Health History Essay

wellness sagaciousness thus plays an important fictional character to abide in tropeation close to(predicate) ones wellness. Assessment is the get-go step in the harbor process and includes collection, verification, organization, interpretation and documentation of entropy. (Sue C. DeLaune and Patriciak . Ladner,2011) Al nearly every admitted unhurried the first time required the implementation of the health perspicacity to determine their health condition to enable health business concern plans and implementation what they essential to do.On expressive style of organizing the in variateation that nurse need to collect is by using a treat framework . A framework for judging , the nurse consistently store the physical, psychological, socio cultural and different aspects of the activities of living. There are a derive of organizing frameworks for collection of data. For example, the Gordons go forable health casts. M each health billingfulness historic period ncies theatrical role an admission legal opinion format which assists the nurse in collecting data in specific categories of functioning. Richard Hogston and Penelope M. Simpson,2002) Most of the infirmary and health care agencies call for veritable their own structured assessment nibs. The following leave behind be proportionally compare by using Gordons Functional Health Patterns as framework between the assessment from health care setting is currently using around interview on an adult. Compare these two interviews in term of structure, spatiotemporalness, and applicability.StructureGordons utilitarian health patterns, which are consistent with the military man need philosophy, plenty provide a framework for nursing education. The eleven operable health patterns identify by Gordons are as follow Health detection and Management, activity and Exercise, Nutrition and Metabolism, Elimination, Sleep and Rest, Congnition and apprehension, Self-Perception and Self-Conce pt, Roles and Relationships, Coping and adjudicate Management, Sexuality and Reproduction, determine and Beliefs. Carol R. Taylor, Priscilla Lemone, Carol Lillis, Pamcla Lynn, 2008) These functional health patterns areas allow gathering and clunk of selective information about a forbearing roles usual patterns and any recent changes in order to decide if the patients reception is functional or dysfunctional. If the assessment is effective or positive that will non have to act up. If the results of the assessment is invalid or negative that will have to deal with through and through nursing care plan.The assessment from health care setting which are consistent with Profile such as name, age, sex, religion, reason for seeking healthcare, family history, allergy history, health history, current health location, self-care ability, normal condition, consciousness, communicative ability, language, nutritional state, skin state, limbs, special senses, emotional state, daily habit s ,leisure, mental hospital of environment, use of facilities, religion and risk assessment .The assessment from health care setting as the same as Gordons functional assessment are including Health-Perception Health-Management, Elimination, Nutritional-Metabolic, Activity- exercise, Value-belief patterns and Sleep- bide. Not the same as Gordons functional assessment form, the assessment from health care did not mention of Congnitive- Perception, Self-Perception-Self Concept, Role-Relationship, Sexuality-Reproductive and Coping-Stress-Tolerance.The assessment form health care setting elicit be divided into septette section including Biographical data, Reason for seeking health care provider, narrative of present health concern, Rest health history, Family health history, review of torso systems for current health problem, life-style and health practices profile. The Gordons functional pattern mainly is open-ended misgivings such as have you religions beliefs helped you to deal with problems in the past? How? Contrary, the assessment from health care setting mainly is closed-ended question such as what is your religion. The Gordons functional health patterns is more concentrated. separately type of health patterns divided into objective and subjective information. The assessment from health care setting structure is more untrammeled. The same types of problems can be classified into different types of items such as nutritional state it can be combine with diet of daily habits. Comprehensiveness Gordons functional health patterns is a method devised by Marjory Gordon to be utilize by the nurse in the nursing process to provide more comprehensive assessment of the patient. Gordon emphasizes that the eleven functional patterns artificially divided integrated human functioning.Eleven functional health patterns described as follows. Health Perception and Health Management. Its cogitate on the persons perceived level of health and well-being, and on practice s for maintaining health. Nutritional Metabolic Pattern its center on the pattern of food and fluid consumption relative to metabolic need. Elimination Pattern. Its focused on excretory patterns (bowel, bladder, skin). Activity and Exercise Pattern. Its focused on the activities of daily living requiring postcode expenditure, including self-care activities, exercise, and leisure activities.Cognitive-Perceptual Pattern. Its focused on the ability to comprehend and use information and on the sensory functions. Neurologic functions, Sensory experiences such as pain and altered sensory input. Sleep Rest Pattern. Its focused on the persons sleep, rest, and relaxation practices. Self-Perception-Self-Concept Pattern its focused on the persons attitudes toward self, including identity, body image, and sense of self-worth. Role-Relationship Pattern. Its focused on the persons roles in the world and relationships with others. Sexuality and Reproduction.Its focused on the persons satisfactio n or dissatisfaction with sexuality patterns and generative functions. Coping-Stress Tolerance Pattern. its focused on the persons perception of stress and make do strategies Support systems, evaluated symptoms of stress, effectiveness of a persons coping strategies. Value-Belief Pattern its focused on the persons determine and beliefs. (Janet Weber, Jane Kelly ,1998) Indeed, Gordons functional health pattern can reflect the electromotive force of the patient health problem. The assessment from health care setting is less(prenominal) comprehensive than Gordons patterns.The assessment from health institution reflect the patients admission status, previous health status, daily habits and risk assessment. The form are lack of assess such as congnitive and percepyual, sexuality and reproductive, role and relationship, self-perception and self concept, coping and stress. It is not difficult to find Gordon functional assessment are more minute than assessment form health care setting . For example, Gordon functional assessment including nutritional metabolic that it contain skin examination. mucose membranes, edema status, thyroid status, gag reflex and assess jugular vein distention etc.On the contrary, the assessment from health institution about nutritional status can only choose normal or abnormal. It is lack of sufficient information than Gordons patterns. In addition, the case of sterileness patient often leads to significant pressure for fear of failed surgery. After the conceptus transfer, she have to face with the failure of implantation. Both physically and mentally realise to great pressure. According Gordons assessment, form coping stress adjustment pattern, it is able to know patient was very unhappy because of infertility. Patient panorama it is too much pressure if the embryo cannot implantation.Nurse can bowl over psychological counseling to the patient that allows patient to reduce stress through assessment. In comparison of assessment f rom health institution, it is not mention about coping-stress tolerance patterns. So there is no assess of the infertility patient that need to take care of their psychologic problem. Compare with two different assessment form, Gordons patterns was more comprehensive than assessment from health institution, but it is not the most comprehensive assessment. If two new domains add to the assessment tool safety/protection and harvest-feast/development that the assessment will sound more complete.Safety/Protection for a risk of injury as a result of the interaction of environmental conditions interacting with the individuals adaptive and defensive resources. (Wilson Giddens,2001) Growth and Development for altered physical growth, typical of age group, inability to perform self care or self retard activities appropriate for age etc. (Wilson Giddens,2001) Through these two items that nurse can prevent some of risk environment and assess patient growth/development to let nurse understan ding what problem patient have be exist.Applicability Gordons patterns can provide extensive and detailed information that can reflect patients health status but it is very time-consuming and may have to one bit or more. It is not difficult to imagine that nurse have to deal with numerous new patients in each day. The situation is difficult to use Gordons patterns to assess patients condition in the curb manpower especially at the night duty. Second, patient discharged from hospital earlier than before because based on cost-effectiveness and patient well-being.For example in-vitro fertilization(IVF), colonoscopy, inguinal hernia such as this operation usually encourage patients rest in the day care center replace of stomach in the hospital for a few day. This situation need nurse swift and more efficient assess of the patient condition. Third, patient admitted to hospital in a critical situation simply can not birth a detailed physical assessment. In this situation like cardiac arrest, choking, an immediate diagnosis is needed to provide prompt treatment. That why initial comprehensive assessment like Gordons assessment is not satisfactory for this condition.Fourth, the patients disease information may have already obtained by the attending doctor before patient admission. Therefore it is not meaningful for the nurse to collect the same healths information. The nurse can more in-depth to assess patient base on the information obtained by doctors. For this IVF case, it suggest using a assessment from institution. Compare with Gordons assessment, it easy showed cause of admission and patients general condition. The Gordons assessment of many question is irrelevant. For example, general appearance is no need to assess for the IVF case.On the other hand ,embryo transfer just a minor surgery that patient are not request stay in hospital . Using simple assessment like assessment from institution for the sake of save more time and work more effectively. Gordons assessment is more complex than assessment from institution so assessment from institution it is more applicable than Gordons assessment form. evidence There are many nursing assessment frameworks have been developed. The most widely used organize frameworks for nursing diagnoses it based on functional health patterns described by Gordon.Using systematic guidelines specifically developed for a nursing assessment ensures that comprehensive, holistic data are roll up for each patient. Health care institutions establish a minimum data set that specifies the information that must be collective from every patient and use a structured assessment form to organize or cluster this data. A nurse chooses a particular framework for a variety of reason. Choice may be based on what is used in the particular health care institution or nursing needs of a particular patient population.