Gordon’s functional Health Pattern

 Health Perception –Health Maintenance Pattern

 Client’s description of general health

 Health Practices ,may include those related to managing a chronic illness

 Use of Alcohol, tobacco and other substances

 Home,School and Occupational Safety

 Client’s description of the cause of the illness (if present) and actions taken to manage
it.

 Nutritional-Metabolic Pattern
 Does the Client seem well nourished and well developed in general appearance?

 Is the client overweight or underweight for the age and height ? Weight Changes over
last 6 months?

 What is the client’s usual dietary pattern?Describe typical daily food and fluid intake.

 Does the client adhere to a special diet?

 How does the client’s skin look? Are their lesions? Is the skin dry?

 What is the client’s body temeperature?

 What was the client’s recent cholesterol level?

 Does the client have diabetes or a family history of diabetes?

 Does the client have dental problems? Swallowing Problems?

 History of gastrointestinal or endocrine problems?

 Elimination Pattern
 What are your usual bowel and bladder habits?
  What are the frequency, consistency and color of your stool?

 Do you have difficulty with urination?

 Do you experience incontinence?

 How would you describe your use of laxatives or other aids to elimination

 Do you have a history of bowel or bladder problems?

 Activity-Exercise Pattern
 What are your usual daily activities?

 What is your general level of physical fitness?

 Do you have a history of cardiac or respiratory problems?

 What activities are you the most pleasure?

 Do you need help with home maintenance?

 What is your activity intolerance

 What is your usual pattern of exercise?

 Do you lead a sedentary lifestyle?

 Are you satisfied with your level of activity?

 Do you smoke? How many packs per day? For how many years?

 Are you able to feed yourself ,bathe ,go to the toilet ,groom yourself and move about in
bed?

 Can you do the shopping and cooking ,maintain your home and achieve general
mobility?

 Do you use a cane or walker or need help for walking?

 Sleep Rest Pattern

  What is your usual pattern of sleep? Rituals?Reading?
toothbrushing.stretching,meditation,watching TV?

 Do you feel rested in the morning?

 Do you use sleeping aids?

 Are you able to sleep through the night?

 Do you have trouble falling asleep?

 Cognitive-Perceptual Pattern
 Do you have any difficulty with vision? Do you used glasses for reading or distance
vision?

 Do you have any difficulty with hearing? Do you use a hearing aid?

 What is your name? Where do you live? What brought you to the hospital? What day is
it?

 How long have you been here? Pain/Discomfort? Heat/ Cold intolerance?

 Self Perception Self Concept Pattern

 What can you tell about yourself?

 How will this hospitalization affect your life?

 How would you describe your support systems?

 Who relies on you?

 Where do you go for moral support?

 What do you do to take care of yourself?

 How do you feel about being ill? In the hospital?

  Do you have anxiety? How does it affect you?

 Do you have a history of anxiety disorders? Have you used psychotropic drugs? Alcohol?
Street drugs?

 Role Relationship Pattern

 Who are the member of your household?

 How would you characterize the strength of your marriage?

 Is your family dependent on you? How are they managing your hospitalization or
illness?

 What are the ages of your children? Where do they live?

 Do close family ties characterize your family?

 When someone is ill,how does your family offer support?

 Do you have