Gordon's 11 Functional Health Assessment

Gordon's functional health patterns is a method devised by Marjory Gordon to be

used by nurses in the nursing process to provide a more comprehensive nursing

assessment of the patient.
Contents
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
1. Health Perception and Management
The following questions pertain to those asked by the nurse to provide an overview of
the individual's health status and health practices that are used to reach the current
level of health or wellness.[1]
History (subjective data):
Clients general health? Any colds in past year? If appropriate: any absences from
work/school? Most important things you do to keep healthy? Use of cigarettes, alcohol,
drugs? Perform self exams, i.e. Breast/testicular self-examination? Accidents at home,
work, school, driving? In past, has it been easy to find ways to carry out doctors or
nurses suggestions? (If appropriate) What do you think caused current illness? What
actions have you taken since symptoms started? Have your actions helped? (If
appropriate) What things are most important to your health? How can we be most
helpful? How often do you exercise?
2. Nutritional metabolic
This pattern describes nutrient intake relative to metabolic need.
Typical daily food intake? (Describe) Use of supplements, vitamins, types of snacks?
Typical daily fluid intake? (Describe)
Weight loss/gain? Height loss/gain?
Appetite? Breastfeeding? Infant feeding?
Food or eating: Discomfort, swallowing difficulties, diet restrictions, able to follow?
Healing any problems?
Skin problems: lesions? Dryness?

Dental problems?
Examination (examples of objective data):
Skin assessment, oral mucous membranes, teeth, actual weight/height, temperature.
Abdominal assessment.
3. Elimination
Describes the function of the bowel, bladder and skin. Through this pattern the nurse is
able to determine regularity, quality, and quantity of stool and urine.
Bowel elimination pattern (describe) Frequency, character, discomfort, problem with
bowel control, use of laxatives (i.e. type, frequency), etc.? Urinary elimination pattern
(describe) Frequency, problem with bladder control? Excess perspiration? Odour
problems? Body cavity drainage, suction, etc.?
If indicated, examine excretions or drainage for characteristics, colour, and consistency.
Abdominal assessment.
4. Activity exercise
This pattern centers on activity level, exercise program, and leisure activities.
Sufficient energy for desired and/or required activities? Exercise pattern? Type?
regularity? Spare time (leisure) activities? Child-play activities? Perceived ability for
feeding, grooming, bathing, general mobility, toileting, home maintenance, bed mobility,
dressing and shopping?
Demonstrate ability for above criteria. Gait. Posture. Absent body part. Range of motion
(ROM) joints. Hand grip - can pick up pencil? Respiration. Blood pressure. General
appearance. Musculoskeletal, cardiac and respiratory assessments.
5. Sleep rest
Assesses sleep and rest patterns.
Generally rested and ready for activity after sleep? Sleep onset problems? Aids?
Dreams (nightmares), early awakening? Rest / relaxation periods? Sleep routine? Sleep
apnea symptoms?
Observe sleep pattern and rest pattern.
6. Cognitive-perceptual
Assesses the ability of the individual to understand and follow directions, retain
information, make decisions, and solve problems. Also assesses the five senses.
Hearing difficulty? Hearing aid? Vision? Wears glasses? Last checked? When last
changed? Any change in memory? Concentration? Important decisions easy/difficult to
make? Easiest way for you to learn things? Any difficulty? Any discomfort? Pain? If
appropriate PQRST questions PQRST P Palliative, Provocative Q - Quality or
quantity R Region or radiation S - Severity or scale T - Timing (Morton, 1977)
COLDSPA C - Character O - Onset L - Location D - Duration S Severity P - Pattern A Associated factors (Weber, 2003)
Orientation. Hears whispers? Reads newsprint? Grasps ideas and questions (abstract,
concrete)? Language spoken. Vocabulary level. Attention span.
7. Self perception/self concept
How do you describe yourself? Most of the time, feel good (or not so good) about self?
Changes in body or things you can do? Problems for you? Changes in the way you feel
about self or body (generally or since illness started)? Things frequently make you
angry? Annoyed? Fearful? Anxious? Depressed? Not able to control things? What
helps? Ever feel you lose hope?
Eye contact. Attention span (distraction?). Voice and speech pattern. Body posture.
Client nervous (5) or relaxed (1) (rate scale 1-5) Client assertive (5) or passive (1) (rate
scale 1-5)
8. Role relationship
Live alone? Family? Family structure? Any family problems you have difficulty handling
(nuclear/extended family)? Family or others depend on you for things? How well are you
managing? If appropriate How families/others feel about your illness? Problems with
children? Belong to social groups? Close friends? Feel lonely? (Frequency) Things
generally go well at work / school? If appropriate income sufficient for needs? Feel
part of (or isolated in) your neighbourhood?
Interaction with family members or others if present.
9. Sexuality reproductive
If appropriate to age and situation Sexual relationships satisfying? Changes?
Problems? If appropriate Use of contraceptives? Problems? Female when did
menstruation begin? Last menstrual period (LMP)? Any menstrual problems?
(Gravida/Para if appropriate)
None unless a problem is identified or a pelvic examination is warranted as part of full
physical assessment (advanced nursing skill).
10. Coping-stress tolerance
Any big changes in your life in last year or two? Crisis? Who is most helpful in talking
things over? Available to you now? Tense or relaxed most of the time? When tense,
what helps? Use any medications, drugs, alcohol to relax? When (if) there are big
problems in your life, how do you handle them? Most of the time, are these ways
successful?
None.
11. Value-Belief Pattern
Generally get things you want from life? Important plans for future? Religion important
to you? If appropriate - Does this help when difficulties arise? If appropriate will being
here interfere with any religious practices?

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Gordon's functional health patterns is a method devised by Marjory Gordon to be

used by nurses in the nursing process to provide a more comprehensive nursing

Skin problems: lesions? Dryness?

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