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11 Funtional Health Pattern

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Health Promotion and the Individual

CHAPTER 6

161

Box 6-1

Functional Health Patterns Assessment (Adult) Functional Health Patterns Assessment (Adult) d. Perceived ability (code for level) for: Feeding Dressing Cooking Bathing Grooming Shopping Toileting General mobility Bed mobility Home maintenance Functional Level Codes: Level 0: full self-care Level I: requires use of equipment or device Level II: requires assistance or supervision from another person Level III: requires assistance or supervision from another person and equipment or device Level IV: is dependent and does not participate 2. Examination a. Demonstrated ability (code listed above) for: Dressing Cooking Feeding Bathing Grooming Shopping Toileting General mobility b. Gait ________ Posture Absent body part? (Specify.) c. Range of motion (joints) Muscle firmness d. Hand grip Can pick up a pencil? e. Pulse (rate) (rhythm) Breath sounds f. Respirations (rate) (rhythm) Breath sounds g. Blood pressure h. General appearance (grooming, hygiene, and energy level)

HEALTH PERCEPTION-HEALTH MANAGEMENT PATTERN
1. History a. How has general health been? b. Any colds in past year? When appropriate: absences from work? c. Most important things you do to keep healthy? Think these things make a difference to health? (Include family folk remedies when appropriate.) Use of cigarettes, alcohol, drugs? Breast self-examination? d. Accidents (home, work, driving)? e. In past, been easy to find ways to follow suggestions from physicians or nurses? f. When appropriate: what do you think caused this illness? Actions taken when symptoms perceived? Results of action? g. When appropriate: things important to you in your health care? How can we be most helpful? 2. Examination—general health appearance

NUTRITIONAL-METABOLIC PATTERN
1. History a. Typical daily food intake? (Describe.) Supplements (vitamins, type of...

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