Gordon's Functional Health Patterns for establish sematic and ‘Marjorie Gordon (1987) proposed functional health patterns asa guide ‘comprehensive nursing database. The:e 11 eategories make possible a sy standardized approach wo data colton, and enable the nurse to determine the following _. aspects of health and human function ‘Health Perception and Health Management, Daa collection i foeasod onthe person's ‘eroeived level of health and well-being, and on practices fr maintaining health Habits that may be detrimental to health are also evaluated, including smoking and alcoho or dug use. Actual or potential problems related to safety and health management may Be mie as wll a neds fr modi ctons inthe anor ed x cone =” Nutrition and Metabolism Assessment i focused on he pater of fod and ud Backrest Tr back est 1 2 a ed ack rest elevate (indeate angle, dare) acission bate given when iis wa Complete bah ai paral bath ineuding face, arms, back, tile, genitals hot site bat special at treatment tub bth taken in rb sel aici fered taken in bed by pt 1. erettion- belching Bling in spurs spurting of blood scanty vey itl amount ‘oring- massive outburst of blood stan no e bleeding hematemesi- blood in vomits ‘matui hemoptysis morn ood in rine sping of blood ‘xcesive bleedingBreath 1 halitosis- unpleasant sell 2 fetid- foul smelt 3. aromatic- with sweet or fruitlike ‘odor Boating = ‘espirtion- act of breathing inspiration. act of inhaling expiration- act of exhaling 44yspnea ditcult breathing one short period then breathing ceases © orthopnea inability ro breath when ying upnes-rommal breathing byperpnea- rapid breathing cheyne-stroke respiration increasing “ig. {sBReH with period of apes 10. deep breathing large velume of iis inspired 1 shallow breathing small volume of air inspired 12. asphyia- suffocation vavpel found shape- ronal chest sape shrunk ook normaly ey deformed sinomaly coed barrel shape pulmonary emphysema o normal ang funnel che depression inte lower portion af the seman Pigcon ches: strum dipaceg Emery clear. colorless amber- normal urine color tarry or gray-looks same as tar blood tinged-tinged with blood ‘Bush. pink bluish cyanosis: nek of blood or orygen supply yellowish- jaundice Consciousness alert, fully conscous- aware of surtoundings 2. semiconscious- party conscious 3° stupor- unconscious but canbe aroused 4. lathargi- sleepy but reacts .ostmulos 5. 6 drowsy- sleepy partially coma/light coma- unconscious but reacts to stimulus 7. profoundideep coma-unconscious and does not react to stimulus Consistency. v formed- retains its shape 2 matey Eq 3. coment, eco thick, sick o oie 4 ci conning © rening ices 1. tonic tremor- continues shaking clonic tremor- shaking with intervals of rest 3. sudden onset- began wathout warning 4 paroxysm- spasms or convulsive seizure 1 continuous cough- cougi al! the time 2. persistent cough- coughing over long Period of time 3. productive cough coughs up material 4. spasmodic. occurring in spasms 5 frequent cougl- cougis cuite offen 6 mon-productive cough- con's that does ‘ot rroduce mate-als fr 7. won ing coughe “we 8 parorysmal cough. occurs in paroxysm or attack 9. Sight, loose, dry, hacking, haysh pain, ‘sing explosive, kalow, crowing, exhaustve- self explanatory terms 10 deserve cough Defecation . ‘feces, sol defecation Giarbea- excessive defecation clay/aray colored stool highly colored stool- dark brown quid stool 3. soft-formed stool- formed yet soft 6. hard. formed stool- formed with hardened feces Diziness 1. vertigo Drainage 1 conyza- watery from the nasal secretion (colds) purulent- comaining pus sanguineous- bloody {eal ~ consist of feces serous- ymnphatic Nid ‘mucopurulen- contain mucus and pus fenacious- tough, stickyTochia alba octal rubra locial sxrosa Dressings 1 2 3 dressing. 2™ dressi iressing added to the 1" another agplied 2 rain tubes iain ubes shortened dain es cut ‘cerumens wax inthe ears ‘iowitas rium. ‘inging inthe eae vertigo- dizziness Aformed-zbnarmal in shape induced- produced by effort of pt 2. projectile ejected to few fet distant 3 bloodinged- bloods only noieable “tio agent given to price emesis 1 cleansing enema induce bowel rmovemet 2, uti eneme- to supply nowishment 3 carmiative enema to relevedstention caused by wos 4 anthelmintic enema- to expel worm ‘5 Tetentionenemé= to be retained for several hour (6 stimulating enc to stimaate 7 barium enenm- to aid in uoroscupy examination TL profise- excessive 2 Scanly very fle 3. hemoptysis: spiting up brood ‘Eves 1 sharpness of vision 2. jundie- yellow in color 3. edematous. pully or wollen 41 posi of ids drooping ofits fixed: motionless, not moving, staring 6. photophobia sully sensitive to ight 7 tiplopa- double vision 8 srabiams- squinting 9, exopthaimus-abnorinalprotsion of eyeball 0 conjunctivitis. iftammation ofthe u n Bb MW is comuttva Pep dle dion oft pup Pup cniace-cnsacone oa mf the voi er sighed Inne sens lured vision. eso niin hordeolum- sty on eyelid : rh ear tne, snken crossed, Bodo bum te Chaat em _ Exanssion ‘ansiety defiance anger pain boredom fear Irappiness apathy Aissaishetion afebrile- without fever Pyrex fever above normal ayperpyrena- temperature yreatly above normal ‘erst elevated temp, gradually returning to normal intermittent fover- temp uctuates bet periods of ever femittentfever- temp fuctuates within wide range over 24 hours relapsing fever- temp elevates for few days aterat- with Lor 2 days normal ccsant fever- body erp consistently Sigh, ean cause irreversible brain darmage (convulsion) tapering- coming to Fine point at end clubbing- square across end brine, clean, torn, manicured, eyanotic normal ead ere, vertebral siraizht, knees and feet pointing forward, ans at the sie with ex elbows, arms springing freely akernating with the leg ‘wings, one leis in the stance phase, the other one is inthe swing phase. steppage gat- associated with food Grop. Feet high with knees flexed andafterwards brought down with a slap on the floor, a if he ts walking upst 3. cerebrallar ataxia pait- stands unsteadily with feet wide apart fom each other 4 patie hemiparesis-an arm is flexed closer tothe side ind unable to move ‘The lags circled outward and forward often accompanied with dragging of the toe 5. sensory atania- feet are wide dpat from cach other, lift high and brought down witha sap. 6 parkinsonian gait steps are short and stuling 7. scissor gait legs are move lowly and thighs cross forward on each other a each sep Steps are short Gas 1 flatus- ges in digestive tract 2 Ratulence- distention caused by sccurulation of gas Gums 1. inigivts- inflammation ofthe gums 2 paral a gum boi sporay clean, glossy- clean, good appearance greasy, course- unclean tangled, eglected- uncomibed ‘ot normal color-bleached/dyed dirty, rough, nals broken- show ‘ack of care massive- abnormally large finger clubbed- square in shape well-kept ~ show good care moistry- wetldry ‘embling shaking continuously frontal region- forehead temporal region over temple ‘ccipital-back ofthe head basilar- base of hull ‘macroeephalous- having a large head ricrocephalous- smal head af T.erthythmia- irregularity of heartbeat 2. bradycardia slow heartbeat 3. tachycardia fast heartbeat ives Joints 1 10 sp Memor cricaria- haves prurtus- ching { movementROM ) flexion- bending catension- to straighten pronation- tum down supiation- ta upward rotation: revolve around ahduction- movement away from the, ‘median line or body adduetion- movement towards the median ie of body ankylosis aiff joints inflammation of a joints arti jn- wrenching ofa joint upper leg thigh to knee tower eg: hnce to ankle perculi- head, bod, publ pediculosis- condition of lousiness pale-pale, colorless ‘cyanotic: bive in calor fisured.cracked- presence of tiny cracks presence of herpes simplex- fever blister present ‘aumesia- ess of memory ‘Menstruation catamenia-ifbresent when admitted calameni-if starts afler admission ddysmenorthe- paafil menstcuation menor total absence renorthagia- profuse or prolonged flow rmetorthagja- occurring betwen periods enopause- cessation of menstuat’an Mental Atte 1 2 3 4 5 6 1 ‘mtable, fult-Sinding- bard to please suspicious distrustful ‘optimistic, cheerful happy ‘depressed, moody sad spprehensive, anxious alia ‘eeply religious-over-rfigious Iystenca- lacks emotional controlse ew Nog =) oo eng a isos: nose Needing Se deed cher A We ierm Nourishment 1 ava sale, 8 though beim ‘rOmatic~ not unp pleasant ‘amnioniacal ike ammonia fruity. like rit offensive, foul very unpleasant 1. facial paralysis. muscles ofthe face 2. paraplegia- legs 3.. hemiplegia- one side ofthe body 4. monoplegis- single limb 1. severe- great pain 2 slight itle 3. sharp, sudden, dang, gnawing, ‘burning, stabbing, cramping. shooting colicky, persistent, transient, constant, shifting, localized, deep, superticil, Jancinaing, agonizing. Perspiration 1. profuse, excessive- large amouiat 2. seanty: small amount osition 1. horizontal- flat on back, arms straight at side 2. Interal- on side, knees fesed 3. sims on left side, left anm behind back, left leg slightly flexed, right leg greatly flexed 4) Fowler's: semi-eret, ead elevated, knees flexed 5. semicfovers-semi-rect, knees flexed, head alight elevated 6° lithotomy- on back, buttocks near edge ofthe tzbe knees flexed legs are supported by asi-ups 7. dorsal recumbent-om back, knees flexed and apart, Feet on bed 8, Free-chest- resting on knees and chest 5 rendetenburg- om back, pelvis higher thas head 10. prone- on abdomen, face turned to 07€ floor 3 a ate mb often 2 tyme rel orieals Set eats ised at tras 4 tad ovr 100m $ eng ery rp nisin & Intequent ised at 2 sow dow re vende one seared perceptible : 3 ye aly pian o3 To, dea wh excessive reco OVE i sirengh- weak or strong, 12. perceptible readily perceived (Felt) 13, unperceptible- cannot be fet F 1 pounding/boounding- rapid quite distinet Deats . Respiration 1 respration- act of breatbinis 2. accelerated: above 25 respiration Per minute 3. arificil- induce by artificial means 4. stertorous- snoring 6 Iabored, dyspnea- dificult cheyne-strake-alterate periods of ‘apnea and increasing deep of respiration 7. quit, Sghing, grasping, apid, shallow, Gee, cosstal, audible, nisy- other ‘descriptive characteristic Scalp 1. dandeaff present covered with dandruff 2. sealy- covered with scale | 3 presence of pediul- ce found 4 opocis- baldness 5. ry. oly,itehings other descriptive term ‘Sensation . Tingling 2 2 Suining- extreme hea, burning 3. stinging, prickting 1 ealthy normal 2 uted rink and ho extreme pallor, pale, very white = 4 Blossy- shinesexcoriation. raw surface lacerated- torned clammy- cold and moist nevi- birthmarks vertuca- wart furuncle. boil ‘mottled, discolored, moist dry, hot, cold, warm, oily, broken, calloused, wrinkled, tight, coarse, tanned, fait, browned 12 rash, abrasion, laceration, scene, crust, insect bite, tumors, eruption, scars, ulcers, moles, fissures, abscess 13° macule 4. papule- pimple 15. vesicle bister 16. pustule- pimple filled with pus 17. Pigmented- containing colored a ea 18, moist- wet 19. abraded: scaraped 31 Petechia- smal eechymoss of skin 2a. igen ea here shia ried ot ‘Sleep 1. slept very tte 2 fatigued : 3. moaning : 4. insomnia Smoke 1. smoke excessively Solution isotonic- having same tensions a of ies 8 Sane tensions as of 2. _hypertention- > tension 3. hypotonic. < tension Stoo! 1 id, greenish stool diarrhea 2 with bright red blood + due to lower GI bleeding : 3. melena- black tarry stool due 10 upper Gl bleeding 4. steatorthea- greasy, bul, foul smelling due to bacteria or pancreatic obstruction Speech - J. speaks normally 2, incoherent- not understandable 3. rambling meaningless, wandering 4. slurring- words eun together 5. . stammering, stuttering 6 inartculate- not heard distinctly 7. fhuent- speaks long and straight 8. dyspuasia- difficult in speaking 9, aphasia- unable to sleep Urination % T void, mictiure- t0 urinate > involuntary, incontinent- no controd ‘over urination 3, buming sensation when voiding 4 diuresis- large amount of urine voided 5 anuria- total suppression of urine 4 nocloria- frequent voiding at night 7 polyuria- excessive urination 8 dyuria- point urination 9 pyuria- pus in the urine 10, hematrit- blood in urine 1. hemoglobinuria- hemoglobin in urine 12. glucosuria- glucose in urine 13 albuminuria-albwrnin in urine 14 acetonuria- acetone in urine 15. chojura- bite in urine 16. oliguria- scantiness of urine 17. glycosuria suyar in the urine 18. enuresis- bedwetting 19. caleuli- stone in urine 20. hesitancy- difficulty in initiating, voiding 21, pollakuriae frequent, scanty urination Vomit- nausea Weigh 1” obese- overweight 2. emaciated: thin, underweight 1 deep 2. superficial surface only 3. clean-if not infected 4° support dschargng pus 6 infected ‘otn- lacerated Normal Characteristic of Stool j Color: yellow or golden brown Odor: aromatic upon defecation ‘Amount depends on the bulk of food intake Normal Characteristic of Uriae Color: amberistraw Odor: sromatic upon voiding DIE slightly acidic (4.6-8 ave 6) specific gravity 1.010-1.025 prepared by Joy Colintres, RN O3"Auy,fm) 3 na en Wai BAN REVIAT iphger tk ess IRs 7 ACOlna ©) Nines Py uisccncaeae Rees ween mo arg a cere ant eto se Ne a etn ewe wea ee te Bn ais fom 9» wed Drag Ab Wann Ne , crc ah Ran eines gu sh bal pie Ne ed fom te il ee heparin thin ea 8 es Tip WHO Wel Heath Ormacaca ims yew vg ax req nected 09 POSE oy tant dp eee Sein athens sed acon ay ape, tet dose en ir ‘ower orupet ae teas ons xd ai every how medications, medics 7 NSAID -nonstcrordal anth-inllammsteery 9g every nen oo recor cone Se Geren : Sher oy Ra ple Soe “centimeier Preirpon drug. miiaton = sche a tic balan howe —— Formulations Sao ie fi san = sot pea, “fe ge re) ne ag eee V fee eet ra ay aera ‘iin =e Routes ad ole ye _ bsei at an ercav cei fun a ‘arte ie porate te tae inom eae shal Arp dep ‘east tahaltion| ‘molar, thousand. meter ae. waeeet ny. yet injection vr a tee ___ irae wt fotion intravenous mE “legate Bre a ete tnleavenons piggyback [ConEgn 27 iegtalen per er Soom ht Some {xia oe eae ong etm, pein ee Pr weg si el “mite eo eoreshay re mare fal line of rey seat ‘iting ‘wok wl ue 5Q, $C, wibq, mation Lr Stop ada dag oe tly pave per milion References: nineteen pre re feud Sym of Nr teal eee eras PDR" ~” Physicians’ Desk Reference Seen Pee [Standards / Regulations “te lone pares DEA ra free Agency ea ‘a he lock 2 Peps ood & Drug Ace ‘iat pr volume think ust United Steswtih Eve & apis yr yen . Wis opened YOR ever fre 8 Ie ; let and vented turcultton & palpation, uneulton & percussion NAD napa ese no appen ACC Anextnery Cae Cuter MPA ALE Aste Ling Fay pe 1B, WLU. Biod Dk es = fPaU enti a onsen CCRC Contin Car Retirement aD hie complsiny, compas oF Commuaity RAO. Ty CCU Coronary Cre Ui, Cte Coe Ut fF RL. RL DR Delivery Reo ar Ter Extended Cre Fcty bai 5D Gineyeay Deptme pr female _ ER Espey owe a LHe family ry FTV peer Trams Unt. pny f00 "eee dene Tres! Unt ae FAD fallow ov Henao Ut LA “FO” fever of town gin CF Iicmee Care Fay ue No faye 1CU—WuewheCar tnt tmcdae f S Nap. re on et mu i i te hry a Maite i tater UA. vat {BW Mea body weg Nine Marte ener ve. IPRA “iapcon pasion pcieg, ff MICU Means Cie Unt ‘eaten MRO Motel ese Deine Yipee et MCU Nestle Ce Ut thw: nego oe Oapannctne Puyo" ~~ ing ih ese Ohp——nc! orn s ue OF Oapaten Spy, tant eee Ma tena ae Oh” Opeaung Ror Mi MiL__ shea by OF Orem They Pp fee touoncrael Comer Fae tae at fe dap Pe ene Co Unt fF “no disease found ‘Physical Therapy: eared Pay og! retinas es sere ceri NE, Soler care Sale ym Con Stet spre JMEALUA_— peowsion & wcaabon \ AN etoile fio 7X — Piguet ecaminaion AAD” weending & descending MP emestow Ae tenet acne eer te ere Pt | reek EF amteomar “04 : bit neat FR ———— Fei Te lw etn Jun nd “bed eee iain Sais ies ee fe ee ee eae $year eee PE ke a enya ae, LAD ‘efh anterior desecleng ae ee Lao eft acti obgue ~ a | Att, Aster - aa a LE wer extiemity i eaemen [fui arc “Ta, teat, it treatment ce ALL ef Hower Hobe (Ia TERS er acgdieaes ALG tiergnt U 0” under observation LP0- {eB pastener oblique i iat. kang en iettongit fs, csi tro. ie ne uF nant TRIN. pois rit wv System ot repeat nr ler & per ef per enemy Fe pe Ibe ogy Fe upner ‘ideas te nie ite ine resterastror pmeror ul Fit antrie deserting ig amenor obi sig te al ower exernty ‘ih lover lobe) i we quai rit mal be ane ht medolter ral pnt obi ties uper exter iene appr fe (en) fae epper eon per owt crverestemty pe eto 1 rgows bone mao aren go Scat econ ha settee fate Sette emai ane Senco abi Spree mes HO ree iret cokes Sood hoi ade Seeding fre row biopsy Se pare eagle Cormlte Bod cmt se “ron breboeyte uke Chronic myelogenous leskerit cnagution hvenatedinraasel tesingti e Sygeiia — ityatie rembactonnis prpwr Teoria hibtry for rapt ke a moe Fc setting factor se bmorphonucles nytroph Pavoxysmal nectar herogh Pobeytheninvers 8 blood ell ed blood ell nl ‘eveuloeyte oe hess lod lator = ce cll it {ype ad cretsaichComplete Biood Count (CBC) end Differential, aia Diseas WEE —T aa a eT rea co ERs See eas Re ae TR woe [ieregees ai Tepe eee ato na + Te sso aS rs con Batra ore Boe ancora a Wibod co ty TH a ayer joss izrenrt Terma of Positions ‘8 Gulaeinee fatten Dep am fickemrioenees =e PETE, vee rate at) tor we ‘eee aon “ererieseComplete Blood Sount (CBO) ‘and Oifferentiat oa A — Teo. 73H] = Oe — Hourly Dosage lnluslon Flew Ghat Love! of Consciousness ‘oat «haa Overt 3, spend by a sco ‘Sey nema ste Lata = Sapa ch es ned and teres (omens = Arad by Yah pan sr pbs ln ‘Sper « Naxaed by an se nr rave iy ena Sermawriaoe = ataten win pa sh go {Scorn fe preserebra Setage ay Pe ane! Carface =e esgran mapa em Tatces Dre ey Hien ‘te misre_ [anon Aenil Sou x Fact Tieisaanesiiarmeoere 7 Oe A = ine es re ES He ctu. Fone Terms 01 Positions 4 Guidelines a4D sae sonore tee Boat oY meto Green Mon, RiP oo@eeo @eGeee Pocket Nurse” BIG DISPLAY ova. rowen caLcuraror aruge Speen wae HRY 1 BUN = ood ea ose Soper (GAD crear tay dncase GAO Deena ae "Pattins o's tarase ou GPK 07-130 weg gman 13-21 Hct pron 25 Stim Gorce B- HORDML Viel Signe. aa aage | “oa ‘o8 Tena we | PERG Bow Nameuacien Rae ee BRIG Rie eyed en nse acco BfPoctet NaeMENTAL MILESTONES: Pot ¥ if child can eccomplish railestone in column before the: list onder excl area of behavior; eccomplished. Esicirele ¥ or X if actually cbscewe.. xv cxaminer, es » AGE | | GROSS MOTOR Newborn |_| Tonic neck reflex | fSiarties (Moro T hen month || Reises head | : slightly from prone | | object to midline (<45°) i : { 3 Hands fisted mE c gets | Head contro! 43° in || Eye follows [ [Caughs Responsive, Prong: object past i diminishes aotivity midline x } vwhien talked f Hiendis no longer | | Woeaits ! ted nth — sodas + poe Head control $0" in | | Hands together ‘Squeals | Regards hand | prone A months || Rolls over Grasps object "| Moves head towards °/ Plays with rattle in placed inband | | cond Chest up, ann ‘Smonths || Good head control | | Reaches for j | Tums o sound Cmoaths T T months ' Beara some weight i on legs. fei l= eee Baionthe | | Sits without ‘Transfers objects | | Deda, Maman support {rom hand to fhe Bounces ‘Tmonths |_| Stands holding oa Creeps 10 Pulls scif to stand ‘months = i ‘Walks holding on 3 fiz ‘Stands alone ~ months eee| ADAPTIVE. || “TANGUaGt ~ | 7” personal. AGE | | GROSS MOTOR | | 1 FINE MOTOR | a SOCIAL” 15 Walks weil alone Deinks from cui || Pats pictures ™ months = font 4p 4 Walks backward | imitates | | housework: oe ep eee _. |_| sweeping, washing. | 18 Beats selfin ehild’s | | oa | Tums page 2 or 3 at months | | chair | | al | Latime ae | [ses spoon, 2years Rune well 1" | Imitates a cizey | | Removes garment stroke ! 1b . |" Toilet trained 67 Tunitates a circle | —| | Stands | Plays interactive momentarily on games onefoot_ ek Th yeare| | Stands ov ons foot (Dresses with for 5 soconds _ || supervision Upstairs. one foot ' Separates from — | ~ per step; down, 2. |. | mother more easily iP) | feet perstep i ee ‘4years Downstairs, one || Buttons up foot per step | prepositions aivonts | | | | such ag cold thoes, wnstied Way he | Hops on one for Recogs ep | [Tells “tail tales’ 4% years ‘Catches balt well Draws man with ‘Recognizes 3 or more | | Dresses without er S|, ipa |. [supervision | Syears | [Feel toe waike || Copies square (ean use a both feet ‘Writes alphabet |_ [Tells stories Cyears | | Backward hell to || Draws a compleie |"PDresses self toc veic person with | 1 | completely, a clothing ie { ‘Can write fairly | le well il OL