• Embed Doc
  • Copy Link
  • Readcast
  • Collections
  • 2
    CommentGo Back
Download
 
PEDIATRIC NURSING ASSESSMENT
(Gordon’s Functional Health Pattern)A.Name:Preferred to be called:Age:Sex:Time of Arrival to Unit:Mode of Admission:Mother’s Name:Occupation:Age:Address:Tel. No.:Father’s Name:Occupation:Age:Address:Tel. No:Religion:Primary Language:Nationality:B.1.Child’s Appearance & Behavior 2.Parent-child interaction3.Siblings and other family members4.Home environmentC.Chief Concern (Narrative of Present Illness)D.WtHt:Temp: ____ (oral,axilla,rectal)Pulse _____ (regular/irregular)Resp _____ (regular/irregular)BPE.Past History1.Birth Historya.Mother’s health during pregnancyb.Labor and deliveryc.Infant’s condition immediately after birth(APGAR)2.Pregnancy, Labor and Deliverya.Obstetric history (GP, TPAL)b.Crisis during pregnancyc.Prenatal attitude toward fetus3.Perinatal Historya.Wt and Ht at birthb.Loss of wt following birth and time of regaining birth wtc.APGAR score, level of activityd.Problem if any (birth injury, congenitalanomalies)
 
4.Dietary History (Feeding History)5.Immunization and boosters6.Developmental milestones (growth pattern)a.Approx wt at 6 mos, 1 yr, 2 yrs, 5 yrsb.Approx ht at 1 yr, 2 yrs, 3 yrs, 4 yrsc.Dentition (including age of onset,number of teeth and symptoms duringteething)d.Hold head steadilye.Sitting alone without supportf.Walks without assistanceg.Says first wordsF.Functional Health Pattern Assessment1.Health Perception-Health Management Pattern
•
Why has your child been admitted?
•
How has your child’s general health been?
•
What does your child know about thishospitalization?
Ask the child why he came to the hospital
If answer is “For operation or for tests”,ask child to tell you about what hadhappened before, during and after theoperation or tests
•
Has your child ever been in the hospitalbefore?
How was the hospital experience?
What things were important to you andyour child during that hospitalization? Howcan we be most helpful now?
•
What medications does your child take athome?
Why are they given?
When are they given?
How are they given (if a liquid, with aspoon, if a tablet, swallowed with water or other)?
Does he have any trouble takingmedication? If so, what helps?
Does he have any allergies tomedications?
•
What does your child know about thishospitalization?
Ask the child why he came to the hospital2.Nutritional and Metabolic Pattern
•
What are the family’s usual meal times?
•
Do family members eat together or atseparate times?
 
•
What are your child’s favorite foods,beverages and snacks?
Average amounts consumed or usual sizepositions
Special cultural practices, such as familyeats only ethnic food
•
What goods and beverages does your childdislike?
•
What are his feeding habits (bottle, cup,spoon, eats by seld, needs assistance, anyspecial devices)?
•
How dows the child like his food served(warm, cold, one at a time?
•
How would you describe his usual appetite?(hearty eater, picky eater)
Has his being sick affected your child’sappetite?
•
Are there any feeding problems (excessive,fussiness, spitting up, colic), any dental or gum problems that affect feeding?
•
What do you do with these problems?3.Elimination Pattern
•
What are your child’s toilet habits? (diaper,toilet trained [day only or day and night], useof words to communicate urination anddefecation, potty chair, regular toilet, other routines)?
•
What is his usual pattern of elimination(bowel movements)
•
Do you have any concerns about elimination(bed wetting, constipation, diarrhea)
•
What do you do for these problems?
•
Have you ever noticed that your childsweats a lot?4.Sleep-Rest Pattern
•
What is your child’s usual hour of sleep andawakening?
•
What is his schedule for naps/length of naps?
•
Is there a special routine before sleeping(bottle, drink of water, bedtime story,nightlight, favorite blanket, or toy or prayers)
•
Is there a special routine during sleep timesuch as walking to go to the bathroom?
•
What type of bed does he sleep on?
•
Does he have his own room or share aroom: if he shares a room, with whom?
•
What are the home sleeping arrangements(along or with others, such as sibling parentor other person)?
of 00

Leave a Comment

You must be to leave a comment.
Submit
Characters: ...
Maricion Martires

Gordon's Functional assessment tool for pediatric patients

reply02 / 23 / 2010
You must be to leave a comment.
Submit
Characters: ...