Question

Directions: The student will utilize Marjory Gordon’s Functional Health Patterns as a template for self-assessment. By applying a theoretical model of change, the student will also identify a desired health-related goal for self and the process to achieve that goal. The student should not disclose any personal information that the student determines to be sensitive in nature and/or private or confidential. For example, the student should not disclose that he/she is taking a specific medication or consulting with health care professionals for his/her health care needs. Rather, the student may wish to record a more broad-based statement like, “I am going to increase my exercise to meet national nutritional guidelines.” The above directions will be discussed in class. If a student has any questions about completing the assignment, the student is encouraged to consult with the course Instructor. The student is also encouraged to submit a draft of the paper, for Instructor feedback, at least one week before the due date of the assignment. This paper is worth 100 points CONTENT TO INCLUDE IN THE PAPER: (If so desired, the student can provide hypothetical data about self for any or all of the data that are required in the paper) 1. Your: age; gender; height; weight; temperature; blood pressure; heart & respiratory rate; 2. General description of yourself. This should be a short paragraph. 3. Identify your developmental state according to the major theorists. You may use a chart for this. Format with column one Theorists; Column 2—your developmental stage according to the theorists; Column 3—any associated tasks for that period and where you are (This may suggest something you need to work on, i.e. an insight leading to a change item). 4. Gordon Functional Health Pattern Subjective Assessment Guide: Overview and useful links are imbedded in the comments. You may set up a chart: in first column identify the functional health pattern; in column two summarize important information about yourself; in column three identify if there are items you would like to change. ORGANIZING DATA ACCORDING TO GORDON’S 11 FUNCTIONAL HEALTH PATTERNS FUNCTIONAL HEALTH PATTERN PATTERN DISCRIPTION ASSESSMENT HEALTH PERCEPTION HEALTH MANAGEMENT Describes client’s perceived pattern of health and well-being and how health is managed. Quality of usual health (scale 10). Perceived ability to control health. Health history. Self-care measures used. Medications, Allergies. Current challenges and history related to these. Expectations for outcome of current health problem (for this class, the main focus here is on assessment of your “growth & development”) NUTRITIONAL-METABOLIC Describes pattern of food and fluid consumption relative to metabolic need and pattern indicators of local nutrient supply. Endocrine System Gastrointestinal System Integumentary System Diet. 24 hour diet recall. Quality of appetite. Swallowing; Dentures; Food likes and dislikes. Use of supplements. Usual weight. Nutrition knowledge. Skin. Use these links to assess your weight: http://www.cdc.gov/healthyweight/assessing/index.html Health Diet Quiz: http://nutrition.about.com/library/dietquiz/bldietquiz.htm ELIMINATION Describes patterns of excretory function (bowel, bladder, skin) Genitourinary System Integumentary System Musculoskeletal System Neurological System Usual bladder pattern (discomfort voiding, difficulty starting stream, frequency, nocturia, incontinence, self-care, assistance, other i.e. catheter and etc.) Usual bowel pattern (frequency, description, last bowel movement, incontinence, ileostomy, colostomy, aids, self-care, assistance) ACTIVITY-EXERCISE Describe pattern of exercise, activity, leisure, and recreation. Cardiovascular System Musculoskeletal System Neurological System Pulmonary System Self-care ability. Activities of daily living (eating/drinking, bathing, dressing/grooming, toileting, bed mobility, transferring, ambulating, other). Description of usual daily and, if different, weekend activities. Gait/balance. Respirations, Cough, Hobbies, Occupation. COGNITIVE-PERCEPTUAL Describes sensory-perceptual and cognitive pattern Neurological System Sensory 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 Describes patterns of sleep, rest, and relaxation Genitourinary System Musculoskeletal System Pulmonary System Sleep schedule. Usual bedtime and waking time. Naps. Uncommon sleep patterns/difficulty sleeping (problems falling asleep or staying asleep and solutions) SELF-PERCEPTION/SELF-CONCEPT Describes self-concept pattern and perceptions of self (e.g. body comfort, body image, feeling state) Body image and feeling about self. Emotional status. Effects of illness on self-perception. Personal factors contributing to illness, recovery, and health maintenance. ROLE-RELATIONSHIP Pattern of role-engagements and relationships Significant others. Next of kin/emergency contact. Family members and their relationship to client. Roles client and family members fill. Housing arrangements. Available assistance at home. Anticipated changes as related to health challenges. Previous utilization of community resources. Transportation. SEXUALITY-REPRODUCTIVE Describes patters of satisfaction and dissatisfaction with sexuality pattern; describe reproductive patterns. Gastro urinary System Reproductive System Sexuality and Reproduction System Sexuality activity. Contraception. Concerns (discharge, bleeding, sores, itching). LMP, menstrual concerns, obstetrical history, pregnancy. COPING/STRESS TOLERANCE Describes general coping pattern and effectiveness of the pattern in terms of stress tolerance Cardiovascular System Endocrine System Gastrointestinal System Genitourinary System Integumentary System Pulmonary System Possible problems or concerns anticipated as related to health challenges. Coping strategies used and their effectiveness. Personal losses or major stressors in the last year. Comfort and security needs. Tobacco use. Alcohol use. Other substance abuse. VALUE-BELIEF Describes patterns of values, beliefs (including spiritual), or goals that guide choices or decisions Religious/cultural/spiritual practices. Sources of strength and hope. Life goals. Spiritual needs generally and during time of stress. Need for clergy /support persons. 5. Select the one thing you would most like to change. Summarize why you have chosen this item to change, improve, or work on in your life. Identify the steps you will take to make this change. Identify a time frame for the change. Discuss the things in your environment that will help you make this change. Discuss the things in your environment that may hinder your change and if you think you can do something about them. Don’t forget to identify a change theory (such as Bandura) and how you see what you are trying to do fitting into that theory. This summary should take a 1 to 1 ½ pages. To summarize, the paper should include: 1. An introduction “to you” including a general description of yourself 2. Summary Charts a. Developmental Assessment b. Functional Health Pattern Assessment 3. A summary of a proposed change “for you” (see # 5 in the preceding) Most papers end up being approximately 10 pages in length. Remember to be concise but thorough in your charts. In the prose components remember to use APA formatting and cite references. Include a reference list, in APA format, at the end of the paper.

Answer 1

Majory's Gordon's functional health pattern is developed by Majory Gordon.It is a method used by the nurses in the nursing process to provide a comprehensive nursing assessment of the patient. Gordon's functional health pattern includes 11 categories which is a systematic and standardized approach to the data collection such as :

1.*Age : 23 years

*Gender :Female

*Height :158 cm

*weight :48 kg

*Temperature :98.7 ^o F

*Blood Pressure : 160/68 mmHg

*Heat rate :86 bpm

*Respiratory rate :20 bpm

2. General Description:

My self Mrs.X,23 years,presently suffered with lung GVHD. 2 years back for it is diagnosed as AML (Acute Myeloid Leukemia),and underwent Bone MArrow transplant and is presently suffered with chronic GVHD of lungs.

3.Developmental Stage :

Theorist	Developmental Stage	Associated Tasks
George Kelly	Personal Construct Theory - Costructivism	After the Bone MArrow Transplant for Acute Myeloid leukemia,2 weeks back admitted in the hospital with the complaints of severe breathing difficulty.All the culture reports and CT chest and X-ray are negative to rule out the diagnosis of chest infection.The next option is Bronchoscopy with Lung biopsy,But my condition is very weak.Any way after hearing the positive and negative of the procedure I agreed to give the consent for the procedure to finalize the diagnosis a nd to start the treatment to relieve the symptoms

4.Gordon Functional Health Pattern Subjective Assessment Guide

Functional Health Pattern	Desription by self	Items like to change
Health Perception/Health Pattern	I underwent Bone marrow Transplant for AML and presently Suffered with Lung GVHD and is on Immuno-Suppressants.	Any way I am on suppressants.I need to take care for infection Prevention
Nutritional-Meatbolic Pattern	I need to eat all the food items that i likes and consumes nearly 2000 ml of water par day	Control measures to take diabetes prevention,while i am on suppressants and there may be a risk for diabetes
Elimination Pattern	Bowel Pattern -2-3 times a day Urine Volume -1700-1800 mi for 24 hours after consumption of nearly 2000 ml per day	Continue the high fibre and protein diet.
Activity-Exercise Pattern	Can do the ADL'S by self,Normal range of physical activity.I used to spend the leisure time to read books related to science topics and passion in cooking	Needs to improve the recreational activities
Cognitive - Perceptual Pattern	Vision,hearing,taste,touch,smell and pain perception are normal. Language,memory and are normal	There need to improve the decision making pattern in health related matters.
Sleep -Rest Pattern	Insomnia experienced during night times Lack of rest during the day time	Improves the sleeping aids to improves from insomnia
Self Perception - Self Concept Pattern	Less comfort due to present illness.Presently experience avascular necrosis induced osteoporosis of hip with some variation of body posture	Improves the posture and activity of hip by physiotherapy and assisted exercises of the hip
Role-Relationship Pattern	Perception of role as a house wife and maintaining a good relation with family and societal members	Needs to improve the role performance as a wife
Sexuality - Reproductive Pattern	Presently experiencing amenorrhea and annovulation.. My obstetrical score is G1Po for treatment purpose I underwent MTP	Improves the measures to take the sexual satisfaction
Coping -Stress Tolerance Pattern	I had a normal coping and stress tolerence pattern.	Needs to improve the stress and coping strategies
Vaues -Belief Pattern	I had given good values in my spirituality	Needs toplan some more strategy to improves the values