functional assessment.pdf

7/27/2019 Functional assessment.pdf

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Functional Assessments

Maria Carmela L. Domocmat, RN ,MSN


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Functional Assessments

Gordons Functional Health Patterns

Katz Index of Independence

Barthel Index



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GORDONS FUNCTIONALHEALTH PATTERNS



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Marjorie Gordon (1987) proposed

functional health patterns as a guide forestablishing a comprehensive nursing data

.



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These 11 categories make possible a

systematic and standardized approach todata collection, and enable the nurse to

and human function:



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1 Health Perception and Management

2 Nutritional metabolic

3 Elimination

4 Activity exercise

5 Sleep rest

6 Cognitive-perceptual 7 Self perception/self concept

8 Role relationship

9 Sexuality reproductive

10 Coping-stress tolerance

11 Value-Belief Pattern



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1 Health Perception and Management

2 Nutritional metabolic

3 Elimination

5 Sleep rest

6 Cognitive-perceptual



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7 Self perception/self concept

8 Role relationship

9 Sexuality reproductive

11 Value-Belief Pattern



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(1) Health Perception and Health

Management

Data collection is focused on the person's

perceived level of health and well-being, and

on practices for maintaining health



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Health Perception and Health

ManagementHabits that may be detrimental to health are

also evaluated, including smoking and alcoholor drug use.

Actual or potential problems r/t

safety & health management needs for modifications in the home or needs for

continued care in the home.



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(2) Nutrition and Metabolism

Assessment is focused on the

pattern of food and fluid consumption relativeto metabolic need.

evaluated.

Actual or potential problems related to fluidbalance, tissue integrity, and host defenses

may be identified as well as problems with the

gastrointestinal system.



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(3) Elimination

Data collection is focused on excretory

patterns (bowel, bladder, skin).Excretory problems such as incontinence,

, ,retention may be identified.



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(4) Activity and Exercise

Assessment is focused on the

activities of daily living requiring energyexpenditure, including self-care activities,

exercise and leisure activities.

The status of major body systems involvedwith activity and exercise is evaluated,

including the respiratory, cardiovascular, and

musculoskeletal systems.



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Cognition and Perception. Assessment

is focused on the ability to comprehendand use information and on the sensory

.functions are collected to aid this process.Sensory experiences such as pain and

altered sensory input may be identifiedand further evaluated.



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Sleep and Rest. Assessment is focused

on the person's sleep, rest, and relaxationpractices. Dysfunctional sleep patterns,

,deprivation may be identified.



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Self-Perception and Self-

Concept. Assessment is focused on theperson's attitudes toward self, including

-, ,worth. The person's level of self-esteemand response to threats to his or her self-

concept may be identified.



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Roles and Relationships. Assessment is

focused on the person's roles in the worldand relationships with others. Satisfaction

, ,relationships may be further evaluated.



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Sexuality and

Reproduction. Assessment is focused onthe person's satisfaction or dissatisfaction

functions. Concerns with sexuality may heidentified.



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Coping and Stress Tolerance.

Assessment is focused on the person'sperception of stress and on his or her

evaluated, and symptoms of stress arenoted. The effectiveness of a person's

coping strategies in terms of stresstolerance may be further evaluated.



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Values and Belief. Assessment is

focused on the person's values and beliefs(including spiritual beliefs), or on the goals

.



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Critical Thinking Exercise 2:

Clustering of Data



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On a separate piece of paper, cluster the

following data according to GordonsFunctional Health Patterns.

,found that some categories had no datalisted. If this happens to you in the clinical

area, what should you do?



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Case historyAge 36

Married, has three small children

Occupation: landscape architect and

omema erReligion: Baptist



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Case historyMedical diagnosis: Pneumonia

T: 38.3; P: 100; R: 28; :BP: 104/68

States she is concerned about how her

us an s car ng or t e c ren, t at tis tough on him.



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States she feels weak and tired all the

time but cant seem to rest because shekeeps coughing all the time.

.regular meals. Is forcing fluids well(1000ml per shift)



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Before illness, she smoked a pack of

cigarettes a day but has not smoked sincehospitalization

health and never had to be hospitalized(even gave birth at home)



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States that all of the tests that have to be

done make her nervous; she is worriedabout getting AIDS from needle sticks.

up thick yellow mucus



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Chest x-ray shows improvement over the

last 2 daysWhite blood cell count is elevated at

, .


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