ANNA LIZA R.

ALFONSO RN, RM

 Proposed functional health patterns as a

guide for establishing a comprehensive nursing data base. These 11 categories make possible a systematic and standardized approach to data collection, and enable the nurse to determine aspects of health and human function:

 Under each health pattern is a partial list

of NANDA (North American Nursing Diagnosis Association) nursing diagnoses arranged by health patterns identified as a taxonomy by Gordon (2000 ). It is intended to assist you in implementing the nursing process.

1.

2. 3. 4. 5. 6.

Health perception/health management Pattern Nutritional Pattern Elimination Pattern Activity-Exercise Pattern Sleep and Rest Pattern Cognitive Perceptual Pattern

7. 8. 9. 10. 11.

Self-Perception, Self-concept Pattern Role Relationship Pattern Sexuality-Reproductive Pattern Coping- Stress Tolerance Pattern Value- Belief Pattern

This pattern is related to the client s perceived pattern of health and or well-being, knowledge of lifestyle and the relationship to health, knowledge of preventive health practices and adherence to medical and nursing prescriptions. Data collection is focused on the person's perceived level of health and well-being, and on practices for maintaining health. Habits that may be detrimental to health are also evaluated, including smoking and alcohol or drug use. Actual or potential problems related to safety and health management may be identified as well as needs for modifications in the home or needs for continued care in the home.

Parameters: general survey of the clients health status and usual health behavior Observation: clients clothes, hair and scalp, note odors (body or mouth) clients general condition and status environmental condition Measurement: frequency of hygiene, dental visits number of cigarettes smoked during interview, cigarettes smoked per day, number of drinks per day or week, frequency of use of illegal drugs

focused on the pattern of food and fluid Observation: consumption relative to metabolic tone, texture, coloring of skin and mucous need. The adequacy of local nutrient supplies is membrane, proportionevaluated.and weight of height texture of hair, condition of scalp, nails, gums and teeth

Parameters: Usual pattern of Eating habits,types of food, fluid intake, appraisal of food, fluid intake, actual weight loss or gain, appetite, about Measurement: appetite, preferences. Inquireweight loss or gain, changes in skin nutrition, fluid intake, peripheral edema, or nails three day food recalhair infection, oral cavity health. Assessment is height and weight

changes, control problems, use of assistive devices, use of medications. Inquire about bowel elimination, incontinence. Data collection is focused on excretory patterns (bowel, bladder, skin). Excretory problems such as incontinence, constipation, diarrhea, and urinary retention may be identified.

PATIENTS PARAMETER
Observation: Urine: color, clarity, odor Stool: color, consistency Measurement: Urination: frequency and amount defecation: frequency

Pattern of exercise, activity, leisure, recreation, ability to perform activities of daily living. Inquire about activities of daily living, leisure activities, home care, respiratory function, mobility.

Observation: tone of muscles ,proportionate height and weight, muscular atrophy leisure materials in environment Measurement: duration of physical activity, length of time client exercised, height and weight number of hours per day spent on leisure activities, time since having leisure activity

Sleep and Rest Pattern focused on the person's sleep, rest, and relaxation practices. Dysfunctional sleep patterns, fatigue, and responses to sleep deprivation may be identified. Inquire about- Patterns of sleep, rest, perception of quality and quantity.

Observation: client s non-verbal language, posture, yawning. dark circles under eyes, concentration on discussion Measurement: number of usual hours of sleep and rest number of hours needed to feel rested medications and dose used for sleep

HEALTH PATTERN Cognitive Perceptual Pattern Assessment is focused on the ability to comprehend and use information and on the sensory functions. Data pertaining to neurological functions are collected to aid this process. Sensory experiences such as pain and altered sensory input may be identified and further evaluated. Vision, learning, taste, touch, smell, language adequacy, memory, decision-making ability, complaints of discomforts. Inquire about decisions, comfort, knowledge, sensory input, learning.

PATIENT PARAMETERS

Observation: note verbal ability, concrete thought, simple sentences, formal operational though, complex sentences, vocabulary used and ability to conceptualize Measurement: level of education, IQ

Self-Perception, Self-concept Pattern Assessment is focused on the person's attitudes toward self, including identity, body image, and sense of self-worth. The person's level of self-esteem and response to threats to his or her self-concept may be identified. Attitudes about self, sense of worth, perception of abilities, emotional patterns, body image, identity. Inquire about Anxiety, fear, control, self concept.

Observation: Note: non-verbal communication, nature of client dressing, any scars, deformed body parts or alteration in function whom client interact with, clients affect , grooming

Measurement: frequency of eye contact

Role Relationship Pattern Assessment is focused on the person's roles in the world and relationships with others. Satisfaction with roles, role strain, or dysfunctional relationships may be further evaluated. Patterns of relationships, role responsibilities, satisfaction with relationships and responsibilities. Inquire about Communication, family, loss, parenting, socialization, violence, responsibilities.

Observation: to whom client speak in the family non-verbal communication client answers with direct I statements

Measurement: age of family members

Sexuality-Reproductive Pattern Inquire about problems with reproductive system and sexual Assessment is focused on the person's response. satisfaction or dissatisfaction with sexuality patterns and reproductive functions. Concerns with sexuality may be identified. Menstrual, reproductive history, satisfaction with sexual relationships, sexual identity, premenopausal or postmenopausal problems, accuracy of sex education.

HEALTH PATTERN

PATIENT PARAMETERS Observation: non-verbal communication, ye contact, gesture, body language, tone of voice, affect

Coping- Stress Tolerance Pattern Assessment is focused on the person's perception of stress and on his or her coping strategies Support systems are evaluated, and symptoms of stress are noted. The effectiveness of a person's coping strategies in terms of stress tolerance may be further evaluated. Ability to manage stress, knowledge of stress tolerance, sources of support, number of stressful life events in last year. Inquire about coping, stress, events

Measurement: number of hours each day spent alone, number of times per day or week client sees family and friends, frequency of client calls for support person

Value- Belief Pattern Assessment is focused on the person's values and beliefs (including spiritual beliefs), or on the goals that guide his or her choices or decisions. Values, goals, beliefs, spiritual practices, perceived conflicts in values

Observation: indicators of values in environment (orderliness, cleanliness, safety etc) and during interaction (open dialoque, praise for others, active lisyening etc) Measurement: amount of time spent for religious activities