-
concept may be identified.
Individual assessment
History
Clients feelings towards self most of the time
Changes in body or things client can do
Changes in ways client feels about self or image since illness
started
Sources of anger, annoyance, fearful
Any hopelessness
28. Self-perception And Self-concept Pattern-
Sample NANDA nursing diagnosis
Body Image, Disturbed
Loneliness, Risk for
Personal Identity, Disturbed
Self-Concept, Readiness for Enhanced
Self-Esteem, Chronic Low, Situational
Low,
Risk for Situational Low
28
29. 29
8:Roles and Relationships:
Assessment is focused on the person's
roles engagement and relationships
with others.
Includes perception of the current
major roles and responsibilities
Satisfaction with roles, role strain, or
dysfunctional relationships within the
family and socially may be identified.
30. Individual assessment
History
Living alone
Family structure
Difficulty in handling family problems
Feeling of family members about client’s illness
Difficulty handling children
Social group membership and positions held
Income in relationship to needs
Feeling part of the family, friends, neighborhood or isolated
Examination
Interactions- Family, relatives, work mates
30
31. Sample NANDA Nursing Diagnosis
Caregiver Role Strain, Risk for and Actual
Communication, Readiness for Enhanced
Family Process, Interrupted
Family Process, Readiness for Enhanced
Parent, Infant, and Child Attachment, Impaired,
Risk for
Parenting, Impaired, Risk for and Actual
Parenting, Readiness for Enhanced
31
32. 32
9:Sexuality and Reproduction:
Assessment is focused on the person's satisfaction or
dissatisfaction with sexuality patterns and reproductive
functions. Concerns with sexuality may he identified.
Individual assessment
History-consider age and situation
Sexual relationships and whether satisfying, any
Changes
Use of contraceptives
Menarche and menopause / andropose
LMP, dysmenorrhea,parity
Examination- Antenatal, pelvic examination & genital
examination if appropriate
33. Sexuality and reproduction sample NANDA
nursing diagnosis
Rape-Trauma Syndrome:
Sexual Dysfunction
Sexuality Patterns, Ineffective
33
34. 34
10:Coping and Stress Tolerance:
Assessment is focused on the person's perception
of stress and his or her coping strategies.
Includes ability to exert a sense of control over
threat to integrity
Individual assessment
History
Any big changes in the client’s life in the last year
and following previous crisis
The most helpful person in times of stress &
Confidants
Use of stress-relieving drugs
Ways of handling stressful issues and their
effectiveness
35. Sample NANDA nursing Diagnosis
Adjustment, Impaired
Coping, Readiness for Enhanced
Family Coping, Compromised and Disabled
Individual Coping, Ineffective
Coping, Defensive
Denial, Ineffective
35
36. 36
11.Values and Belief.
Assessment is focused on the person's values and
beliefs (including spiritual beliefs), or on the goals
that guide client’s choices or decisions.
It includes what is perceived as important in life
and perceived conflicts in values, beliefs or
expectations that are health related.
37. History
Important plans for the future
Importance Religion in life
Health actions that contradict beliefs
Sample NANDA nursing Diagnosis
Impaired Religious faith, Risk for and Actual
Spiritual Distress, Risk for and Actual
Spiritual Well-Being, Readiness for Enhanced
37
38. REFERENCES AND FURTHER READINGS
Fuller Jill Ayers-Scheller Jenipher: Health Assessment a
Nursing Approach .J.B.-Lippincott company
Gordon Marjory-Nursing Diagnosis : process & applications
Mosby
Web sites and relevant texts
38