GORDON’S 11FUNCTIONAL HEALTH PATTERN

PATTERN DESCRIBES EXAMPLES HEALTH ASSESSMENT QUESTIONS

 Client’s perceived pattern of health and well-being Compliance with medication  What is your opinion about health?
and how health is managed. regimen, use of health-promotion  Are you immunized about seven target diseases?
 Data collection is focused on the person's perceived activities e.g., regular exercise,  Last immunization?
level of health and well-being, and on practices for annual check-ups  Do you have any allergy? If yes then type of
Health Perception and maintaining health. Habits that may be detrimental allergy.
Health Management Pattern to health are also evaluated, including smoking and  Any surgery in past? What type of surgery?
alcohol or drug use. Actual or potential problems  Last physical examination & for what purpose.
related to safety and health management may be  Are you using any medicine recently?
identified as well as needs for modifications in the  Do you know about these medicines?
home or needs for continued care in the home.
 Pattern of food and fluid- consumption relative to Condition of skin, teeth, hair,  Ask about their skin, scalp and nails?
metabolic need and pattern; indicators of local nails, mucous membranes; height  What is your diet menu?
nutrient supply. and weight.  Any food restriction regarding disease point of
Nutrition and Metabolism Assessment is focused on the pattern of food and view?
Pattern fluid consumption relative to metabolic need. The  Any food restriction regarding religious point of
adequacy of local nutrient supplies is evaluated. view?
Actual or potential problems related to fluid  Any food like or dislike?
balance, tissue integrity, and host defenses may be  Any food allergy?
identified as well as problems with the
gastrointestinal system.
 Patterns of excretory function (bowel, bladder, and Frequency of bowel movements,  Color of urine, amount, frequency, odor and any
skin), includes client’s perception of ‘normal’ voiding pattern, pain on discharge.
Elimination Pattern function. urination, appearance of urine  Any urinary problem, dysurea, Anurea, Oligourea, ,
Data collection is focused on excretory patterns and stool. polyuria.
(bowel, bladder, skin). Excretory problems such as  Are you using any laxative? If yes which?
incontinence, constipation, diarrhea, and urinary  Any problem during passing defecation?
retention may be identified.
 Patterns of exercise, activity, leisure, and recreation. Exercise, hobbies. May include  Do you any breathing problem? (In which apnea,
 Assessment is focused on the activities of daily cardiovascular and respiratory hypoxia, hypoxemia, hypercapnia.)
living requiring energy expenditure, including self- status, mobility, and activities of  Do you have cough? (Productive or non-
Activity and Exercise Pattern care activities, exercise, and leisure activities. The daily living. productive)
status of major body systems involved with activity  Any changes in heart beat during exercise?
and exercise is evaluated, including the respiratory,  Do you feel pale during exercise?
cardiovascular, and musculo-skeletal systems.  What type of exercise you do or any problem
during exercise?

 Sensory-perceptual and cognitive patterns. Vision, hearing, taste, touch,  Orientation about time place and person.
 Assessment is focused on the ability to comprehend smell, pain perception and  Any difficulty in sentence making?
Cognition and Perception and use information and on the sensory functions. management; cognitive functions  Loss of memory
Data pertaining to neurologic functions are collected such as language, memory, and
to aid this process. Sensory experiences such as pain decision making.
and altered sensory input may be identified and
further evaluated.
 Patterns of sleep, rest, and relaxation. Client’s perception of quality and  Sleeping hour?
 Assessment is focused on the person's sleep, rest, quantity of sleep and energy,  Are you using nap (evening type sleeping).
Sleep and Rest Pattern and relaxation practices. Dysfunctional sleep sleep aids, routines client uses.  What do you feel after waking? (Fresh, headache,
patterns, fatigue, and responses to sleep deprivation drowsy).
may be identified.  Are you using any medication for sleeping?
 Do you have any exercise or walking at night?
 Client’s self-concept pattern and perceptions of self. Body comfort, body image, feeling  What is your self-perception about yourself?
 Assessment is focused on the person's attitudes state, attitudes about self,  Are you satisfied with your self-body image?
Self-Perception and Self- toward self, including identity, body image, and perception of abilities, objective  Do you like grooming?
Concept Pattern sense of self-worth. The person's level of self- data e.g., body posture, eye
esteem and response to threats to his or her self- contact , voice tone, etc.
concept may be identified.
 Client’s pattern of role engagements and Perception of current major roles  What is your role in family?
Roles and Relationships relationship. and responsibilities (e.g., father,  If you are in hospital then who will perform your
Pattern  Assessment is focused on the person's roles in the husband, salesman); satisfaction responsibilities?
world and relationships with others. Satisfaction with family, work, or social  All the family members are cooperative with you?
with roles, role strain, or dysfunctional relationships engagements.  Who is decision maker in your family?
may be further evaluated.
 Patterns of satisfaction and dissatisfaction with Number and histories of  When you first notice changes in your menarche
sexuality pattern; reproductive pattern. pregnancy and childbirth; (first menses is called menarche)
 Assessment is focused on the person's satisfaction difficulties with sexual  Do you have any sexual problem? (Loss of libido)
Sexuality and Reproduction or dissatisfaction with sexuality patterns and functioning; satisfaction with  Active sex (direct sex with male and female)
Pattern reproductive functions. Concerns with sexuality sexual relationship.  Passive sex (sex without male and female partner)
may he identified.  Digital sex
 Reproductive: Infertility
 General coping pattern and efficacy of the pattern in Client’s usual manner of handling  If you have stress then what is your coping
terms of stress tolerance. stress, available support systems, mechanism towards stress?
Coping and Stress Tolerance  Assessment is focused on the person's satisfaction perceived ability to control or  Crying, angry, violence, (what is your opinion
Pattern or dissatisfaction with sexuality patterns and manage situations. regarding that)
reproductive functions. Concerns with sexuality
may he identified.
 Patterns of values, beliefs, spiritual, and goals that Religious affiliation, what client  What is your religion?
guide client’s choices or decisions. perceives as important in life,  Do you offer prayer?
Values and Belief Pattern  Assessment is focused on the person's values and value-belief conflicts related to
beliefs (including spiritual beliefs), or on the goals health, special religious practices.
that guide his or her choices or decisions.