Gordons 11 Functional Health Patterns

Gordon’s 11 Functional Health Patterns 3.

Elimination Pattern
Interview of an older adult following Gordon’s 11 Functional HealthPatterns. The questions below will a. Describe your regular bowel elimination pattern? (Frequency, Character, Discomfort,Difficulty)
serve as your guide in conducting the interview. Youshould be able to translate the questions in Filipino in b. Have you used or is currently using any laxative? (If yes, why)
conducting the interview. c. Describe your regular urinary elimination pattern? (Frequency, Discomfort, Problems with control, Color,
Odor, Any discharges)
Assessment Questions d. Any other previous problems with elimination, either bowel or urine? (If yes, when, what wasdone, for
how long
1. Health Perception-Health Management Pattern
a. In general, how is your health? 4. Activity-Exercise Pattern
b. What do you do to stay healthy? a. Do you exercise? What type? How often? If not, why?
c. Do you drink alcohol or use tobacco products? (If yes, ask how many sticks in a day and for how long b. b. What do you like to do in your spare time?
now) c. c. What sports do you participate in?
d. Any surgeries? (If so, ask when, where, what kind) d. d. Do you experience any difficulties when you exert effort in any physical activity? (Describe,when,
e. Do you have regular check-ups with your physician and/or specialists (Pediatrician, what happened, what was done)
Ob/Gyn,Cardiologist, etc.)? e. e. Any changes in your heartbeat when you engage in any physical activity?
f. Do you listen to and follow any suggestions made by your health care providers
?g. Last physical check-up (When, why, what was the outcome)
h. Any medications taken (What, why, for how long) 5. Sleep-Rest Pattern
i. Any immunizations? (What kind, when) a. Do you feel that you are generally well rested and able to perform your daily activities?
b. How well do you fall asleep? Stay asleep?
2. Nutritional-Metabolic Pattern c. Do you use any aids to help you sleep? (Music, medications, reading a book, etc.)
a. Describe your typical daily food intake? (How many times a day, what kinds of food, etc.) d. Do you awaken feeling rested and ready to take on the day?e. Usual sleeping hour
b. Do you consider yourself a healthy eater? f. How much sleep do you get in a day? (describe pattern – siestas, night sleep, dozing off whilesitting on a
c. Do you skip meals? (Why)d. Do you avoid any kind of food? (Why) couch, etc.
e. Do you have any food allergy? (If yes, to what kinds of food)
f. Describe your typical daily fluid intake? 6. Cognitive-Perceptual Pattern
g. Do you drink alcohol? (If yes, what kind and how often) a. Does you have any difficulty hearing others?
h. Do you consider yourself over or under weight? b. Does you have difficulty seeing? Do you have routine eye exams?
i. Is there any unexplained weight gain or loss? c. How do you learn best? Preference for visual or audio aids? Do you have difficulty learning?
d. Any difficulties in making sentences? c. Do you use any medications, drugs, or alcohol when stressed?
e. Any experience of memory loss? (If yes, when, what happened, what was done) d. How often are you stressed?
f. Note client orientation to Time, Place, People, and Event.

7.Self-Perception – Self-Concept Pattern e. What do you do (coping mechanism) when you are stressed?
a. What is your self-perception about yourself? f. What is your opinion about crying, angry and violent when a person is stressed?
b. Most of the time, do you feel good about yourself?
c. Do you ever feel that you have lost hope? 11. Values-Beliefs Pattern
d. Are you satisfied with your body image? a. What is your religion?
e. Do you like to groom? How often? b. Is religion important in your family’s life?
c. Does this help when you are faced with difficult situations?
8. Roles-Relationships Pattern d. Describe your plans for the future. Do you generally get what you want from life?
a. Who do you live with? Alone, family, others? What was the family structure in which you grewup? e. Do you pray? (How often, Where?)
(Nuclear, Extended, Broken, with Second family) f. Do you feel that at this point in your life, you are one with God? (State the reason)
b. Do you belong to social groups? Do you interact with others outside of work or school?
c. If you were hospitalized, who would perform your responsibilities at home?
d. Who makes the decisions in your family?
e. What about your decisions in family matters?

9.Sexual- Reproductive pattern

a. How would you describe your sexual relationship ? Satisfying? Changes? Problems?
b. Are you sexually active?
c. Female: Describe menstruation cycle. Problems? Last menstrual period? Para?
Gravida?
d. Male and Female: Do you still plan ons,finding someone to spend the rest of your life with? (If without a
spouse anymore)
10. Coping-Stress Tolerance Pattern

a. Any big changes in the past year or two?
b. Who is most helpful in talking things over? Are these people / Is this person frequentlyavailable to you?

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Gordon’s 11 Functional Health Patterns 3.

9.Sexual- Reproductive pattern

10. Coping-Stress Tolerance Pattern

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