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The document contains 11 sections assessing an individual or family's functional health patterns through a series of questions. The sections cover health perception and management; nutritional and metabolic factors; elimination patterns; activity and exercise levels; sleep and rest; cognitive and perceptual abilities; self-perception and self-concept; roles and relationships; sexuality and reproduction; coping and stress tolerance; and values and beliefs. The assessment aims to gather a holistic understanding of an individual or family's physical, mental, emotional and social well-being through targeted questions in each functional health domain.

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steven irvine alampay
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37 views

Document 2

The document contains 11 sections assessing an individual or family's functional health patterns through a series of questions. The sections cover health perception and management; nutritional and metabolic factors; elimination patterns; activity and exercise levels; sleep and rest; cognitive and perceptual abilities; self-perception and self-concept; roles and relationships; sexuality and reproduction; coping and stress tolerance; and values and beliefs. The assessment aims to gather a holistic understanding of an individual or family's physical, mental, emotional and social well-being through targeted questions in each functional health domain.

Uploaded by

steven irvine alampay
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Gordon’s 11 Functional Health Patterns Assessment Questions

1. Health Perception-Health Management Pattern

a. In general, how is the family’s health?

b. What do you do to stay healthy? Do you drink alcohol or use

tobacco products?

c. Do you have regular check-ups with your physician and/or

specialists (Pediatrician, Ob/Gyn, Cardiologist, etc.)? Do

you listen to and follow any suggestions made by your health

care providers?

2. Nutritional-Metabolic Pattern

a. Describe your Family’s typical daily food intake? Do you

consider your family healthy eaters?

b. Describe your family’s typical daily fluid intake? Do you

drink alcohol?

c. Does anyone consider themself over or under weight? Is there

any unexplained weight gain or loss?

3. Elimination Pattern

a. Describe your family’s regular bowel elimination pattern?

Frequency? Character? Discomfort? Difficulty?

b. Describe your family’s regular urinary elimination pattern?

Frequency? Discomfort? Problems with control?

4. Activity-Exercise Pattern

a. Do you exercise? What type? How often? If not, why?

b. What do you like to do in your spare time? What sports do

you participate in?


5. Sleep-Rest Pattern

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? Do you use any

aids to help you sleep?

c. Do you awaken feeling rested and ready to take on the day?

6. Cognitive-Perceptual Pattern

a. Does anyone have any difficulty hearing others?

b. Does anyone have difficulty seeing? Do you have routine eye

exams?

c. How do you learn best? Preference for visual or audio aids?

Do you have difficulty learning?

7. Self-Perception – Self-Concept Pattern

a. Most of the time, do you feel good about yourself?

b. Do you ever feel that you have lost hope?

8. Roles-Relationships Pattern

a. Who do you live with? Alone, family, others? What was the

structure in which you grew up?

b. Do you belong to social groups? Do you interact with others

outside of work or school?

9. Sexuality-Reproductive Pattern

a. Parents: How would you describe your sexual relationship?

Satisfying? Changes? Problems?

b. Female: Describe menstruation cycle. Problems? Last


menstrual period? Para? Gravida?

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 the

frequently available to you?

c. Do you use any medications, drugs, or alcohol?

11. Values-Beliefs Pattern

a. Is religion important in your family’s life? Does this help

when you are faced with difficult situations?

b. Describe your plans for the future. Do you generally get

what you want from life?

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