Using Gordon’s Functional Health Patterns and Thinking Like a Nurse Model: Professional Practice Coursework, UOL, UK

University University of London (UOL)
Subject Professional Practice

ASSIGNMENT OUTCOME

Using Gordon’s Functional Health Patterns and Thinking Like a Nurse Model, students will prepare for client-based care and informed clinical decision-making by collecting, organizing, and beginning to interpret data.

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INSTRUCTIONS

There are three parts to this assignment. Follow the instructions for each, as indicated below. In order to achieve ‘Requirements Met’, students must achieve satisfactorily in all criteria.

Part A:  Gordon’s Functional Health Patterns

Part B: “Thinking like a Nurse”

Part A: Gordon’s Functional Health Pattern Assessment

Patient’s Initials:__________________ Age:__________________ Date:______________

Diagnosis:_______________________

Medical History:

Assessment Criteria Patient Data Influencing Factors
COGNITIVE-PERCEPTUAL PATTERN (Neurological)
PAIN
SLEEP-REST PATTERN
ACTIVITY-EXERCISE PATTERN
NUTRITIONAL-METABOLIC PATTERN
ELIMINATION PATTERN
SKIN INTEGRITY
HEALTH  PERCEPTION-MANAGEMENT PATTERN 
SELF CONCEPT PATTERN
ROLES-RELATIONSHIPS PATTERN
REPRODUCTIVE-SEXUALITY PATTERN
COPING-STRESS TOLERANCE PATTERN
VALUE-BELIEF PATTERN

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Part B: THINKING LIKE A NURSE

Part 1: Preparing for Client Care  
Knowing the Client’s Medical Conditions: What is the underlying pathophysiology of my client’s medical diagnoses? What is the typical/usual clinical course?  What types of treatments (including medications) are used and why?  What is the nursing role in caring for a client with this diagnosis?  What types of communication skills will I likely need to provide safe and effective care for my client.
Knowing the Individual . . .
Client as a Person   What is my client’s story (narrative)? How do (or might) my client’s past experiences with health & illness influence his/her responses to the pathophysiology, treatment, and care?  Are there other factors affecting my client’s health or response to care (e.g., age, social context, spirituality, personal preferences, family, etc.)?
Noticing – Gathering Cues & Information

You need to gather data/ cues/ information from a wide variety of areas in order to thoroughly determine the main issues that are affecting your client.  Look for the following information:
Chart Data   Interprofessional health team notes. Plan of Care   Why is your client receiving care? Which members of the interprofessional team would be involved?
Cues from my Client & his/her Family   Client’s perception of the situation; my own observations about the client’s needs? Does she have a family? Lab & Diagnostic Reports
Part 2: Interpreting Data and Implementing of Care
Assessments Identify the priority assessments for this client.
Interpreting – Recognizing Patterns and Interpreting Data
Clinical Reasoning & Decision Making   What are the most important nursing issues for my client & family today? What are the major nursing assessments you will use to collect data? What are the priorities of care?

What is the client at risk for? What complications may arise?

 Planning Outcomes   What expected outcomes have been identified in collaboration with the client and the Interprofessional Health Care Team? What short and long-term goals should the plan of care address to achieve expected outcomes?
Responding – Determining a Course of Action
Actions   What interventions selected in collaboration with the client and the interprofessional team would best address my client’s identified needs and goals? Rationale   Why are these interventions appropriate? Support with evidence-informed practice.
After the Professional Practice Experience
Reflection – On Action and Clinical Learning

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