Gordon's FHP
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| Health perception - health management | How does the individual perceive her own health and how do they manage their health status? "Umbrella" pattern.
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| Nutrition-Metabolic Pattern | Includes the processes that maintain energy stores and specific cellular functions.
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| Elimination Pattern | Focus on urination and defecation.
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| Activity-Exercise Pattern | Encompasses 3 key functions: Mobility, Independent self-care, and exercise & leisure.
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| Sleep-rest Pattern | Focus on whether individual feels rested and ready to start the day.
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| Cognitive-Perceptual Pattern | Individual's ability to make decisions and gather information from the environment.
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| Self-perception - Self-concept Pattern | Pattern focuses on specific mood states, and how the individual describes their feelings about themselves.
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| Role-relationship Pattern | Roles and relationships one maintains in life.
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| Sexuality-reproductive Pattern | Focuses on satisfaction with sexual identity and sexual health, and reproductive issues.
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| Coping-Stress Tolerance Pattern | Coping strategies and how one deals with stress.
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| Value-Belief Pattern | Ideals and beliefs that guide an individual in decision making and provide a sense of comfort.
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| Rationale for Health Perception - Health Management Pattern | Identifies person's knowledge of his/her health status.
Identifies understanding of illness, wellness, and treatment.
Discovers need for health education.
Provides health care team with available resources within the community.
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| Rationale for the Nutrition-Metabolic Pattern | Inadequacies may explain deficiencies in other patterns.
Fluid intake supports metabolism.
Imbalance can occur with many issues, including age, dehydration, climate, illness, and activity.
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| Rationale for Elimination Pattern | I&O measurements assist in fluid balance.
Incontinence can lead to feelings of isolation, depression, anxiety.
Risk for skin breakdown/infection.
Spread of disease.
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| Rationale for Activity-Exercise Pattern | 1/5 of pop. has disability tied to mobility restriction.
Limited activity increases risk for some illness.
Lack of exercise can cause poor muscle tone, balance prob., fatigue/inadequacy.
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| Rationale for Sleep-Rest Pattern | Sleep deprivation causes conditions of pain, anxiety, and fear.
Sleep deprivation and disturbances are risk factors for injury/accidents.
Inadequate rest is common in hospital settings.
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| Rationale for Cognitive-Perceptual Pattern | Self-reported symptoms identify underlying problems.
Pain can interfere with ADLs.
Assessment of cognitive perceptions provides insight into thinking/decision making skills.
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| Rationale for Self Perception - Self Concept Pattern | Fear of unknown is common for those awaiting a diagnosis and treatment plan.
Critically shape person's response to illness/injury.
Hopelessness, powerlessness, helplessness, depression are common after injury/illness.
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| Rationale for Role-Relationship Pattern | Functional role can be source of stress and illness as well as wholeness and wellness.
Loss of relationships can result in grieving, depression, fatigue, and changes in socioeconomic status.
Social support aids recovery.
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| Rationale for Sexuality-Reproductive Pattern | Reluctance to discuss sexual health with providers, and subsequent lack of access to accurate information etc. leads to unintended pregnancy and STI transmission.
1/2 of all pregnancies in the US are unintended and STIs are very prevalent.
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| Rationale for Coping-Stress Intolerance Pattern | Ineffective coping patterns can manifest in specific psychological and physiological illness.
Support systems and resources can be identified to assist individuals.
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| Rationale for Value-Belief Pattern | Strongly influence how and why people make the health care decisions that they do.
Prior knowledge of beliefs may assist nurses in creating a care plan that incorporates belief system.
Spiritual beliefs/practices can be helpful in chronic illness.
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