Comprehensive Health History Utilizing Gordon’s Functional Health Patterns Provide an introduction to assignment and include the disclaimer information as identified in directions. Utilize this template within your document Health Perception/Health Management: Subjective data: Objective data: Nursing diagnosis: Health promotion area: Nutrition/Metabolic Pattern: Subjective data: Objective data: Nursing diagnosis: Health promotion area: Elimination Pattern: Subjective data: Objective data: Nursing diagnosis: Health promotion area: Activity/Exercise Pattern: Subjective data: Objective data: Nursing diagnosis: Health promotion area: Sleep/Rest Pattern: Subjective data: Objective data: Nursing diagnosis: Health promotion area:
Comprehensive Health History Utilizing Gordon’s Functional Health Patterns
Provide an introduction to assignment and include the disclaimer information as identified in directions.
Utilize this template within your document
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Health Perception/Health Management:
Subjective data:
Objective data:
Nursing diagnosis:
Health promotion area:
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Nutrition/
Subjective data:
Objective data:
Nursing diagnosis:
Health promotion area:
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Elimination Pattern:
Subjective data:
Objective data:
Nursing diagnosis:
Health promotion area:
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Activity/Exercise Pattern:
Subjective data:
Objective data:
Nursing diagnosis:
Health promotion area:
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Sleep/Rest Pattern:
Subjective data:
Objective data:
Nursing diagnosis:
Health promotion area:
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Cognitive/Perceptual Pattern:
Subjective data:
Objective data:
Nursing diagnosis:
Health promotion area:
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Self-perception/Self-concept pattern:
Subjective data:
Objective data:
Nursing diagnosis:
Health promotion area:
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Coping/Stress Pattern:
Subjective data:
Objective data:
Nursing diagnosis:
Health promotion area:
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Role/Relationship Pattern:
Subjective data:
Objective data:
Nursing diagnosis:
Health promotion area:
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Sexual Reproductive Pattern:
Subjective data:
Objective data:
Nursing diagnosis:
Health promotion area:
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Value/Belief Pattern:
Subjective data:
Objective data:
Nursing diagnosis:
Health promotion area:
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Family History: (children, siblings, parents, aunts/uncles, grandparents)
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Priority Nursing Diagnoses: 1. 2. 3. 4. 5.
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Priority Health Promotion Areas: 1. 2. 3. 4. 5.
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Guidelines for Grading Comprehensive Health History
Name: _______________________________________________Grade: ___________________
Introduction: 3 pts. Includes purpose of assignment
Disclaimer
Each functional pattern will be evaluated on:
Completeness of information
Documentation clarity
Appropriateness of nursing diagnosis
Format
Supported by data
Appropriateness of health promotion needs
Supported by data
- Health Perception / Health Management 7 pts.
- Nutrition / Metabolic 7 pts.
- Elimination Patterns 7 pts.
- Activity / Exercise 7 pts.
- Sleep / Rest Patterns 7 pts.
- Cognitive / Perceptual Pattern 7 pts.
- Self-perception / Self-concept Pattern 7 pts.
- Coping / Stress Pattern 7 pts.
- Role / Relationship Pattern 7 pts.
- Sexual / Reproductive Pattern 7 pts.
- Value / Belief Pattern 7 pts.
- Family History 7 pts.
Prioriry Nursing Diagnoses 5 pts.
Priority Health Promotion Needs 5 pts.
APA format (title page) 3 pts.
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