...© Mizukami, Airisu C. IV- PT * CHAPTER 10 * FUNCTIONAL ASSESSMENT USED WITH OLDER ADULTS Health in Old Age * Is a complex, elusive concept. * Experiencing normal developmental age changes such as gradual changes in endurance, vision, hearing & reflex timing. * Some problems in old age due to a long-term disuse of physical & mental abilities: * Back problems due to lifelong postural habits or long use of sagging mattress. * New widow may struggle to make independent decisions regarding home maintenance. * Traumatic injury may occur such as hip fracture or CVA. * Trauma, whether physical or psychological, occurs in conjunction with chronic & acute disease, normal age changes & changes due to misuse or disuse. * Snow & Rogers describe this complex combination of normal & pathologic changes in old age as a “delicate balance” of adaptation. * The multi-dimensionality of health in old age is reflected in current trends toward multi-dimensional assessment instruments & Geriatric Evaluation Units. * Most multi-dimensional assessments include physical health, functional ability, psychologic health & social parameters. Functional Assessments Used in Occupational Therapy Physical Self-Maintenance Scale & Instrumental Activities of Daily Living Scale * The scales represent measures of two level function, competence, the scales represent measures of two levels of function, with the IADL requiring...
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...Children’s Functional Health Pattern Assessment Functional Health Pattern Assessment (FHP) | Toddler Erickson’s Developmental Stage: Autonomy vs. Shame (McLeod, 2013) | Preschool-Aged Erickson’s Developmental Stage: Initiative vs. Guilt (McLeod, 2013) | School-Aged Erickson’s Developmental Stage: Industry vs. Inferiority (McLeod, 2013) | Pattern of Health Perception and Health Management: (Edelman, 2010) (Jarvis, 2012) (McLeod, 2013) List two normal assessment findings that would be characteristic for each age group. List two potential problems that a nurse may discover in an assessment of each age group. | Able to express feeling bad/sick but have little understanding of the meaning of health. Depend on the caregiver for health management. Ready for independent activities. Often imitate parents or caregivers. Ex. brushing teeth on their own but unaware of the health benefits. | Able to verbalize when in pain or not feeling well. Curious about their body and its functions. View the internal body to be hollow. | Aware of how their body functions and when it is sick or not functioning properly. Have abstract thought and understand the definition of health and factors causing illness. Cultural influences contribute to their perception of illness. | | Risk for injury r/t accidental exposure and environmental dangers. Risk for poor health maintenance r/t caregiver knowledge deficit. | Risk...
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...Children’s Functional Health Pattern Assessment Functional Health Pattern Assessment (FHP) | Toddler Erickson’s Developmental Stage: Autonomy vs. Shame/ Doubt | Preschool-Aged Erickson’s Developmental Stage: Initiative vs. Guilt | School-Aged Erickson’s Developmental Stage: Industry vs. Inferiority | Pattern of Health Perception and Health Management: List two normal assessment findings that would be characteristic for each age group. List two potential problems that a nurse may discover in an assessment of each age group. | A toddler may complain that they feel sick. At this stage, parents or caregivers are responsible for health management. Health promotion can be taught to toddlers by teaching the importance of personal hygiene and nutrition, ie. taking vitamins. | Preschoolers have an accurate perception about their own bodies, but do not understand yet that there are vital processes and organs internally. Preschoolers can localize and verbalize pain. | School-aged children have a good grasp on body systems and what’s occurring during illness. School-aged children are developing cognitively, therefore are beginning to understand concepts related to health promotion, such as importance of eating well and visiting the doctor. | | Toddlers have a higher instance of accidental injuries due to environmental hazards and developing bodies. Nutrition may be affected if caregivers are not knowledgeable about...
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...Assessment of the child: Functional Health Pattern Analysis Worksheet Cristian Zambrana Grand Canyon University: NRS-434V August 8, 2014 Children’s Functional Health Pattern Assessment Functional Health Pattern Assessment (FHP) | Toddler Erickson’s Developmental Stage: Autonomy vs. Shame/Doubt (Edelman & Mandle, 2010) | Preschool-Aged Erickson’s Developmental Stage: Initiative vs. Guilt (Edelman & Mandle, 2010) | School-Aged Erickson’s Developmental Stage: Industry vs. Inferiority. (Edelman & Mandle, 2010) | Pattern of Health Perception and Health Management: List two normal assessment findings that would be characteristic for each age group. List two potential problems that a nurse may discover in an assessment of each age group. | When a toddler feels bad they say they are sick. Health management is dependent on caregivers. Brushing teeth and washing hands are basic health promotional activities that a toddler can perform at direction of parent. | Preschoolers can verbalize pain. Preschoolers are curious about body their own bodies and its functions Preschoolers have an accurate perception of the external parts of their own bodies. Preschoolers view the internal part of body as hollow. | School-age children are aware of how their own body functions and when it is ailing School-aged children have an abstract understanding of the definition of health and factors causing illness and recognize...
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...to avoid or catch others 3.1 (B) demonstrate proper form and smooth transitions during combinations of fundamental locomotor and body control skills such as running and jumping safely in dynamic situations while chasing, fleeing, and dodging others 4.1 (A) demonstrate changes in speed during straight, curved, and zig sag pathways in dynamic situations such as running and jumping and other various fundamental locomotor and body control skills while chasing, fleeing, and dodging others. Cognitive 2.3 (A) identify how regular physical activity...
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...Assessment Task 2: Case Study Analysis. Scott Maxwell Miller Student ID: 12219053 Central Queensland University NURS20157: Mental Health Nursing Assessment and Formulation. Word Count: 2735. Submitted: 29/02/2024 Note: I have written this essay prior to changes made to the case study and task description. I have done my best to adjust and edit my essay to suit the new criteria. Section 1: Case Study in Brief. Juho is a 45 year old male living with paranoid schizophrenia. He was born in Finland but moved to Australia as a child, and speaks both English and Finnish. He was stable on a fortnightly Risperdal Consta depot injection but continues to experience distressing auditory hallucinations. Juho currently struggles with self-care,...
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...Assessment is the first stage of nursing process in which the nurse should carry out a complete and holistic nursing assessment of every patient’s needs, regardless of the reason for the encounter. Usually, an assessment framework, based on a nursing model is used. This assignment attempts to define the points of view of two different frameworks used to collect health assessment data, which are Majory Gordon’s Functional Health Pattern (1994) and The Roy Adaptation Model (2009). The next part would be mentioned about codes of professional, ethical and legal considerations. Finally, I would reflect myself regarding to how to collect and organise patient’s comprehensive health assessment data use these frameworks. The Functional Health Pattern assessment framework is particularly useful in collecting health data to formulate nursing diagnoses (Gordon, 1994, p. 69). Gordon has defined 11 functional health patterns that provide for a holistic client database (p.70). The first pattern is Health perception-health management pattern, is focused on the patient’s perceived level of health and well-being, and how to manage patient’s health. The next pattern is Nutritional –metabolic pattern. This assessment is focused on the pattern of food and fluid intake relative to metabolic need (pp. 80-82). The Elimination pattern is the third pattern. In this pattern, data collection is focused on excretory of the patient. Includes regularity and control of bowel and bladder habits...
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...Introduction Health assessment means different things to different people. Barkauskas, Stoltenberg-Allen, Baumann and Darling-Fisher (2002) consider health assessment as the systematic collection of data that health professionals, such as nurses, can use to make decisions about how thy will intervene to promote, manintain or restore health. In this paper, discussion about nursing assessment form of Queen Elizabeth Hospital (figure 1) and Gordon’s functional health pattern (figure 2) are presented, and comparisons between these two assessments on the aspects of structure, comprehensiveness, and applicability will be explained. Comparison between hospital assessment and Gordon’s functional health patterns Queen Elizabeth Hospital admission assessment form and the Gordon’s functional health pattern assessment form also can showed the evaluation of Ms Wong’s condition, Ms Wong was admitted to QEH because of slip and fell with left patella fracture. Both assessment forms had clear subjective and objective data on health perception and elimination pattern. It can provide data for us to making nursing diagnosis and care plan. However, there are something difference in terms of structure, comprehensive and applicability of these two assessment. Structure The format of Gordon’s Functional Health Patterns Assessment form is simple categories and concise typology. This layout is clustering and is easier to understand and complete. However, hospital assessment forms but not...
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...Health Pattern Assessment |Functional Health Pattern Assessment |Toddler |Preschool-Aged |School-Aged | |(FHP) |Erickson’s Developmental Stage: |Erickson’s Developmental Stage: |Erickson’s Developmental Stage: | |Pattern of Health Perception and Health |Toddlers can recognize not feeling well |Preschoolers have a concept of their |Understands health but the understanding | |Management: |but are unable what health means (Edelman|outer bodies and the functions. |is still not developed. Adolescents feel | | |& Mandle, 2010) | |invisible (Edelman & Mandle).Work on | |List two normal assessment findings that | |Able to state a few of the inner parts |health promoting like eating well and | |would be characteristic for each age |Toddlers will partake in health |to the body (Edelman & Mandle). |teeth brushing. | |group. |promotions that they have seen their | | | | |parents do such as, brushing teeth at bed|Can jump and kick a ball, feed self | ...
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...Children’s Functional Health Pattern Assessment |Functional Health Pattern |Toddler |Preschool-Aged |School-Aged | |Assessment (FHP) |Erickson’s Developmental Stage: |Erickson’s Developmental Stage: |Erickson’s Developmental Stage: | |Pattern of Health Perception and|*Toddlers rely on their parents for |*Preschoolers now have an interest of being curious|*School age children perceive health as by germ | |Health Management: |health promotion. Parents should |about the body of the opposite sex. |theory, punishment theory, or external forces | | |model the perceptions and behavior |*The perception of their external body is based on |theory. | |List two normal assessment |desired for health promotion. |they see and do, but internally is vague. |* They understand their health regarding symptoms, | |findings that would be | | |and are able to participate in health promotion. | |characteristic for each age | | | | |group. ...
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...Children’s Functional Health Pattern Assessment Functional Health Pattern Assessment (FHP) | Toddler Erickson’s Developmental Stage: Autonomy vs. Shame/Doubt (Edelman & Mandle, 2010) | Preschool-Aged Erickson’s Developmental Stage: Initiative vs. Guilt (Edelman & Mandle, 2010) | School-Aged Erickson’s Developmental Stage: Industry vs. Inferiority (Edelman & Mandle, 2010) | Perception and Health Management: List two normal assessment findings that would be characteristic for each age group. List two potential problems that a nurse may discover in an assessment of each age group. | The toddler will perform activities like cleaning teeth when told to do so. An older toddler can state when they do not feel well. Toddlers depend upon caregivers for directions and health maintenance. | At this stage it is normal for the child to be curious about its body parts and function. A preschooler will say when he/she is in pain. May associate pain with being bad. | At this stage the child may be able to correlate ill feeling with a cause in an abstract way for example too much candy equals cavities. Child may be aware of how culture plays into health. | | Toddlers are at highest risk for environmental hazards because they cannot predict what is safe or not. Toddler may not be up to date on immunizations | At this stage they begin testing their independence and may be at risk for accidents such as falls. May have...
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...What is the purpose of this guide? The purpose of this guide is to help academic units develop and/or improve the process of assessing student learning. Why is assessment of student learning important? In effect there are two reasons assessment of student learning is important. Assessment is needed for improvement. Improvement, with its internal focus provides • opportunities for the academic community to engage in self-reflection of its learning goals, to determine the degree to which these goals correspond to student and societal needs, and to evaluate if students’ activities, products, or performances coincide with the academic community’s expectations; • offers information to students about the knowledge, skills, and other attributes they can expect to possess after successfully completing coursework and academic programs. • establishes ways for academic units to understand the dimensions of student learning when seeking to improve student achievement and the educational process. Assessment is needed for accountability. Accountability, with its external focus, provides Step One: Identify Goals A goal is a statement expressing what ideals are to be achieved. Goal statements tend to be broadly philosophical, global, timeless and not readily amenable to measurement. They capture the knowledge, skills, and values that students should acquire in a program by a course. This first step in identifying goals requires faculty and others to reflect on questions such...
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...of Education Reposted September 17, 2010 Physical Education Model Content Standards for California Public Schools Kindergarten Through Grade Twelve California Department of Education Reposted September 17, 2010 Publishing Information When the Physical Education Model Content Standards for California Public Schools, Kindergarten Through Grade Twelve was adopted by the California State Board of Education on January 12, 2005, the members of the State Board were the following: Ruth Green, President; Glee Johnson, Vice President; Ruth Bloom, Don Fisher, Ricky Gill, Reed Hastings, Joe Nuñez, Bonnie Reiss, Suzanne Tacheny, and Johnathan Williams. This publication was edited by Sheila Bruton and Faye Ong, working in cooperation with Dianne Wilson-Graham, Consultant, Professional Development and Curriculum Support Division. It was prepared for printing by the staff of CDE Press: the cover and interior design were created and prepared by Paul Lee; typesetting was done by Jeannette Reyes. It was published by the Department, 1430 N Street, Sacramento, CA 95814-5901, and was distributed under the provisions of the Library Distribution Act and Government Code Section 11096. © 2006 by the California Department of Education All rights reserved ISBN 978-0-8011-1605-6 Acknowledgments The following educators were appointed by Jack O’Connell, State Superintendent of Public Instruction, to assist in the development of the Physical Education Model Content Standards under the provisions...
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...Children’s Functional Health Pattern Assessment |Functional Health Pattern Assessment |Toddler |Preschool-Aged |School-Aged | |(FHP) |Erickson’s Developmental Stage: |Erickson’s Developmental Stage: |Erickson’s Developmental Stage: | | | |Initiative vs Guilt |Industry Vs Inferiority | | |Autonomy vs Shame and Doubt |3-5 years old James,Nelson,Ashwill |6-11 years old James,Nelson,Ashwill | | |18m-3 years old |(2013) |(2013) | | |James,Nelson,Ashwill (2013) | | | |Pattern of Health Perception and Health |Normal Findings: |Normal Findings: |Normal Findings: | |Management: |Management of a toddler’s health is |The preschoolers vocabulary increases |The school age child is able to describe | | |dependent on the parents. |rapidly and they...
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...Children’s Functional Health Pattern Assessment |Functional Health Pattern Assessment |Toddler |Preschool-Aged |School-Aged | |(FHP) |Erickson’s Developmental Stage: |Erickson’s Developmental Stage: |Erickson’s Developmental Stage: | | | | | | | |Autonomy vs. Shame and |Initiative vs. Guilt |Industry vs. Inferiority | | |Doubt | | | |Pattern of Health Perception and Health | | |. | |Management: |1. Dependent upon parents and caregivers|1. Normal Heart Rate is 40-70 beats |1. Ability to accept responsibility for | | |for teaching, modeling perceptions and |per minute. |some aspects of personal care. | |List two normal assessment findings that |good practices where health care is |2. Curiosity regarding...
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