Gordons Questions

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GORDON’S FUNCTIONAL HEALTH PATTERNS ASSESSMENT QUESTIONS

1. Health-Perception Management
 How has your general health been?
- In the middle of being health and not
 How would you rate your health on a scale of 1 to 10?
- 6
 Can you describe your illness or current health problems?
- Back ache
 What do you do when this occur?
- I put pain relief patch
 How has this affected your normal daily activities?
- I get easily tired
 Did you consider going to your physician? No
- when prescribed a medication from a physician, did you complete the entire
prescription? (What medication?)

2. Nutritional-Metabolic
 Describe your daily food intake.
- I eat 3x a day. I eat a balance meal when there is a meat, fruits or vegetables are
there too. I don’t drink coffee and anything sweet.
 Do you follow any diet plan?
- No
 Do you find it difficult to eat meals?
- No
 Are you taking any Vitamin C supplement? or any food supplement?
- Yes, Vitamin C & Ferrous sulfate
 Have you noticed any changes in your eating or drinking habits?
- No
 Describe the condition of your skin.
- Not dry, healthy bcs i maintain my skin, ha? hahshashhsa
 Do you have an irritated skin?
- No

3. Elimination
 How often do you have a bowel movement?
- 1x a day every morning
 What is the color and consistency of your stools?
- The consistency is not hard and not too soft, the color depends on what i eat.
 How frequently do you urinate?
- 5 – 7x a day
 What is the amount and color of your urine?
- yellowish to amber, not sure sa amount hehehe
 Do you have any discomfort with your bowel movements and control of urine?
- No

4. Activity-Exercise
 Can you describe your activities on a normal day?
- I don’t work out now due to busy schedule. I woke up 6 in the morning to eat bfast and
start my day by taking a bath going to school and come home to eat dinner then shower
and do school works, then I sleep.
 What do you do when you have a free time?
- Sleep, watch and hangout
 Do these activities affect your physical health?
- Sometimes specially when im at school

5. Cognitive-Perceptual

 What is the best way for you to learn something new?


- Both watching and listening
 Are you able to remember recent events and events long ago?
- Sort of

6. Sleep-Rest

 Describe your usual sleep-wake cycle.


- I easily fell asleep the moment I lay down in the bed usually around 10pm and I woke
up 5:30 in the morning to prepare.

 Do you use anything to help you fall asleep?


- No

7. Self-perception and Self-concept

 Most of the time do you feel good about yourself?


- Yes
 Do you ever feel you lose hope about your life?
- No
8. Role-Relationship

 Do you live with your family? Y


-Yes
 How does your family deal with problems?
- We communicate about it and talk things out to solve the problem
 Describe your neighborhood and your community in which you live in.
- Noisy bcs there are many ppl in my neighborhood
 How do you feel about the people in your community.
- Good and comfortable

9. SEXUALITY – REPRODUCTIVE

 Do you have a normal menstrual cycle?


- Yes
 How many days does your cycle end?
- 5-6 Days
 Do you notice any change in your menstrual cycle?
- Yes, specially when im stress my period cycle gets late for abt 1-2 weeks
 Are you sexually active?
- No

10. COPING-STRESS TOLERANCE

 What do you usually do to cope up with your stress?


- Eat, watch & go out
 To whom do usually turn when you face any problems?
- My sisters and friends
 Do you take any medication when your stress?
- No
 What do you feel when your stress?
- Tired , sleepy & exhausted

11. VALUE – BELIEF

 What is most important thing/ person in your life that you value so much?
- My Family & friends

 What is your major source of hope & strength?


- The people who are important to me
 Do you have any religious affiliation?
- Yes, Roman Catholic
 Is this important to you? why?
- Yes, bcs I believe that one of my sources of strength is God.
St. Paul University Philippines
Tuguegarao City, Cagayan 3500
School of Nursing and Allied Health Sciences
College of Nursing
1st Semester, AY 2022-2023

Interviewing a Client (Taking a Health History)


DOCUMENTATION SHEET
Client’s Initials: Age: Gender:
EM 19 y/o F
Nationality: Religion/ Religious Highest Educational
Filipino Affiliation: Attainment:
Roman Catholic Senior High School
Occupation: Address:
Student Tuguegarao City, Cagayan

Date of Interview: Mode of Interview:


Face to Face

Client’s Chief Complaint/s: Back Pain


Narrative Report of Health History Component Assessed:
Health History
A. Biographic Data
Name: Edna Jumarie Marallag
Age: 19 y/o
Date of Birth: June 30, 2003
Nationality: FILIPINO
Marital Status: Single

B. Reason for Seeking Care/ Chief Complain


She is experiencing back pain

C. Present Illness
Back Pain

D. Past Health History


The patient had developed mild thoracic dextroscoliosis last July 2021

E. Family Health History


One member of the family has scoliosis
Gordon’s Functional Health Pattern

1. Health Perception – Management

The patient claims that her general health is good except for the back pain she is feeling.
Severity was rated 6 on a scale of one to 10, with one being no pain and 10 being the most
pain possible. She put pain relief patch to somehow relieve her pain. She gets easily tired
while doing her normal daily activities.

2. Nutritional – Metabolic

The patient's food intake consists of meat, fruits, and vegetables. She doesn’t drink coffee or
anything sweet. She doesn’t follow any diet plans and didn’t find difficult to eat. She’s taking
Vitamin C and Ferrous Sulfate. She said that her current skin condition is not dry but doesn’t
have an irritated skin.

3. Elimination

Defecation and urination have never been a problem for E.M. for she clears her bowel every
morning and urinates 5-7 times a day with yellowish to amber urine. She said her stool is
usually is not hard and not too soft, depending on what she eats for the day.

4. Activity – Exercise

E.M claims that she doesn’t work out due to busy schedule. She usually woke up 6 in the
morning to eat her breakfast. She’s starting her day by taking a bath, going to school and
comes home to eat dinner then she takes a shower and do school works. These activities affect
her physical health sometimes especially when she’s at her school.

5. Cognitive -Perceptual

The patient is able to remember events long ago and recent events.

6. Sleep – Rest

She said that she usually sleeps around 10 PM and woke up 5:30 in the morning to prepare.

7. Self-perception and Self-concept

She does feel good about herself most of the time and doesn’t lose hope in life.

8. Role-relationship

E.M lives with her family. Her family communicate and talk things out to deal with their
problems. She described her neighborhood as noisy because there are many people in her
neighborhood but she feels good and comfortable around them.

9. Sexuality-reproductive

She has normal menstrual cycle but she gets stress when her period cycle gets late. The patient
is not sexually active.

10. Coping and Stress Tolerance

She usually eats, watch, and go out to cope up with stress. She turns to her sisters and friends
when she faces any problem. She does not take any medication for stress.

11. Value-Belief
Her family and friends are the most important person in her life. Her religion is Roman
Catholic and she believed that God is one of her sources of strength.

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