Gordon’s Functional Health Patterns Assessment (Adult)

11 Gordon’s Functional Health Patterns

Health Perception Health Management Pattern

Nutritional Metabolic Pattern
Elimination Pattern
Activity Exercise Pattern
Sleep Rest Pattern
Cognitive-Perceptual Pattern
Self-Perception-Self-Concept Pattern
Role-Relationship Pattern
Sexuality-Reproductive
Coping-Stress Tolerance Pattern
Value-Belief Pattern

Health Perception Health Management Pattern

1. History
a. How has general health been?
b. Any colds in past year? When appropriate: absences from work?
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?
d. Accidents (home, work, driving)?
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?
2. Examination—general health appearance

NUTRITIONAL-METABOLIC PATTERN
1. History
a. Typical daily food intake? (Describe.) Supplements (vitamins, type of snacks)?
b. Typical daily fluid intake? (Describe.)
c. Weight loss or gain? (Amount) Height loss or gain? (Amount)
d. Appetite?
e. Food or eating: Discomfort? Swallowing? Diet restrictions?
f. Heal well or poorly?
g. Skin problems: Lesions? Dryness?
h. Dental problems?
2. Examination
a. Skin: Bony prominences? Lesions? Color changes? Moistness?
b. Oral mucous membranes: Color? Moistness? Lesions?
c. Teeth: General appearance and alignment? Dentures? Cavities? Missing teeth?
d. Actual weight, height.
e. Temperature.
f. Intravenous feeding–parenteral feeding (specify)?

ELIMINATION PATTERN
1. History
a. Bowel elimination pattern? (Describe) Frequency? Character? Discomfort? Problem in control?
Laxatives?
b. Urinary elimination pattern? (Describe.) Frequency? Problem in control?
c. Excessive perspiration? Odor problems? d. Body cavity drainage, suction, and so on? (Specify.)
2. Examination—when indicated: examine excreta or drain- age color and consistency.

ACTIVITY-EXERCISE PATTERN
1. History
a. Sufficient energy for desired or required activities?
b. Exercise pattern? Type? Regularity?

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 c. Spare-time (leisure) activities? Child: play activities?
d. Perceived ability
(code for level) for:
Feeding_________________________ Dressing____________________________
Cooking_________________________ Bathing_________________________
Grooming___________________________ Shopping________________________
Toileting________________________ General mobility______________________
Bedmobility______________________ Home maintenance __________________
Functional Level Codes:
Level 0: full self-care •
Level I: requires use of equipment or device •
Level II: requires assistance or supervision from another person •
Level III: requires assistance or supervision from another person and equipment or device •
Level IV: is dependent and does not participate
2. Examination
a. Demonstrated ability (code listed above) for:
Feeding_________________________ Dressing________________________
Cooking___________________________ Bathing_________________________
Grooming________________________ Shopping__________________________
Toileting________________________ General mobility___________________
b. Gait_____________________________ Posture__________________________
Absent body part?__________________ (Specify)_________________________
c. Range of motion (joints) ___________________
Muscle____________________Firmness_________________
d. Hand grip ___________________________ Can pick up a pencil? ________________________
e. Pulse (rate) _______________ (rhythm) ______________ Breath sounds ___________________
f. Respirations (rate) ___________ (rhythm) ____________ Breath sounds ____________________
g. Blood pressure ______________________
h. General appearance (grooming, hygiene, and energy level)

SLEEP-REST PATTERN
1. History
a. Generally rested and ready for daily activities after sleep?
b. Sleep onset problems? Aids? Dreams (nightmares)? Early awakening?
c. Rest-relaxation periods?
2. Examination a. When appropriate: Observe sleep pattern.

COGNITIVE-PERCEPTUAL PATTERN
1. History
a. Hearing difficulty? Hearing aid?
b. Vision? Wear glasses? Last checked? When last changed?
c. Any change in memory lately?
d. Important decision easy or difficult to make?
e. Easiest way for you to learn things? Any difficulty?
f. Any discomfort? Pain? When appropriate: How do you manage it?
2. Examination
a. Orientation.
b. Hears whisper?
c. Reads newsprint?
d. Grasps ideas and questions (abstract, concrete)?
e. Language spoken.
f. Vocabulary level. Attention span.

SELF-PERCEPTION—SELF-CONCEPT PATTERN
1. History
a. How describe self? Most of the time, feel good (not so good) about self?
b. Changes in body or things you can’t do? Problem to you?
c. Changes in way you feel about self or body (since ill- ness started)?
d. Things frequently make you angry? Annoyed? Fearful? Anxious?
e. Ever feel you lose hope?
2. Examination

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a. Eye contact. Attention span (distraction)
b. Voice and speech pattern. Body posture
c. Nervous (5) or relaxed (1); rate from 1 to 5.
d. Assertive (5) or passive (1); rate from 1 to 5.

ROLES-RELATIONSHIPS PATTERN
1. History a. Live alone? Family? Family structure (diagram)?
b. Any family problems you have difficulty handling (nu- clear or extended)?
c. Family or others depend on you for things? How managing?
d. When appropriate: How family or others feel about ill- ness or hospitalization?
e. When appropriate: Problems with children? Difficulty handling?
f. Belong to social groups? Close friends? Feel lonely (frequency)?
g. Things generally go well at work? (School?)
h.When appropriate: Income sufficient for needs?
i. Feel part of (or isolated in) neighborhood where living?
2. Examination
a. Interaction with family member(s) or others (if present).

SEXUALITY-REPRODUCTIVE PATTERN
1. History a. When appropriate to age and situations: Sexual relationships satisfying? Changes?
Problems?
b. When appropriate: Use of contraceptives? 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.

COPING-STRESS TOLERANCE PATTERN

1. History
a. Any big changes in your life in the last year or two? Crisis?
b. Who’s most helpful in talking things over? Available to you now?
c. Tense or relaxed most of the time? When tense, what helps?
d. Use any medicines, drugs, alcohol?
e. When (if) have big problems (any problems) in your life, how do you handle them?
f. Most of the time is this (are these) way(s) successful?
2. Examination: None.

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.

Other concerns
a. Any other things we haven’t talked about that you would like to mention?
b. Any questions?

NURSING DIAGNOSIS under the 11 functional Health Pattern:

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. By using
these categories it’s possible to create a systematic and standardized approach to data collection,
and enable the nurse to determine the following aspects of health and human function:

The following are some of the Nursing Diagnosis under the Functional health Patterns. Some of them
are already updated based on the new NANDA list

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Health Perception and Health Management.
Contamination
Disturbed energy field
Effective therapeutic regimen management
Health-seeking behaviors (specify)
Ineffective community therapeutic regimen management
Ineffective family therapeutic regimen management
Ineffective health maintenance
Ineffective protection
Ineffective therapeutic regimen management
Noncompliance (ineffective Adherence)
Readiness for enhanced immunization status
Readiness for enhanced therapeutic regimen management
Risk for contamination
Risk for infection
Risk for injury
Risk for perioperative positioning injury
Risk for poisoning
Risk for sudden infant death syndrome
Risk for suffocation
Risk for trauma
Risk-prone health behavior

Nutritional Metabolic Pattern

Adult failure to thrive
Deficient fluid volume: [isotonic]
[Deficient fluid volume: hyper/hypotonic]
Effective breastfeeding [Learning Need]
Excess fluid volume
Hyperthermia
Hypothermia
Imbalanced nutrition: more than body requirements
Imbalanced nutrition: less than body requirements
Imbalanced nutrition: risk for more than body requirements
Impaired dentition
Impaired oral mucous membrane
Impaired skin integrity
Impaired swallowing
Impaired tissue integrity
Ineffective breastfeeding
Ineffective infant feeding pattern
Ineffective thermoregulation
Interrupted breastfeeding
Latex allergy response
Nausea
Readiness for enhanced fluid balance
Readiness for enhanced nutrition
Risk for aspiration
Risk for deficient fluid volume
Risk for imbalanced fluid volume
Risk for imbalanced body temperature
Risk for impaired liver function
Risk for impaired skin integrity
Risk for latex allergy response
Risk for unstable blood glucose

Elimination Pattern
Bowel incontinence
Constipation
Diarrhea

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Functional urinary incontinence
Impaired urinary elimination
Overflow urinary incontinence
Perceived constipation
Readiness for enhanced urinary elimination,
Reflex urinary incontinence
Risk for constipation
Risk for urge urinary incontinence
Stress urinary incontinence
Total urinary incontinence
Urge urinary incontinence
[acute/chronic] Urinary retention

Activity and Exercise Pattern

Activity intolerance
Autonomic dysreflexia
Decreased cardiac output
Decreased intracranial adaptive capacity
Deficient diversonal activity
Delayed growth and development
Delayed surgical recovery
Disorganized infant behavior
Dysfunctional ventilatory weaning response
Fatigue
Impaired spontaneous ventilation
Impaired bed mobility
Impaired gas exchange
Impaired home maintenance
Impaired physical mobility
Impaired transfer ability
Impaired walking
Impaired wheelchair mobility
Ineffective airway clearance
Ineffective breathing pattern
Ineffective tissue perfusion
Readiness for enhanced organized infant behavior
Readiness for enhanced self care
Risk for delayed development
Risk for disorganized infant behavior
Risk for disproportionate growth
Risk for activity intolerance
Risk for autonomic dysreflexia
Risk for disuse syndrome
Sedentary lifestyle
Self-care deficit
Wandering

Cognitive-Perceptual Pattern
Acute confusion
Acute pain
Chronic confusion
Chronic pain
Decisional conflict
Deficient knowledge
Disturbed sensory perception
Disturbed thought processes
Impaired environmental interpretation syndrome
Impaired memory
Readiness for enhanced comfort
Readiness for enhanced decision making
Readiness for enhanced knowledge

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Risk for acute confusion
Unilateral neglect
Sleep Rest Pattern
Insomnia
Readiness for enhanced sleep
Sleep deprivation
Sleep pattern disturbance

Self-Perception-Self-Concept Pattern
Anxiety
disturbed Body image
Chronic low self-esteem
Death anxiety
Disturbed personal identity
Fear
Hopelessness
Powerlessness
Readiness for enhanced hope
Readiness for enhanced power
Readiness for enhanced self-concept
Risk for compromised human dignity
Risk for loneliness
Risk for powerlessness
Risk for situational low self-esteem
Risk for [/actual] other-directed violence
Risk for [actual/] self-directed violence
Situational low self-esteem

Role-Relationship Pattern
Caregiver role strain
Chronic sorrow
Complicated grieving
Dysfunctional family processes: alcoholism (substance abuse)
Grieving
Impaired social interaction
Impaired verbal communication
Ineffective role performance
Interrupted family processes
Parental role conflict
Readiness for enhanced communication
Readiness for enhanced family processes
Readiness for enhanced parenting
Relocation stress syndrome
Risk for caregiver role strain
Risk for complicated grieving
Risk for impaired parent/infant/child attachment
Risk for relocation stress syndrome
Social isolation

Sexuality and Reproduction

Ineffective sexuality patterns
Rape-trauma syndrome
Sexual dysfunction

Coping-Stress Tolerance Pattern

Compromised family coping
Defensive coping
Disabled family coping
Impaired adjustment
Ineffective community coping
Ineffective coping

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Ineffective denial
Post-trauma syndromeReadiness for enhanced community coping
Readiness for enhanced coping
Readiness for enhanced family coping
Risk for self-mutilation
Risk for suicide
Risk for post-trauma syndrome
Self-mutilation
Stress overload

Value-Belief Pattern
Impaired religiosity
Moral distress
Readiness for enhanced religiosity
Readiness for enhanced spiritual well-being
Risk for impaired religiosity
Risk for spiritual distress
Spiritual distress

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