Marjory Gordon Pp

Functional health patterns : Marjory Gordon Marjorie Valle Carlota Acona Valerie Bisono Carlos Ramirez Carlos Hurtado

Introduction 

In this presentation we will briefly discuss Gordon’s nursing theory, discuss the assigned case scenario by applying said theory via key questions provided by the professor.

Nursing Theory Marjory Gordon, PHD, RN, was a teacher,

researcher, and expert in Cognitive (Educational) Psychology. In 1987 she proposed functional health patterns as a guide for establishing a comprehensive nursing data base. She was the first president of NANDA, whose taxonomy is based upon her 11 functional health patterns. She has authored several books, and lectured on three continents.

Nursing Theory Her concept of the functional health patterns

are a method to assess the patient prior to determining the patient’s nursing problems. The nursing diagnoses are the shortened labels of nursing problems. Assessment is designed to reveal the symptoms, or abnormal data, a patient has.

Nursing Theory It is that abnormal data (symptoms) that

serves as proof, or evidence, to support the choice of a nursing diagnosis you use. Every nursing diagnosis has a list defining characteristics (symptoms).  These 11 categories make possible a

systematic and standardized approach to data collection, and enable the nurse to determine the following aspects of health and human function.

Nursing Theory Marjory Gordon developed a way to make nursing assessment more effective; Gordon’s functional patterns as they are known are the following:    Health perception and management  Nutrition and metabolism  Elimination  Activity and exercise  Sleep and rest  Cognition and perception  Self-perception and self-concept  Roles and relationships  Sexuality and reproduction  Coping and stress management  Values and beliefs 

Nursing Theory These patterns are an integral part of the

nursing process today. By using this tool we assess every one of a person’s basic and fundamental needs, it is easy to use because it divides them up in categories, approaching the client in a holistic manner not only focusing on obvious physical needs, but psychological, emotional and spiritual needs as well. 

Case Scenario 

A home care nurse visits an elderly client who lives alone and is restricted to bed because of pain in his joints due to osteoarthritis. During conversation, the nurse finds that the client feels sad and inadequate due to his disability

Discussion The nurse should prioritize the clients needs by

assessing which one’s need immediate attention.  Treatment of pain Activity intolerance Feelings of sadness and inadequacy

Discussion 

The integration of Peplau’s theory could be helpful. This theory’s objective is to develop an interaction between the nurse and patient. It states that nursing is a significant, therapeutic interpersonal process. By developing an effective nurse-patient relationship, these two can define the problem and together search for a solution.

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Discussion During the assessment of activity levels, the

nurse should evaluate the following: 

1.Health perception and management 2.Activity and exercise 3.Cognition and perception 4.Self perception and self concept

Discussion Three interventions (using NIC) for this patient

in priority order  2210 Administration of analgesics 0200 Promote exercise 5270 Emotional support

Discussion What will our expected outcomes be? (Using NOC) 

1605 Control of pain – personal action to control

pain

 160505 Proper use of analgesics

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0208 Mobility – the patient will have the ability to

move purposefully in own environment with or without assistive device  020806 Ambulate

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1308 Accepting state of health  130017 Adapts to changes in health

Discussion Recommended referrals Rheumatologist Physical therapist Psychologist 

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Bibliography Moorhead, Johnson & Maas (2004) Nursing

outcomes classification (NOC). 3RD ED., Elsevier Mosby  Potter & Perry (2001) Fundamentals of nursing.

5th Ed., Harcourt/Mosby. Unit I Chapter 5 pp. 96 

Electronic Resources Actualizacion en enfermeria –

Publicaciones 

http://www.es-emoticon.com/enfermeria-actual/contenidos/publicacio

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Marjory Gordon – Wikipedia, the free

encyclopedia  

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http://en.wikipedia.org/wiki/Marjory_Gordon