COURSE SYLLABUS
NURS 210L: RN Skills Laboratory
FUNCTIONAL HEALTH PATTERNS - Defined
1. HEALTH PERCEPTION-HEALTH MANAGEMENT PATTERN
Describes the client's perceived pattern of health and well-being and how health is managed. Includes the
individual's perception of health status and its relevance to current activities and future planning. Also
included is the individual's general level of health care behavior, such as adherence to mental and physical
preventive health practices, medical or nursing prescriptions, and follow-up care.
2. NUTRITIONAL-METABOLIC PATTERN
Describes pattern of food and fluid consumption relative to metabolic need and pattern indicators of local
nutrient supply. Includes the individual's patterns of food and fluid consumption, daily eating times, the
types and quantity of food and fluids consumed, particular food preferences, and the use of nutrient or
vitamin supplements. Reports of any. skin lesions and general ability to heal are included. The condition of
skin, hair, nails, mucous membranes, and teeth, and measures of body temperature, height, and weight are
included.
3. ELIMINATION PATTERN
Describes patterns of excretory function (bowel, bladder, and skin). Includes the individual's perceived
regularity of excretory function, use of routines or laxatives for bowel elimination, and any changes or
disturbances in time-pattern, mode of excretion, quality, or quantity. Also included are any devices
employed to control excretion.
4. ACTIVITY-EXERCISE PATTERN
Describes pattern of exercise, activity, leisure, and recreation. Includes activities of daily living requiring
energy expenditure, such as hygiene, cooking, shopping, eating working, and home maintenance. Also
included are the type, quantity, and quality of exercise, including sports, which describe the typical pattern
for the individual. Factors that interfere with the desired or expected pattern for the individual (such as
neuromuscular deficits and compensations, dyspnea, angina, or muscle cramping on exertion, and cardiac/
pulmonary classification, if appropriate) are included. Leisure patterns are also included and describe the
activities the individual undertakes as recreation either with a group or as an individual. Emphasis is on the
activities of high importance or significance to the individual.
5. SLEEP-REST PATTERN
Describes patterns of sleep, rest, and relaxation. Includes patterns of sleep and rest-relaxation periods
during the 24hour day. Includes the individual's perception of the quality and quantity of sleep and rest, and
perception of energy level. Included also are aids to seep such as medications or nighttime routines that the
individual employs.
6. COGNITIVE-PERCEPTUAL PATTERN
Describes patterns of language, memory, and sensorium.Includes the adequacy of sensory modes, such as
vision, hearing, taste, touch, or smell, and the compensation or prothesthetics utilized for disturbances.
Reports of pain perception and how pain is managed are also included when appropriate. Also included are
the cognitive functional abilities, such as language, memory, and decision making.
7. SELF-PERCEPTION -- SELF-CONCEPT PATTERN
Describes self-concept pattern and perceptions of self.Includes the individual's attitudes about himself or
herself, perception of abilities (cognitive, affective, or physical), body image, identity, general sense of
worth, and general emotional pattern.. Pattern of body posture and movement, eye contact, voice, and
speech pattern are included.
COURSE SYLLABUS
NURS 210L: RN Skills Laboratory
8. ROLE-RELATIONSHIP PATTERN
Describes pattern of role engagements and relationship. Includes the individual's perception of the major
roles and responsibilities in current life situation. Satisfaction or disturbances in family, work, or social
relationships and responsibilities related to these roles are included.
9. SEXUALITY-REPRODUCTIVE PATTERN
Describes patterns of satisfaction or dissatisfaction with sexuality; describes reproductive pattern. Includes
the individual's perceived satisfaction or disturbances in his or her sexuality. Included also is the female's
reproductive stage pre- or post-menopause, and any perceived problems.
10.COPING-STRESS TOLERANCE PATTERN
Describes general coping pattern and effectiveness of the pattern in terms of stress tolerance. Includes the
individual's reserve or capacity to resist challenge to self-integrity, modes of handling stress, family or
other support systems, and perceived ability to control and manage situations.
11.VALUE-BELIEF PATTERN
Describes patterns of values, goals, or beliefs (including spiritual) that guide choices or decisions. Includes
what is perceived as important in life and any perceived conflicts in values, beliefs, or expectations that are
health related.
COURSE SYLLABUS
NURS 210L: RN Skills Laboratory
CLASSIFICATION OF NANDA NURSING DIAGNOSES BY GORDON’S
FUNCTIONAL HEALTH PATTERNS
HEALTH PERCEPTION-HEALTH MANAGEMENT PATTERN
Energy Field, Disturbed
Growth, Risk for Disproportionate
Health Maintenance, Ineffective
Home Maintenance, Impaired
Health-Seeking Behaviors (Specify)
Infant Behavior, Disorganized,
Infection, Risk for
Risk for and Actual, and Readiness for Enhanced
Injury, Risk for
Organized
Risk for injury, Suffocation
Peripheral Neurovascular Dysfunction, Risk for
Risk for injury, Poisoning
Physical Mobility, Impaired
Risk for injury, Trauma
Sedentary Lifestyle
Latex Allergy Response, Risk for and Actual
Self-Care Deficit
Management of Therapeutic Regimen, Effective
Feeding
Management of Therapeutic Regimen (Individual,
Bathing-Hygiene
Family, Community), Ineffective
Dressing-Grooming
Management of Therapeutic Regimen, Readiness
Toileting
for Enhanced
Spontaneous Ventilation, Impaired
Noncompliance (Specify)
Tissue Perfusion, Ineffective (Specify Type:)
Perioperative-Positioning Injury, Risk for
Renal, Cerebral, Cardiopulmonary,
Protection, Ineffective
Gastrointestinal, Peripheral
Surgical Recovery, Delayed
Transfer Ability, Impaired
Growth and Development, Delayed
Walking, Impaired
Development, Risk for Delayed
Wandering
Wheelchair Mobility, Impaired
NUTRITIONAL-METABOLIC PATTERN
Adult Failure to Thrive
Aspiration, Risk for
Body Temperature, Imbalanced, Risk for
Breastfeeding, Effective
Breastfeeding, Ineffective
Breastfeeding, Interrupted
Dentition, Impaired
Fluid Balance, Readiness for Enhanced
Fluid Volume, Deficient, Risk for and Actual
Fluid Volume, Excess
Fluid Volume, Imbalanced, Risk for
Hyperthermia
Hypothermia
ELIMINATION PATTERN
Bowel Incontinence
Constipation, Risk for, Actual, and Perceived
Diarrhea
Urinary Elimination, Readiness for Enhanced
Urinary Incontinence
Functional Urinary Incontinence
ACTIVITY-EXERCISE PATTERN
Infant Feeding Pattern, Ineffective
Nausea
Nutrition, Imbalanced, Less Than Body
Requirements
Nutrition, Imbalanced, More Than Body
Requirements,
Risk for and Actual
Nutrition, Readiness for Enhanced
Swallowing, Impaired
Thermoregulation, Ineffective
Tissue Integrity, Impaired
Skin Integrity, Impaired, Risk for and Actual
Oral Mucous Membrane, Impaired
Reflex Urinary Incontinence
Stress Urinary Incontinence
Total Urinary Incontinence
Urge Urinary Incontinence, Risk for and Actual
Urinary Retention
COURSE SYLLABUS
NURS 210L: RN Skills Laboratory
Activity Intolerance, Risk for and Actual
Airway Clearance, Ineffective
Autonomic Dysreflexia, Risk for and Actual
Bed Mobility, Impaired
Breathing Pattern, Ineffective
Cardiac Output, Decreased
Disuse Syndrome, Risk for
Diversional Activity, Deficient
Dysfunctional Ventilatory Weaning Response
Falls, Risk for
Fatigue
Gas Exchange, Impaired
SLEEP-REST PATTERN
Sleep, Readiness for Enhanced
Sleep Deprivation
Sleep Pattern, Disturbed
COGNITIVE-PERCEPTUAL PATTERN
Adaptive Capacity, Intracranial, Decreased
Confusion, Acute and Chronic
Decisional Conflict (Specify)
Environmental Interpretation Syndrome, Impaired
Knowledge, Deficient (Specify)
Knowledge, Readiness for Enhanced (Specify)
Thought Processes, Disturbed
Memory, Impaired
Pain, Acute and Chronic
Sensory Perception, Disturbed (Specify:)
(Visual, Auditory, Kinesthetic, Gustatory,
Tactile, Olfactory)
Unilateral Neglect
SELF-PERCEPTION AND SELF-CONCEPT PATTERN
Anxiety
Personal Identity, Disturbed
Body Image, Disturbed
Powerlessness, Risk for and Actual
Death Anxiety
Self-Concept, Readiness for Enhanced
Fear
Self-Esteem, Chronic Low, Situational Low,
Helplessness
and Risk for Situational Low
Loneliness, Risk for
Self-Mutilation, Risk for and Actual
ROLE RELATIONSHIP PATTERN
Caregiver Role Strain, Risk for and Actual
Communication, Readiness for Enhanced
Family Process, Interrupted, and Family Process,
Dysfunctional: Alcoholism
Family Process, Readiness for Enhanced
Grieving, Anticipatory
Grieving, Dysfunctional, Risk for and Actual
Parent, Infant, and Child Attachment, Impaired,
Risk for
SEXUALITY-REPRODUCTIVE PATTERN
Rape-Trauma Syndrome: Compound Reaction
And Silent Reaction
Sexual Dysfunction
Sexuality Patterns, Ineffective
Parenting, Impaired, Risk for and Actual, and
Parental Role Conflict
Parenting, Readiness for Enhanced
Relocation Stress Syndrome, Risk for and Actual
Role Performance, Ineffective
Social Interaction, Impaired
Social Isolation
Sorrow, Chronic
Verbal Communication, Impaired
Violence, Self-Directed and Other-Directed,
Risk for
COURSE SYLLABUS
NURS 210L: RN Skills Laboratory
COPING-STRESS TOLERANCE PATTERN
Adjustment, Impaired
Community Coping, Ineffective and Readiness
for Enhanced
Coping, Readiness for Enhanced
Family Coping, Compromised and Disabled
Family Coping, Readiness for Enhanced
VALUE-BELIEF PATTERN
Impaired Religiosity, Risk for and Actual
Spiritual Distress, Risk for and Actual
Spiritual Well-Being, Readiness for Enhanced
Individual Coping, Ineffective
Coping, Defensive
Denial, Ineffective
Post-Trauma Syndrome, Risk for and Actual
Suicide, Risk for
COURSE SYLLABUS
NURS 210L: RN Skills Laboratory
FUNCTIONAL HEALTH PATTERNS – Assessment Tool
1. HEALTH PERCEPTION-HEALTH MANAGEMENT
Past medical history:
Illnesses:_________________________________________________
Surgery:___________________________________________________
History of chronic disease__________________________________________
Immunization History:
____ Tetanus______ Pnemonia_____ Influenza_____ MMR______
____ Polio ______ Hepatitis B
Use of Tobacco: ____ None -Quit(date_____<1ppd____1-2ppd___ >2pks/day ___Pks/yr history
_______smokeless tobacco)____pipe_____cigar
Alcohol: Amount/type___________________________ Date of last drink__________________
Frequency of use ____________________________
Other drugs: Amount/Type :______________________Freq. Of Use :________________________
Medication (prescription/Nonprescription)
Name
Dose
Frequency of Use
Last Dose
Allergies_________________________________________________NKA_____________
Perception of health:______good____ fair________poor
Health Management Habits: Exercise on a regular basis? ___Yes___No
Follow prescribed regimen? ___Yes __No
Safety:____Special Equipment ___precautions:____Siderails___Restraints
___question for following: use of seat belt, car seats for kids, breasts/testicular self examination,
safe working conditions.______________________________________________________
Safe environment at home i.e.: smoke detectors, access to home (stairs), throw rugs/carpets, cleanliness, health
issues observed :__________________________
2. NUTRITIONAL-METABOLIC
____Not Assessed
Ht._______Wt._______
Weight fluctuations last 6 months ____________________
Type of Diet/Restrictions:____ Regular____Lo Salt____Diabetic__ Other Supplements_______
Appetite____Normal___Increased___Decreased___Decreased taste___Food intolerance:_____
_____Nausea_____Vomiting Describe:_____________________________________________________
______Swallowing difficulties_____gag reflex_______chewing difficulties
Feeding ____Self____Assist _____Tube _____
Condition of mouth:_____pink______inflammed_____moist______dry
_______lesions/ulcerations describe__________________ teeth /gums___________________
______Dentures____upper (partial/full)_______lower(partial/full)
______Intravenous fluids type/amt__________________________________________________.
Insertion Site:____________________________________________________________
______NG________ Gastrostomy Feeding type: _________________________________
COURSE SYLLABUS
NURS 210L: RN Skills Laboratory
Skin Condition:
____color: pallor, ashen, pink, jaundice, cyanotic, ruddy
____ temperature: warm, cool, hot
____dry, moist, clammy, diaphoretic
____edema:pitting/non-pitting
____turgor: good, poor, tenting
____pruriitis
____intact
____bruises/lesions describe: (size, location)___________________________
Body temperature:______ tympanic ______oral _____rectal
3. ELIMINATION
____Not Assessed
Bowel Habits Describe:_________________________________________________________
(consistency, color, amount)
_______#BM's/day______ Date of last BM
_______Constipation_____Diarrhea_______Incontinence
Bladder Habits Describe:___________________________(color, clarity, amount)
_____Frequency ____Dysuria____Nocturia_____Urgency_______Hematuria
____Retention _____ Burning______Hesitancy________Pressure
Incontinency:___No ___Yes______daytime ________nighftime
________occasional______difficulty delaying voiding
Assistive Devices:_____intermittent catheterization______indwelling cath
______external catheter____________ incontinent briefs
Ostomy: type: ___________Appliance ______self-care
Inspect Abdomen:_____ symmetry_____ flat_____ rounded_______ obese
Auscultate Abdomen:______ normal bowel sounds______Hypoactive______ Hyperactive
Palpate abdomen:_____ soft____ firm_____ tender : describe______________________
distention: describe:_____________________________________
4. ACTIVITY-EXERCISE
______Not Assessed
A. Musculoskeletal:______tremors ____atrophy ______swelling
Self-Care Ability: 0=Independent 1=Assistive device 2=Assistance from others
3=Assistance from person and equipment 4=Dependent/Unable
0
Eating
Bathing
Dressing
Toileting
Bed Mobility
Transferring
Ambulating
Stairs
Shopping
Cooking
Home Maint.
1
2
3
4
COURSE SYLLABUS
NURS 210L: RN Skills Laboratory
Assistive Devices:___ none____ crutches ______bedside commode______ walker
____cane_____ splint/brace _____wheelchair________ other
Gait:_____normal______abnormaI_______________________________(describe)
Range of Motion______normal______limited_______________________(describe)
Posture:______normal_______Kyphosis_________Lordosis
Deformities_____no ______yes:__________________________________(describe)
Amputation________________________Prosthesis_________________________
Physical Development Assessment:_______________normal__________abnormal
describe:______________________________________
B. CV
_____Not Assessed
Pulse:_____regular ____irregular______strong _____weak
_____radial rate_____apical rate
Blood Pressure:______ standing_______lying________sitting
Extremities: Temperature: ___cold ___cool ____warm_____hot
Capillary Refill:_____brisk ____sluggish
Color:_____________________(describe)
Homan's Sign:______Negative_________Positive
Nails: _______Normal________ Thickened _______other: ________(describe)
Hair distribution:_____normal________abnormal________________(describe)
Pulses:_______Femoral_______Popliteal_________Post-tibial_________Dorsalis
________Palpable________Doppled
Claudication:______yes_______no
C. Respiratory
______Not Assessed
Inspect chest:________symmetrical ___________asymmetrical
Respirations ___rate ___depth (shallow, deep, abdominal, diaphragmatic)
___regular ___irregular_______________periods of apnea
____dyspnea at rest____orthopnea____dyspnea on exertion
_______Cough:dry/productive describe_____________________________
_______Sputum: describe_______________________________________
Auscultate chest:_______crackles_______rhonchi ______friction rub_______wheezing
describe:___________________________________________ Other:_______chest tube_______ tracheostomy Describe:________________________
______________________________________________________________________
Oxygen:_______________________________________________________________
5. SLEEP-REST
________Not Assessed
Usual Sleep Habits: _____hours per night _________consecutive hours slept per noc
____a.m. nap ________p.m. nap
feel rested after sleep__yes__no awakening during night __yes __no insomnia __yes __no
Methods used to promote sleep: __medication:___________________________________
__________warm fluids _____rituals: (bathing, reading, tv, music)
COURSE SYLLABUS
NURS 210L: RN Skills Laboratory
6. COGNITIVE-PERCEPTUAL
_______Not Assessed
Level of Consciousness:____alert___ lethargic___drowsy____stuporous______comatose
Mood (subjective):___pleasant___irritable___calm___happy____euphoric
_____ anxious_____ fearful_____ other:__________________________
Affect (objective):__surprise__anger__sadness__joy___disgust___fear___ flat__ blunted__ full___
Orientation Level:___person___place____time ____significant other
Memory: recent:___yes ___no Remote: __yes __no
Pupils:____size ____Reaction (brisk/sluggish)
Reflexes:_____normal _____absent
Grasps:______Right: strong/weak ______left: strong/weak
Push/Pulls:______right: strong/weak _____left: strong/weak
Other:_____numbness _____tingling
Pain:
____Denies
____Location: describe: ________________________
____Radiation: describe:________________________
____Intensity: (0-10 scale)
____Timing (how often, events that percipitate)
When did pain begin?________________________________________
What alleviates pain?________________________________________
What increases pain?________________________________________
Thought Content:_________________________________________________________________
Senses: Visual Acuity:_____wnl_____glasses______ contacts_____blind (R/L)
Prosthesis: (artificial eye) R/L
Hearing:_____wnl____impaired (R/L)_____deaf(R/L) ______hearing aid
_______tinnitus______drainage from ears
Touch: ________wnl______ abnormal: describe________ tingling _____numbness
Smell______normal ________ abnormal
Ability to: communicate: language spoken______ read____clear___, articulate____
Ability to make decisions__easy ___moderately easy ___moderately difficult ___difficult (subjective)
7. SELF-PERCEPTION-SELF-CONCEPT
_______Not Assessed
Appearance:
____calm____anxious____irritable_____withdrawn_____restless
_____appropriate dress _______hygiene
Level of anxiety: (subjective) Rate on 0-10 scale______________________
(objective) face reddened: ______no _____yes
voice volume changes ___no ___yes(loud/soft) voice quality ___no ___
yes(quavering/hesitation) muscle tenseness: relaxed fists/teeth clenched
Body language describe________________________________________________________
Eye contact:
Answers questions: _________readily__________hesitantly
Usual view of self_____ positive ______neutral _______somewhat negative (subjective)
Level of control in this situation____________(0-10) (subjective)
Usual level of assertiveness_______________(0-10) (subjective)
Body Image: Is current illness going to result in a change in body structure or function? _____no _______unsure
_____yes describe: ________________________________(subjective)
COURSE SYLLABUS
NURS 210L: RN Skills Laboratory
8. ROLE-RELATIONSHIP
______Not Assessed
Does patient live alone ____yes ____no: with whom________________________________________________
Married____________ Children__________________________
Next of Kin_____________________________________________
Occupation:_____________________________________________
Employment Status:___employed ____short-term disability_____long-term disability
______retired______unemployed
Support System: _____spouse ______neighbors/friends________none
_____family in same residence -family in separate residence
Family: Interaction: (describe)___________________________________ __________
Question patient regarding:
Concerns about illness:______________________________________________________
_________________________________________________________________________
Will admission cause signifcant changes in usual role?______________________________
__________________________________________________________________________
Social activities:_______active ________limited _______none
Activities participated in:____________________________________________________________
Comfort in social situations (subjective)________comfortable___________uncomfortable
**** if patient is dependent on others for care note any evidence of physical or psychosocial abuse
9. SEXUALITY-REPRODUCTIVE
________Not Assessed
Female:______date of LMP ___Para ____Gravida_______Pregnant
______Menopause ____no______yes _______year
Contraception______no_______yes_______________Type
Hx. of vaginal bleeding _____no ____yes (describe)_____________________
Last Pap Smear___________
History of sexually transmitted disease ____no _____yes:_________________
Male: History of Prostate problems _____yes ______no History of penile discharge, bleeding, lesions; ______no
______yes describe:________________________________________________________
Last prostate exam:_______________________
History of sexually transmitted disease ________no _______yes:
Both: Problems with sexual functioning?____________________________________________
Sexual concerns at this time?____________________________________________________
10. COPING-STRESS TOLERANCE
_________Not Assessed
Overt signs of stress (crying, wringing of hands, clenched fists)
Describe:____________________________________________________________________
Question patient regarding:
Primary way you deal with
stress?___________________________________________________________________________________
________________________________________________________________________________________
Concerns regarding hospitalizaton/illness: (financial, self-care)_________________________
Major loss within last year ____yes _____no Describe:____________________________________________
________________________________________________________________________________________
COURSE SYLLABUS
NURS 210L: RN Skills Laboratory
11. VALUE-BELIEF
_______Not Assessed
Religion:_____Protestant ____Catholic ___ Jewish __Muslim ___Buddhist ___None ___other: _____________
Question Tatient regarding:
Religious Restrictions:_________________________________________________________
Religious Practices:___________________________________________________________
Concerns related to ability to practice usual spiritual or religious customs?
___________no ___________ yes Describe:_______________________________________
___________________________________________________________________________
COURSE SYLLABUS
NURS 210L: RN Skills Laboratory
LEVELS OF ANXIETY
Level
Cognitive Response
Emotion
Decreased pulse,
respiration, blood
pressure, no
muscle tension,
relaxation, pupil
constriction
Minimal muscle
tension, relaxed
facial expression,
minimal
interaction
between
mind/body, more
alert-sees, hears,
grasps more
Increased muscle
tension, blush,
beginning to feel
out of control
Daydream,
transcendental
mediation, early sleep
stages imagining
Little emotional
activity,
emotionally flat
No talking, no
interaction
Takes in many stimulimore than usual,
observant, curious,
butterflies in stomach
Safety, comfort,
pleasure
Automatic visual
habits, non-competitive
games, solitary
activities, voice calm
with interactions,
questions
1-Help patient
recognize it
2-Help him describe
thoughts, feelings,
actions
3-Help analyzeformulate meaning
Ability to use learning
process
Emotional
discomfort,
challenges,
fear/anger, need
to handle
situation at hand
Repetitive questioning
learning, selfish
behavior meets own
needs, assist others to
meet needs,
competitive activities,
withdraw, attack,
compromise
1-Allow verbalization
2-walking
3-crying
Voice donates
concern/ interest
Severe
Restlessness,
sleeplessness
pounding heart,
perspiration
stomach
discomfort, N/V,
headache,
backache, vertigo,
dilated pupils, taut
facial expression,
altered pain
perception,
appetite changes
Focused perceptual
field-one detail only,
cannot learn-may or
may not open field
when directed,
distorted time sense,
problem solving
difficulties
dissociating, selective
enhancement
Awe, threat,
terror,
fear/anger,
feeling of
impeding doom
Alternate withdraw/
attack, personal space
extended, depression
somatization, verbal
activity speed vs.
blocking, purposeless
activity, distorted
thinking
1-Remain available
2-allow verbalization
3-simple directions
4-do not reason with
them
5- assess their major
concern
Panic
Facial expression
of terror,
grimacing, poor
motor
coordination,
minimal response
to pain, noise
Detail is blown out of
proportion-cannot
open perceptual field
even when directed,
ego boundaries are
weak, can no longer
distinguish dangerous
/harmless stimuli
Terror, horror,
rage, dread
Unable to
communicate,
hyperactive, random
uncontrolled attack,
primitive crying,
curling up, biting,
flailing, voice loudhigh pitched, rapid
speech
1-Take control as
necessary to prevent
harm to self/ others
Minimal
(apathy)
Mild
Moderate
Behavior
Nursing
Implications
Physiology
COURSE SYLLABUS
NURS 210L: RN Skills Laboratory
Gordon's 11 Functional Health Patterns
Most schools of nursing and health care agencies have developed their own structured assessment tools. Many
of these are based on selected nursing theories.
Gordon uses the word pattern to signify a sequence of recurring behavior. The nurse collects data about
dysfunctional as well as functional behavior. Thus, by using Gordon's framework to organize data, nurses are
able to discern emerging patterns.
How well a client is functioning in these different areas can be evaluated with questions and observations.
Sample questions are listed here to help you understand the patterns.
PATTERN OF HEALTH PERCEPTION & HEALTH MANAGEMENT
Describes the client's perceived pattern of health and well-being and how health is managed.
How does the person describe her/ his current health?
What does the person do to improve or maintain her/ his health?
What does the person know about links between lifestyle choices and health?
How big a problem is financing health care for this person?
Can this person report the names of current medications s/he is taking and their purpose?
If this person has allergies, what does s/he do to prevent problems?
What does this person know about medical problems in the family?
Have there been any important illnesses or injuries in this person's life?
NUTRITIONAL - METABOLIC PATTERN
Describes the client's pattern of food and fluid consumption relative to metabolic need and pattern indicators of
local nutrient supply.
Is the person well nourished?
How do the person's food choices compare with recommended food intake?
Does the person have any disease that effects nutritional- metabolic function?
PATTERN OF ELIMINATION
Describes the patterns of excretory function (bowel, bladder, and skin).
Are the person's excretory functions within the normal range?
Does the person have any disease of the digestive system, urinary system or skin?
PATTERN OF ACTIVITY & EXERCISE
Describes the pattern of exercise, activity, leisure, and recreation.
How does the person describe her/ his weekly pattern of activity and leisure, exercise and recreation?
Does the person have any disease that effects her/ his cardio-respiratory system or musclo-skeletal system?
COGNITIVE - PERCEPTUAL PATTERN
Describes sensory-perceptual and cognitive patterns.
Does the person have any sensory deficits? Are they corrected?
Can this person express her/ himself clearly and logically?
How educated is this person?
Does the person have any disease that effects mental or sensory functions?
If this person has pain, describe it and it's causes.
PATTERN OF SLEEP & REST
Describes patterns of sleep, rest, and relaxation.
Describe this person's sleep-wake cycle.
Does this person appear physically rested and relaxed?
COURSE SYLLABUS
NURS 210L: RN Skills Laboratory
PATTERN OF SELF PERCEPTION & SELF CONCEPT
Describes the client's self-concept pattern and perceptions of self (e.g., self-conception/worth, comfort, body
image, feeling state).
Is there anything unusual about this person's appearance?
Does this person seem comfortable with her/ his appearance?·
Describe this person's feeling state?
RELATIONSHIP PATTERN
Describes the cleint's patterns of satisfaction and dissatisfaction with sexuality pattern; describes reproductive
patterns.
How does this person describe her/ his various roles in life?
Has, or does this person now have positive role models for these roles?
Which relationships are most important to this person at present?
Is this person currently going though any big changes in role or relationship?
What are they?
ROLE - SEXUALITY - REPRODUCTIVE PATTERN
Describes the client's patterns of satisfaction and dissatisfaction with sexuality pattern; describes reproductive
patterns.
Is this person satisfied with her/ his situation related to sexuality?
How have the person's plans and experience matched regarding having children?
Does this person have any disease/ dysfunction of the reproductive system?
PATTERN OF COPING & STRESS TOLERANCE
Describes the client's general coping pattern and the effectiveness of the pattern in terms of stress tolerance.
How does this person usually cope with problems?
Do these actions help or make things worse?
Has this person had any treatment for emotional distress?
PATTERN OF VALUES & BELIEFS
Describes the patterns of values, beliefs (including spiritual), and goals that guide the client's choices or
decisions.
What principals did this person learn as a child that are still important to her/ him?
Does this person identify with any cultural, ethnic, religious, regional, or other groups?
What support systems does this person currently have?