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Impact Factor 3.582 Case Studies Journal ISSN (2305-509X) – Volume 5, Issue 7–July-2016Functıonal Health Patterns Model –A Case StudyAuthor Details: Turkan KARACAAdıyaman University School of NursingABSTRACTGordon’s Functional Health Patterns is a method develops By Marjorie Gordon in 1987 proposedfunctional health patterns as a guide for establishing a comprehensive nursing data base. By using thesecategories it’s possible to create a systematic and standardized approach to data collection, and enable thenurse to determine the following aspects of health and human function: Health Perception HealthManagement Pattern, Nutritional Metabolic Pattern, Elimination Pattern, Activity Exercise Pattern, SleepRest Pattern, Cognitive-Perceptual Pattern, Self-Perception-Self-Concept Pattern, Role-RelationshipPattern, Sexuality-Reproductive, Coping-Stress Tolerance Pattern,Value-Belief Pattern.Key Words: Functional Health Patterns, Gordon, NursingINTRODUCTIONGordon’s Functional Health Patterns is a method develops By Marjorie Gordon in 1987 proposed functionalhealth patterns as a guide for establishing a comprehensive nursing data base. The model is a method usedby nurses in the nursing process to provide a comprehensive nursing assessment of the patient. Taxonomy IIof NANDA Nursing Diagnosis classification is based on Gordon's functional health patterns. Gorden'sfunctional health pattern includes 11 categories which is a systematic and standardized approach to datacollection.Data CollectionGeneral Information;Name, age, adress, phone no and etc.1. Health Perception – Health Management Pattern;describes client’s perceived pattern of health and well being and how health is managed.2. Nutritional – Metabolic Pattern;describes pattern of food and fluid consumption relative to metabolic need and pattern indicators of localnutrient supply.3. Elimination Pattern;describes pattern of excretory function (bowel, bladder, and features)4. Activity – Exercise Pattern;describes pattern of exercise, activity, leisure, and recreation.5. Sleep – Rest Pattern;describes patterns of sleep, rest, and relaxation.6. Cognitive – Perceptual Pattern;describes sensory, perceptual, and cognitive pattern.7. Self-perception – Self-concept Pattern;describes self-concept and perceptions of self (body comfory, image, feeling state).8. Role – Relationship Pattern;describes pattern of role engagements and relationships.9. Sexuality – Reproductive Pattern;describes client’s pattern of satisfaction and dissatisfaction with sexuality pattern, describes reproductivepatterns.10. Coping – Stress Tolerance Pattern;describes general coping patterns and effectiveness of the pattern in terms of stress tolerance. 11. Value –Belief Pattern;describes pattern of values and beliefs, including spiritual and /or goals that guide choices or decisions.http://www.casestudiesjournal.com/Page 14
Impact Factor 3.582 Case Studies Journal ISSN (2305-509X) – Volume 5, Issue 7–July-2016A Case StudyGeneral InformationName Surname: A.Ö.Clinic: Internal MedicineGender: FemaleRoom no: 28Birth Date: 01.01.1983Admission date: 11.11.2014Birth Place: City CenterDoctor: E.A.Education: High SchoolProtocol No:****Adress: City CenterAllergy: AmpicilinPhone no: ****marital status: MarriedHealth Perception – Health Management PatternPatient history: In 2012, the patient complained of nausea, vomiting and body itching.Therefore, she had hepatosplenomegaly diagnose. She had chronic heart failure, anemia andshe underwent splenectomy surgery in January 2014. After this surgery because of heartfailure she begun digoxin. Then May 2014 in She admitted medical center because of chronicheart failure and respiratory distress. Antibiotics were started because the pneumatic infiltrateon chest radiograph. Then the patient's creatinine and liver enzymes were higher in theexaminations. Patients with chronic liver failure was diagnosed and began treatment. He wasdischarged in June 2014. The patient admitted to the hospital due to the development ofedema, she has been accepted to medical center for further evaluation and treatment.Surgery: Splenectomy (2014)Family History: No featureDiagnosis: Cronic Kidney DiseaseTheatment: Vital signs control – limited to 800 cc-weight controlFamodin 40 mg p.o. 2 1Secita 10 mg p.o.1 1Nutritional – Metabolic PatternLength: 158 cmNutritional Status: Independent-oralDairly meals no: 3 main meal, 3 snacksDairly liqued taken: limited to 800 ccSpecial diet: salt free dietAnorexia: SometimesWeight: 46 kgNausea: N/AWeight loss: N/ATeeth Status: There is teeth decaysOral mucosal integrity: No problemElimination PatternBowel Elimination Status: IndependentConstipation : N/ADiarrhea: Dairly 2-3 times juicy and light yellow stoolDistention : When lying long time. Walks little around.Fecal inkontinance : N/AHemorrhoids : N/AColostomiy: N/ABowel Sounds : 7/minuteStoma : N/Ahttp://www.casestudiesjournal.com/Page 15
Impact Factor 3.582 Case Studies Journal ISSN (2305-509X) – Volume 5, Issue 7–July-2016Bladder Elimination Status: IndependentBladder inkontinence : N/ACystostomy: N/AUrine colour : Dark yellow (700 cc output)Bladder catheterization: N/ADysuria: N/AUreterestomy : N/AUrine clarty : ClearActivity – Exercise PatternSputum : Sometimes in the morningCough: Sometimes in the morningTriflow: N/ABreath and cough exercise: N/ATracheostomy : N/ADyspnea: N/ACyanosis: N/ANebulization: N/AOxygen therapy : N/AEndotracheal tube: N/AAny physical barriers that restrict the movement: N/AAuxiliary agents that used by the patient: N/AChanging the position: Patient do by herself.Standing up : She needs help sometimes.Walking: Patient do by herself.Changing the clothes: She needs help sometimes.Sleep – Rest PatternAvarage sleeping hours : 5 hoursDaytime sleeping : Often in the lunch time.Habits that help you fall asleep (reading book, drinking milk and etc.) : Listening musicand speakig with mother.Waking up tired: Usually because of irregular sleeping at night she waking up tired andfeeling tired all day.Factors that affecting sleeping in hospital room: Treatments in the night, taking vital sign ,and the noises.Cognitive – Perceptual PatternVision problems: N/AHearing Problems: N/AGlasses: N/ALens: N/AHearing Aid : N/APain: N/APain NaturePain FrequencyPain DurationPain Violance Princking Thorobbing Flammable Blunt Continuous İntermittent.Factors that increase the pain: N/AFactors that decrease the pain:N/Ahttp://www.casestudiesjournal.com/Page 16
Impact Factor 3.582 Case Studies Journal ISSN (2305-509X) – Volume 5, Issue 7–July-2016Role – Relationship PatternJob: N/AFamily members: Father, Mother and SisterRole in family: GirlAny barriers to communication: She is boring at hospital and she is worring about herdisease.Accept the treatment and participate care: No problemSexuality – Reproductive PatternFor female patients;last menstrual period: Last monthFrequnecy of changing ped: Two timesDairly ped: N/AVital Signs:Body Tempeture: 36.7 oC (Tympanic)Pulse: 86 /mn (radial- rhythmic)Apical pulse: 96 /mn (rhythmic)Respiration: 20 /mnBlood Pressure (right arm): 120/80 mmHghttp://www.casestudiesjournal.com/(left arm): 110/80 mmHgPage 17
Impact Factor 3.582 Case Studies Journal ISSN (2305-509X) – Volume 5, Issue ion ernSupporting Signs Nursingand -Having peripheral Infectionvenous catheterRisk-Stayinginthehospital for a longtime-Havingseveralcronic diseases-Limiting to 800 ccliquid-Eating half of thedietIncrease theenfection riskminumumlevel-Observe site of theperipheral venous catheterabout infection signs.-Follow the number ofleukocytes.-Wash hands before andafter touching patients.-Be careful about aseptictechnique.-Give care of peripheralvenous catheter dairly.-Wear gloves if needed.-Be aware of about diet andliquid intaken.-Site of the peripheralvenouscatheterwasobserved about infectionsigns.-The number of leukocyteswas followed for three days.-Hands were washed.-Peripheral venous catheterwas given care dairly.-Gloves were weared whenneeded.-Patient wasencouragedabout her diet and liquidintaken.-There is noinfection signs.-There is noproblem aboutthe number ofleukocytes.-She finished¾ of meal anddrinked 800 ccliquid.Eating less Provide-Follow the weight dairly.– -Lenght: 1.58Weight: 46from body adequate and -Observesignsof-Feeling anorexianeedsbalancedmalnutrition such as hair-Having salt free dietnutrition and loss, dry and pale skin,-Eating half of theto minimize weakening of the muscles.dietthe risk of -Follow the laboratorylosingfindings.weight.-Be aware of about diet andliquid intaken.-Try to serve meals withdietician which patientslike.-Keep the clean patients-The weight was followeddairly.-Signs of malnutrition suchas hair loss, dry and paleskin,weakening of themuscles was observed.-The laboratory findings wasfollowed for three days.-Meals served with dietician.-Patients room was keptclean after intervations.-There is noweight loss.-She finished¾ of meal anddrinked 800 ccliquid.-There is nosignsofmalnutrition.-There is noproblem nal.com/Page 18
Impact Factor 3.582 Case Studies Journal ISSN (2305-509X) – Volume 5, Issue 7–July-2016room.-Make treatment and careintervations after meal - Increase– -Limiting to 800 cc LiquidliquidvolumeLiquid- Having dark yellow imbalancevolumeurineimbalance- Having Diarrheaminumumlevel-Making 2-3 timesDiarrheajuicy and lightyellow stool dairly-Limiting to 800 rnal.com/-Follow vitals signs 4 hoursintervals.-Follow the weight dairly.-Make intake-output list.-Follow the nousliquids.-Check the urine colour andamount.-Vital signs was follwed.-The weight was followeddairly.-The laboratory findings wasfollowed for three days.- Urine colour and amountwas checked dairly.-Vital signs areinnormalvalues.-There is noproblem ke normal -Record the eliminationboweltimes and frequence.elimination-Make intaken-output list.-Follow the laboratoryfindings.-Listen bowel sounds.-Give lint-free diet.-Intake-output list was made.-The laboratory findings wasfollowed for three days.-800 cc liquid was drinked.-Lint-free diet was t:800cc-There is noproblem aboutlaboratoryfindings-Bowelsounds: 7/mnPage 19
Impact Factor 3.582 Case Studies Journal ISSN (2305-509X) – Volume 5, Issue 7–July-2016Activity–ExercisePattern-Feeling tired allday-Waking up tired andfeeling tired all day.-Changing clothesand making bad withhelp.Lackofindividualcare due tofeelingtired.Sleep – Rest -Sleeping less due to Sleepnessletreatment and care ssPatternpractices-Avarage sleepinghours dairly: 5 hoursCognitivePerceptualPatternMinimize the -Define of the tire reasonslackof with details.individual-Define priority activitiescareand make an activity plan-Plan activities after mealsbecause of using energy-Place items accessibleeasily-Provide help for activitieswhich need extra energysuc as clothing, bathingEnsure-Set treatment and careadequateintervations before patientsleep and rest sleeping.of the patient -Define habits that helppatient fall asleep (readingbook, drinking milk andetc.).-Change the drugs whichhave side effects onsleepness after discuss thephysicians.-Minimize lights and noisein the room.-Find activities to preventdaylight sleepness.of Provide– -Lack of information Lackabout diagnoses and information informationtreatment-Lack of informationthe purpose of thetests and lying inhttp://www.casestudiesjournal.com/-Determine the patientslevel of information aboutdiagnosis and treatment.-Provide information to thepatent with physician.-Tire reasons was defineddue to lack of enough sleep-Priority activities definedsuchasnutrition,elimination.- Bathing was put after lunchin the activity plan.-Activities which need extraenergy were make together.-She felt lesstired.-Hermotherhelped her formaking dairlyactivities.-Care intervations weremadebeforepatientsleeping.-Music was helped thepatient fall asleep.-Light and noise was mademinimized in the room.-Daylightsleepwasminimized by watchingtelevision.-Patient’avaragesleeping hoursdairly:6 hours-Diagnosis and treatmentthat patients receive wasquestioned.-Information provided to thepatient with physician.-She told whatdiagnosis andtreatment shehave.Page 20
Impact Factor 3.582 Case Studies Journal ISSN (2305-509X) – Volume 5, Issue ack of information Anxietyabout hospital layingtime-Nothavingdiagnose yet-Feeling anxiety-Worryingaboutcancer anxietythe -Listen the patient about herfeelings and thoughts.-Give information beforeevery care and treatmentintervations-Teach different exercisesforpreventingfromanxiety.-Patient told about herfeelings and thoughts.-Information was gave to thepatientbeforeeveryinformation-Different exercises weretaught to the patient such asbreath exercise and etc.Page 21-Shewasworring aboutcancerdiagnose.
Impact Factor 3.582 Case Studies Journal ISSN (2305-509X) – Volume 5, Issue 7–July-20161.2.3.4.5.ReferencesBerman A, Synder S, Kozier B, Erb G. Fundamentals of Nursing. USA: Pearson Publishing, 2008.Birol, L. Nursing Process. İzmir: Etki Publishing, 2004.Gordon, M. Nursing Diagnosis: Process and application, Third Edition. St. Louis: Mosby, 1994.Potter P, Perry A. Fundamentals of Nursing. USA: Mosby Elsevers Publishing, 2009Taylor, C., Lillis, C., Lemone, P., Lynn., P. Fundamentals of Nursing. USA:LWW Publishing, 2008.http://www.case
Gordon’s Functional Health Patterns is a method develops By Marjorie Gordon in 1987 proposed functional health patterns as a guide for establishing a comprehensive nursing data base. The model is a method used by nurses in the nursing process to provide a comprehensive nursing assessment of the patient. Taxonomy II of NANDA Nursing Diagnosis classification is based on Gordon's functional health patterns. Gorden'sFile Size: 703KBPage Count: 9