Faculty of Nursing-IUG Chapter (3) Functional Health Pattern Faculty of Nursing-IUG

Definition of (NANDA) The North American Nursing Diagnosis Association (NANAD 1994) defines a nursing diagnosis as “A clinical judgments about individual, family or community response to actual and potential health problems and life responses”

Functional health pattern (NANDA) 1- Health Perception-Health Management Pattern 2- Nutritional—Metabolic Pattern 3- Elimination Pattern 4- Activity—Exercise Pattern 5- Sexuality—Reproduction Pattern 6- Sleep—Rest Pattern 7- Sensory—Perceptual Pattern 8- Cognitive Pattern 9- Role—Relationship Pattern 10- Self-Perception-Self-Concept Pattern 11- Coping-Stress Tolerance Pattern 12- Value—Belief Pattern

Health Perception-Health Management Pattern 1- Determine how the client perceives and manages his or her health. 2- Compliance with current and past nursing and, medical recommendations. 3- The client's ability to perceive the relationship between activities of daily living and health.

Subjective Data Objective Data Client's Perception of Health: Describe your health. Client's Perception of Illness Describe your illness or current health problem. Health Management and Habits Tell me what you do when you have a health problem. Compliance with Prescribed Medications and Treatments Have you been able to take your prescribed medications? If not, what caused your inability to do so? Objective Data Refer to General Physical Survey

Associated Nursing Diagnoses Wellness Diagnoses Effective Management of Therapeutic Regimen Risk Diagnoses Risk for Injury Risk for Suffocation Risk for Trauma Actual Diagnoses Altered Growth and Development Ineffective Management of Therapeutic Regimen: Individual Ineffective Management of Therapeutic Regimen: Family Ineffective Management of Therapeutic Regimen: Community Noncompliance

Nutritional-Metabolic Pattern Assessing the client's nutritional-metabolic pattern is to determine the client's dietary habits and metabolic needs. The conditions of hair, skin, nails, teeth and mucous membranes are assessed. Subjective Data Dietary and Fluid Intake Describe the type and amount of food you eat at breakfast, lunch, and supper on an average day. Do-you take any vitamin supplements? Describe. Do you find it difficult to tolerate certain foods? Specify. Do you ever experience nausea and vomiting? Describe. Do you ever experience abdominal pains? Describe.

Condition of Skin Describe the condition of your skin. How well and how quickly does your skin heal? Do you have any skin lesions? Describe. Do you have any itching? What do you do for relief? Condition of Hair and Nails Have you had difficulty with scalp itching or sores? Do you use any special hair or scalp care products? Have you noticed any changes in your nails? Color Cracking? Shape? Lines?

Metabolism Objective Data What would you consider to be your "ideal weight"? Have you had any recent weight gains or losses? Do you have any intolerance to heat or cold? Have you noted any changes in your eating or drinking habits? Explain. Have you noticed any voice changes? Objective Data Assess the client's temperature, pulse, respirations, and height and weight.

Wellness Diagnoses Risk Diagnoses 0pportunity to enhance nutritional metabolic pattern Opportunity to enhance effective breastfeeding Opportunity to enhance skin integrity Risk Diagnoses Risk for Altered Body Temperature Hypothermia Risk for Infection Risk for altered nutrition less than body requirements . Risk for Aspiration

Actual Diagnoses Fluid Volume Deficit Fluid Volume Excess Altered Nutrition: Less than body requirements Altered Nutrition: More than body requirements Ineffective Breastfeeding Altered Oral Mucous Membrane Impaired Skin Integrity.

Elimination Pattern Adequacy of the client's bowel and bladder. The client's bowel and urinary habits. Bowel or urinary problems. Use of urinary or bowel elimination devices.

Bowel Habits Subjective Data How frequent are your bowel movements? Do you use laxatives? What kind and how often do you use them? Do you use enemas or suppositories? How often and what kind? Do you have any discomfort with your bowel movements? Describe.

Bladder Habits Objective Data How frequently do you urinate? What is the amount and color of your urine? Do you have any of the following problems with urinating: Pain? Blood in urine? Difficulty starting a stream? Incontinence? Voiding frequently at night? Voiding frequently during day? Bladder infections? Have you ever had a urinary catheter? Describe. When? How long? Objective Data Refer to abdominal assessment, and the rectal assessment.

Associated nursing-Diagnoses Wellness Diagnoses Opportunity to enhance adequate bowel elimination pattern Opportunity to enhance adequate urinary elimination pattern Risk Diagnoses Risk for constipation Risk for altered urinary elimination

Actual Diagnoses Altered Bowel Elimination Constipation Diarrhea Bowel Incontinence Altered Urinary Elimination Patterns of Urinary Retention Total Incontinence Stress Incontinence

Activity-Exercise Pattern Activities of daily living, including routines of exercise, leisure, and recreation. Activities necessary for personal hygiene, cooking, shopping, eating, maintaining the home, and working. An assessment is made of any factors that affect or interfere with the client's routine activities of daily living.

Subjective Data Occupational Activities Describe your activities on a normal day (Including hygiene activities, eating activities). Do you have difficulty with any of these self-care activities? Explain. Does anyone help you with these activities? How? Do you use any special devices to help you with your activities? Does your current physical health affect any of these activities e.g. dyspnea, shortness of breath, palpations, chest pain. pain, stiffness, weakness)? Explain. Occupational Activities Describe what you do to make a living. Do you feel it has affected your health? How has your health affected your ability to work?

Associated Nursing Diagnoses Objective Data Refer to Thoracic and Lung Assessment Cardiac Assessment Peripheral Vascular Assessment Musculoskeletal Assessment Associated Nursing Diagnoses Wellness Diagnoses Opportunity to enhance effective cardiac output Opportunity to enhance effective self-care activities Opportunity to enhance adequate tissue perfusion Opportunity to enhance effective breathing pattern

Risk Diagnoses Actual Diagnoses Risk for Disorganized Infant Behavior Risk for Peripheral Neurovascular Dysfunction Risk for altered respiratory function Actual Diagnoses Activity Intolerance Impaired Gas Exchange Ineffective Airway Clearance Ineffective Breathing Pattern Disuse syndrome Impaired Physical Mobility Inability to Sustain Spontaneous Ventilation Altered Tissue Perfusion

Sexuality-Reproduction Pattern Subjective Data 1- Female Menstrual history: Last cycle begin? Duration ? Any change or abnormality ? Describe any mood changes or discomfort before, during, or after your cycle

Obstetric history Contraception How many times have you been pregnant? Describe the outcome of each of your pregnancies. If you have children, what are the ages and sex of each? Explain any health problems or concerns you had with each pregnancy. If pregnant now . Contraception What do you or your partner do to prevent pregnancy? Describe any discomfort or undesirable effects this method produces. Have you had any difficulty with fertility? Explain

Objective Data Special problems Do you have or have you ever had a sexually transmitted disease? Describe. Describe any pain, burning, or discomfort you have while voiding. Objective Data Refer to Breast Assessment, d Abdominal Assessment, and urinary- Reproductive Assessment

Associated nursing Diagnoses Wellness Diagnosis: Opportunity to enhance sexuality patterns Risk-Diagnosis Risk for altered sexuality pattern Actual Diagnoses Sexual Dysfunction, Altered Sexuality Patterns

Sleep-Rest Pattern Sleep Habits: Subjective data Sleep Habits: How would you rate the quality of your sleep? Special Problems Do you ever experience difficulty with falling asleep? Remaining asleep? Do you ever feel fatigued after a sleep period? Sleep Aids What helps you to fall asleep? medications? reading? relaxation technique? Watching TV? Listening to music?

Objective Data 1. Observe appearance a. Pale b. Puffy eyes with dark circles 2. Observe behavior a. Yawning b. Dozing during day c. Irritability d. Short attention span

Associated nursing Diagnoses Wellness Diagnosis: Opportunity to enhance sleep Risk Diagnosis Risk for sleep pattern disturbance Actual Diagnosis: Sleep Pattern Disturbance.

Sensory-Perceptual Pattern Subjective Data Describe your ability to see, hear, feel, taste, and smell. Describe any difficulty you have with your vision, hearing, and ability to feel (e.g., touch, pain, heat, cold), taste (salty, sweet, bitter, sour), or smell. Pain Assessment Complete Symptom Analysis Special Aids: What devices (e.g., glasses, contact lenses, hearing aids) Describe any medications you take to help you with these problems. Objective Data Refer to the section on Nose and Sinus Assessment, Eye Assessment, and Ear Assessment.

Associated Nursing Diagnoses Wellness Diagnosis: Opportunity to enhance comfort level Risk Diagnoses Risk for pain Actual Diagnoses Pain

Cognitive Pattern Subjective Data Ability to Understand: Explain what your doctor has told you about your health. Ability to Communicate: Can you tell me how you feel about your current state of health? Ability to Remember: Are you able to remember recent events and events of long ago? Explain. Ability to Make Decisions: Describe how you feel when faced with a decision.

Associated nursing Diagnoses Objective Data Refer to the Mental Status Assessment Associated nursing Diagnoses Wellness Diagnosis: Opportunity to enhance cognition Risk Diagnosis: Risk for altered thought processes Actual Diagnoses: Acute confusion Chronic Confusion Knowledge Deficit (Specify) Impaired Memory

Role-Relationship Pattern Subjective Data Perception of Major Roles and Responsibilities in Family Describe your family. Are there any major problems now? Perception of Major Roles and Responsibilities at Work Describe your occupation. What is your major responsibility at work? Perception of Major Social Roles and Responsibilities Describe your neighborhood and the community in which you live.

Associated Nursing Diagnoses Objective Data 1. Outline a family genogram for your client. 2. Observe your client's family members. Associated Nursing Diagnoses Wellness Diagnoses: Opportunity to enhance effective relationships Opportunity to enhance effective communication Risk Diagnoses: High risk for Loneliness Risk for Altered Parent/Infant/Child Attachment Actual Diagnoses: Impaired Verbal Communication Impaired Social Interaction: Social Isolation

Coping-Stress Tolerance Pattern Subjective Data Perception of Stress and Problems in Life Describe what you believe to be the most stressful situation in your Life. How has your illness affected the stress you feel? Coping Methods and Support Systems: What do you usually do first when faced with a problem? What helps you to relieve stress and tension? Do you use medication, drugs, or alcohol to help relieve stress? Explain. Objective Data Refer to the Mental Status Assessment.

Associated nursing Diagnoses Wellness Diagnoses Opportunity to enhance effective individual coping. Opportunity to enhance family coping Risk Diagnoses: Risk for self-harm Risk for suicide Actual Diagnoses: Ineffective Individual Coping Ineffective Family Coping: Disabling

Value-Belief Pattern Subjective Data Objective Data Values, Goals, and Philosophical Beliefs Religious and Spiritual Beliefs: Are there certain health practices or restrictions that are important for you to follow while you are ill or hospitalized? Explain. Objective Data Observe religious practices Bible , clergy Observe client's behavior for signs of spiritual distress Anxiety, Anger , Depression , Doubt, Hopelessness and Powerlessness

Associated Nursing Diagnoses Wellness Diagnosis: Potential for Enhanced Spiritual Well-Being Risk diagnosis: Risk for spiritual distress Actual Diagnosis: Spiritual disturbance (distress of the human spirit).