Gordon’s Functional Health Patterns Assessment

SAMPLE

Overall Introduction:

I am presenting here my overall health assessment by using the Gordon’s functional health patterns. Then, my stress is presented as focused assessment. This part of assessment assist me in knowing the level of stress while the internet source helps me in gaining more knowledge about causes , effects of stress in normal health status and the methods to reduce the stress or its management. Finally my essay on the health promotion is presented last.

Part 1: Self Health Assessment and plan

Functional Health Pattern (Gordon)

Biographical Data

Name: Lalita Bhandari

Address: 3/5 Danica Ct., Kearneys Spring

Date of Birth: 13th Feb. 1992

Place: Nepal

Age: 22 years

Gender: Female

Occupation: Student

Marital status: Single

Qualification: Bachelor in nursing (ongoing)

Contact number: 0404473722

Height: 162 cm.

Weight: 60 kg.

• Health perception and management pattern:

• Past health history: No history of any chronic illness
• Present condition: Stress due to study workload and homesickness

-Immunized all the vaccines which include tuberculosis, all three doses of Diphtheria, Pertusis and Tetanus, polio, measles, BCG, hepatitis and Rubella.

-No habit of alcohol consumption, smoking and chewing of tobacco and no use of other injectable drugs.

• Nutritional-metabolic pattern:
• Good appetite
• Food intake: 2-3 times a day and many snacks
• No any food allergies
• Fluid intake: 3-4 liters of water per day
• Have no difficulties with eating and swallowing
• Vitals (at the time of doing assignment)
• Temperature: 36.8 deg. centigrade
• Pulse: 74/min.
• Respiration: 78/min
• Blood Pressure: 110/60 mm of Hg.
• Height: 162 cm.
• Weight: 60 kg.

But sometimes get disturbed with stress.

• Elimination pattern
• Bowel: regular bowel at least once daily
• Bladder: normal frequency of menstruation and no problem associated with bladder or urination
• Activity-Exercise pattern
• No planned routine for regular exercise regime
• Depends upon mood and only on leisure time but rare
• Sleep and rest pattern
• Normally no problem of insomnia
• Have 5-6 hours of sleeping pattern
• Never use of any sleeping aids and sedatives to rest

But sometimes, when I get stress, I suffer from insomnia

• Cognitive-Perceptual patterns
• Good sensory and auditory adequacy
• No difficulties in learning
• Good memory
• Oriented
• Self-Perception and self concept patterns
• I am kind, helpful and soft-hearted
• Show positive attitudes towards others
• Respect others feelings

But sometimes I feel losing hope when nobody cares.

• Roles and relationship pattern
• Family life: Recently I live with my friends as a family. I have responsibility towards my parents as a daughter and sister. I can cope with the difficulties that arise among family members and have good bond among all family members.
• Student life: Being a student, I have responsibility towards my studies. As with the case with most of international students I need to cope with various level of difficulties like stress, anxiety and workload.
• Coping-Stress tolerance pattern
• New environment, new face, new rules, new study patterns make me stress. always listen to songs, watch pictures/photos of my cell and also talk to my close friend and family. If the stress is too severe and cannot be controlled, I cry silently and let the stress burst out with tears and feel like relaxed then after.
• Values-Beliefs pattern
• Cultural and religious beliefs
• Goal set to be a qualified and dedicated Registered Nurse
• Punctual, obedient and hardworking
• Never give up and learn from every mistake and move forward

Part B: Focused Assessment

I browse internet to gain more knowledge on my stress level. I assessed my stress level using “life change index scale/ The Stress Test”, written by Thomas H. Holmes and Richard H. Rahel. This stress test has three different rows including event, impact score and my score. As event adds up, there occurs increase in score. The higher the score, the chance of becoming ill will also be higher and also the change of returning back to normal health will decrease.

LIFE CHANGE INDEX SCALE : THE STRESS TEST

Event	Impact Score	My Score
Death of spouse	100
Divorce	73
Marital Separation	65
Jail Term	63
Death of close family member	63
Personal injury or illness	53
Marriage	50
Fired at work	47
Marital reconciliation	45
Retirement	45
Change in health of family member	44
Pregnancy	40
Sex difficulties	39
Gain of a new family member	39
Business readjustment	39
Change in financial state	38	38
Death of a close friend	37
Change to a different line of work	36
Change in number of arguments with spouse	35
Mortgage over $20,000	31
Foreclosure of mortgage or loan	30
Change in responsibilities at work	29
Son or daughter leaving home	29
Trouble with in laws	29
Outstanding personal achievement	28
Spouse begins or stop work	26
Begin or end school	26	26
Change in living conditions	25
Revisions of personal habits	24
Trouble with boss	23
Change in work hours or conditions	20	20

Life change units	Likelihood Of Illness In Near Future
300+	about 80 percent
150-299	about 50 percent
less than 150	about 30 percent

According to the score interpretation presented above in the table, my level of score is 100 which is less than 150 so I have less risk of illness in my near future. In this way Homes and Rahes stress life change index scale helps me to assess my level of stress and help me in reducing the stress and promote my health.

References

 

Part 3 Internet Sources

While doing my individual self assessment, i determine that stress is the main cause for detoriating my healthy living and daily activities. For promoting my own health, I have selected two internet sources to reduce my stress. As per the source, i came to know that stress is determined as the physical reaction to several events of our lHello

Part 4. Health Promotion Essay

Health is considered to be the precious wealth of an individual. It is an important aspect of our life. According to the definition provided by World Health Organization, “Health promotion is the process of enabling people either individually or in group like community to increase control over, and to improve their health” as cited by Selekman,( 2006).Health is affected by various factors so that to promote the health a teamwork is required between health personal, community and other different sectors. Being a health person, Nurses play vital role for accessing the health of patients, identify their health needs and encourage them to promote their health in an effective way.

Overall conclusion

I have done my own self assessment with stress as a focused assessment. I found stress as a main factor that chauses change in my normal health status. Finally the essay on health promotion is presented at list of references the end of the assignment.

List of References :

1. Baisch, M. J., Lundeen, S. P., & Murphy, M. (2011). Evidence-Based Research on the Value of School Nurses in an Urban School System. Journal Of School Health, 81(2), 74-80. doi:10.1111/j.1746-1561.2010.00563.x

Retrived from http://web.a.ebscohost.com.ezproxy.usq.edu.au/ehost/pdfviewer/pdfviewer?sid=95fefa95-373a-4bb3-a0d3-09b4b9baaf42%40sessionmgr4005&vid=0&hid=4212

1. Bektas, M., & Ozturk, C. (2008). Effect of health promotion education on presence of positive health behaviors, level of anxiety and self-concept: Social Behavior & Personality: An International Journal, 36(5), 681-690. doi:10.2224/sbp.2008.36.5.681

RETIREVED FROM http://web.a.ebscohost.com.ezproxy.usq.edu.au/ehost/pdfviewer/pdfviewer?sid=53bd6502-3b56-4fb0-9ad8-dfe19e80ee51%40sessionmgr4005&vid=0&hid=4212

1. Bryer, J., Cherkis, F., & Raman, J. (2013). Health-Promotion Behaviors of Undergraduate Nursing Students: A Survey Analysis. Nursing Education Perspectives, 34(6), 410-415. doi:10.5480/11-614 RERIEVED FROM http://web.a.ebscohost.com.ezproxy.usq.edu.au/ehost/pdfviewer/pdfviewer?sid=394eddc7-bbd1-4e40-9b94-3546e235556b%40sessionmgr4004&vid=1&hid=4212

1. Dempsey,J., French ,J., Hillege,S., &Wilson,V.(2009) . Fundamental of Nursing &midwifery: A person centered approach to care,(5th ed). Lippincott Williams &wilkins, broadway, NWS

1. Erdil, F., & Korkmaz, F. (2009). ETHICAL PROBLEMS OBSERVED BY STUDENT NURSES. Nursing Ethics, 16(5), 589-598
2. Holmes, T. H., & Rahe, R. H. (1967). The social readjustment rating scale. Journal of psychosomatic research, 11(2), 213-218.

Retrieved from http://www.dartmouth.edu/~eap/library/lifechangestresstest.pdf

1. Managing stress Monday (2013). Retrieved April 22, 2013, from

http://w3.unisa.edu.au/counsellingservices/wellbeing/stress.asp

1. Smith, M., Segal, R., Segal, J. (2013). Stress Symptoms, signs and causes. Retrieved

http://www.helpguide.org/mental/stress_signs.htm

NUR1200: Concepts in Patient Care
Assignment:Portfolio of Health assessment / Health promotion marks: 20 (Weight 20%)
Part One	0 – .5	1- 2	2.5 – 3

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