Gordon PDF
Gordon PDF
Gordon PDF
1. History
c. Most important things you do to keep healthy? Think these things make a difference to health? (Include family folk
remedies when appropriate.) Use of cigarettes, alcohol, drugs? Breast self-examination?
e. In past, been easy to find ways to follow suggestions from physicians or nurses?
f. When appropriate: what do you think caused this ill- ness? Actions taken when symptoms perceived? Results of
action?
g. When appropriate: things important to you in your health care? How can we be most helpful?
NUTRITIONAL-METABOLIC PATTERN
1. History
d. Appetite?
h. Dental problems?
2. Examination
ELIMINATION PATTERN
1. History
a. Bowel elimination pattern? (Describe) Frequency? Character? Discomfort? Problem in control? Laxatives?
1
ACTIVITY-EXERCISE PATTERN
1. History
2. Examination
SLEEP-REST PATTERN
1. History
c. Rest-relaxation periods?
2. Examination
2
COGNITIVE-PERCEPTUAL PATTERN
1. History
2. Examination
a. Orientation.
b. Hears whisper?
c. Reads newsprint?
e. Language spoken.
3
Functional Health Patterns Assessment (Adult) - cont’d
SELF-PERCEPTION—SELF-CONCEPT PATTERN
1. History
a. How describe self? Most of the time, feel good (not so good) about self?
c. Changes in way you feel about self or body (since ill- ness started)?
2. Examination
ROLES-RELATIONSHIPS PATTERN
1. History
b. Any family problems you have difficulty handling (nu- clear or extended)?
d. When appropriate: How family or others feel about ill- ness or hospitalization?
2. Examination
SEXUALITY-REPRODUCTIVE PATTERN
1. History
a. When appropriate to age and situations: Sexual relationships satisfying? Changes? Problems?
c. Female: When menstruation started? Last menstrual period? Menstrual problems? Para? Gravida?
2. Examination
a. None unless problem identified or pelvic examination is part of full physical assessment.
1. History
a. Any big changes in your life in the last year or two? Crisis?
e. When (if) have big problems (any problems) in your life, how do you handle them?
2. Examination: None.
4
VALUES-BELIEFS PATTERN
1. History
a. Generally get things you want from life? Important plans for the future?
b. Religion important in life? When appropriate: Does this help when difficulties arise?
c. When appropriate: Will being here interfere with any religious practices?
2. Examination: None.
3. Other concerns
a. Any other things we haven’t talked about that you would like to mention?
b. Any questions?