1 / 91

Understanding Gordon's Functional Health Patterns for Nursing Assessment

This resource provides a comprehensive overview of Gordon's Functional Health Patterns, a framework used in nursing assessments to evaluate a patient's health status. The text details the patterns of health perception, nutritional/metabolic needs, elimination, activity/exercise, sleep/rest, cognitive function, self-perception, role relationships, sexuality, stress tolerance, and beliefs. Each area is essential for developing effective care plans tailored to individual patient needs, enhancing overall health management and fostering a holistic approach to nursing.

kristine
Télécharger la présentation

Understanding Gordon's Functional Health Patterns for Nursing Assessment

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. Grodon????????????

    2. Grodon????????????

    3. Gordon????????? 1.???????????: ???????????????????? 2.????: ????????? 3.???????: ????????????????????????????

    4. Gordon?????????<?> 4.???????: ???????????????? 5.???????: ????????????? 6.???????: ??????????????

    5. Gordon?????????<?> 7.????????????: ??????????????? 8.??????????: ??????????????????? 9.??????: ???????????????

    6. Gordon?????????<?> 10. ??????????: ??????????????(? ???????,???????, ????????)? 11.???????: ?????????(????)? ?????????????

    7. Gordon??????????? 1.???????????: Health-perception- Health- management pattern 2.????:Elimination pattern 3.???????:Nutritional-metabolic pattern 4.???????:Activity-exercise pattern 5.???????:Sleep-rest pattern 6.???????:Cognitive-perception pattern

    8. Gordon???????????<?> 7.????????????: Self-perception-self-concept pattern 8.??????????: Role-relationship pattern 9.??????: Sexuality-reproductive pattern 10.??????????: Coping-stress-tolerance pattern 11.???????:Value-belief pattern

    9. Gordon??????????????? ????????? ????: (1)????????????????? (2)??????????????? (3)?????????????????? (4)????????????????? (5)??????????????????

    10. Gordon??????????????? ?????????<?> ????<?>: (6)????????????? (7)???????????? (8)??????????? (9)?????????????????????? ?????

    11. Gordon??????????????? ??: (1)????????????????????????????????? (2)????????????????? ????:?????

    12. Gordon??????????????? 2.??— ????: (?)urine:??,?,??,???????,?? ?,??????,????,???? ??,on Foley,?????????, ???? (?)stool:??,??,?,??????(???????)???????,??????,????

    13. Gordon??????????????? 3.???????— kcal???????:?????????? (???????????) *??????:20-30yrs:?:62+(BH-170)×0.6 ?:52+(BH-158)×0.5 35-54yrs:?:62+(BH-166)×0.6 ?:52+(BH-154)×0.5 55yrs??:?:62+(BH-164)×0.6 ?:52+(BH-152)×0.5 *???????=(????/????) ×100% *????90%~110%

    14. Gordon??????????????? ???? ???? ?? ???? ?? 20 20-25 30 ? 20-25 30 35 ? 30 35 40 ?? 35 40 45 ??kcal??:???? ×????????? (2)????????? (3)???????????,???????

    15. Gordon??????????????? ?????????: (1)I/O????,???????? (2)??edema????? (3)??loss????? (4)??,?????? (5)????:??????,??? (6)??????,??,??,????,??? (7)???Deta

    16. ??????—? Na+??— ????????????????????????? ????????????????? Na+??— ???????????????????????????????? K +??— ??????????????????????????????????????????????EKG(T????U????ST???? K+??— ?????,??????EKG??(T????P????ST????

    17. ??????—? Ca++??— ??????????????????????????????????????? Ca++??— ??????????????????????????????????(??????????????????)

    18. Gordon??????????????? 4.?????— ????: <?>?????: (1)??????? (??????????????) (2)??? (?????????????????? ??ADL???)

    19. ADL—Activity of daily living (??????) O:????????????? ?:????????? ?:?????????? ?:?????????,???????? ?:??????,??????,???? ???

    20. Gordon??????????????? (3)????????????? ????: ????????????????????????????????????????????????????????????????????????(Blood gas)?x-ray?? ????: ????????????????????? ??????????????????????? ??????????????????????? ????????Hb?RBC?HCT?EKG??

    21. Gordon??????????????? (4)????????????(??????? ??P?R?????)? (5)????????????? <?>????????????: (1)???????????????????? (2)??????????????????? ????????? (3)??????????????????????

    22. ??????(Manual Muscle Test> O:???,???????? ?:Trace??,???????,??????? ?:Poor??,????? ,????????? ?:Fair??,??????,????? ? ?:Good?,???????? ?:Nomal??,???????

    23. Gordon??????????????? 5.?????— ????: (1)????:?????????(????? ??????????????? ???????????????????????)???????? (2)????:???????????????? ?????????

    24. Gordon??????????????? 6.????— ??(??)??????: (1)??:??????????,???? (2)??:???????????????? ???? (3)??:???????(??????) ???? ????? (4)??:?????????? (5)??:?????????????? ? ????(?????):??????????????????????????????

    25. Gordon??????????????? ????????: (1) ??????????????????? ?????? (2)????? (3)????:?????????????? ????? (4)????:?????????????? ???

    26. Gordon??????????????? (5)??????: 1.???:??? 2.???:??? 3.????:???????,?????????? 4.????:????? 5.????:??????????,?????? 6.????:????? 7.????:????????????????(????2/3)??????

    27. Gordon??????????????? (5)??????: 8.???:?????? 9.????:??(????1/3)???????,????????????????????BP?R? 10.????:?????????????????,??? ???????? 11.????:???????,???????,????? ??? 12.????:??????

    28. Gordon??????????????? 7.?????????— ????:(????) (1)????: ????: ????????????—????????? ???????????????? ????: ????????????—??????????????????????? ?

    29. Gordon??????????????? (2)????: ????: ????,???????????????? ?????????(?????????,? ??? ???????)? ????: ?????????????,??????? ?????????????(??????? ?????????)?

    30. Gordon??????????????? (2)????: ??,??,????: ?????????????????????,???????????,??????????(???????????????????………?)?

    31. Gordon??????????????? ????:(????) (1)???: (2)???: (3)???:

    32. Gordon??????????????? 8.????-- ?????????: (1)???????: *????:??????????? *????:???????? *????:???

    34. Gordon??????????????? (2)???????,?????????????? (3)??????????????????????? (4)??????: *??? *??? *???

    35. Gordon??????????????? ?????????: (1)????: ????: (2)????????????????? (3)??????ADL?????? (?????????)

    36. Gordon??????????????? 9.????— ????: (1)??????:??????????????(???????????) ? (2)??????:???????????,?????????,??????????

    37. Gordon??????????????? 10.????????— ????: -???????????:?????????????? -??????????????????????? -???????????????????????? ????????????

    38. Gordon??????????????? ????????????? --??????????? --???????:??????????????????????????????????????? --???????:?????????????????????

    39. Gordon??????????????? 11.?????— ????????????? ???????????????????? ??????????????? ??????????? ??????? ? ???????????????

    40. ??????? ????????? ??????(???) (Health-perception-Health-management pattern) ???????? ?????????? ?????????????(???) ?????? ??????

    41. ??????? ???????(Nutritional-metabolic pattern) : ???????????;??????????? ??????????????? ??????????;??????;??????? ????????;??????;????;???? ??????? ???? ?????? ??????? ?????????? ??????? ???????; ??????? ?????? ???????

    42. ??????? ???? (Elimination Pattern) ?? ???? ?? ?????? ?????? ??????

    43. ??????? ??????? (Activity Exercise Pattern) ????? ?? ???????? ?????????? ????????:?????

    44. ??????? ???????(Sleep-Rest Pattern) ??????

    45. ??????? ???????(Cognitive?Perceptual Pattern ) ?? ???????(???):?????????? ???????? ?? ?????? ?????? ???? ????????? ????????

    46. ??????? ????????? (Self-Perception?Self-Concept Pattern) ??? ???:??? ?????? ????????? ??????? ?????????

    47. ??????? ?????????<?> (Self-Perception?Self-Concept Pattern) ?? ??? ?? ???? ???

    48. ??????? ???????(Role?Relationship Pattern) ????? ???? ??????? ?????? ??????

    49. ??????? ???????<?>(Role?Relationship Pattern) ?????? ????????(??) ??????

    50. ??????? ???????(Role?Relationship Pattern) ????? ???? ??????? ?????? ??????

    51. ??????? ???????<?>(Role?Relationship Pattern) ?????? ????????(??) ??????

    52. ??????? ???????(Role?Relationship Pattern) ??????????? ???????— ??/???????? ??????? ???????????? ???????????????:? ?????

    53. ??????? ??????(Sexuality?Reproductive Pattern) ????? ??????? ??????? ???????:????? ???????:?????

    54. ??????? ??????<?>(Sexuality?Reproductive Pattern) ??????? ???? ??????:?????

    55. ??????? ???????(Value?Belief Pattern) ???? ????:?????

    56. ??????? ?????????(Coping-Stress-Tolerance Pattern): ???????? ?????? ????? ????????:??? ????????:??? ????????? ??????:?????

    57.

    58. ??? ???,72?,???,????,?????,?????,????????????????????,???????????38.6?,???????????????,???????????:many????:21~30/mm?????:3+???????????,??????10?5???39?,????????,?????10?6???????30~35?/?,SpO2 91%,??109?/?,????,???????,?????,??:120/42mmHg,??????,??????,?????????,???????????????????????FiO2:45%?ACMV??Rate10?/??????28~32?/??????650cc/?,?????????,???,?????????,??X-???????????

    59. (?)??????????? 10/6????:??????????,????????? 10/9????:???????????,?????,????????,?????? 10/9???:????????????????? 10/10???:?????????????,???????????? 10/6????????,????????????????Valium 5mg?????,?????????? 10/6????????,??????????????? 10/7-10/8??????????,?????????

    60. (?)??????????? ??:?????????????,????????,??????????,????????,???????,??????????????,??????????????????????,?????,??????????????

    61. (?)????? ??: 10/3???????,???????? ???? WBC:many?RBC:21~30?OB:3+,????????? 10/6??????????? 10/6~10/20 1000~1900cc/day,??????? 10/7??:?????????,?????????,????????????????? ??:??????????????????,??????????????

    62. (?)????? ??: 10/6???????? 10/7~10/10??????????????,?????5?/?,??????????? 10/8??:????????????????????????? 10/11??? 20ml 2#?????150gm??????? ??:???????????,??????????,???????,??????????

    63. (?) ??????? 10/5:Hb 15.1 gm/dl? 10/6:?????2000?/?,?????????10CC???????? ???????,???? 10/7:??????????,?????,?????????? 10/8??:?????,???????????????????165??? 10/10:???62.8???

    64. (?) ???????<?> 10/13:?????,??? 10/14:Albumin:3.1gm%?Na124.2meq/L? 10/15:???????/?(???5.4?/?)? 10/7~10/20: I/O Postive620~1420cc/Day? 10/18: Na 131.9meq/L? ??:????:62+(165-164)×0.6=62.6kg????(+0.3%)??????,??Albumin??????,????????????(5?/?)???,???????????,????????

    65. (?)??????? 10/6 :?????????30~35?/?,???,SPO2 90~91%,????,?????????,??????????????????,?????????? ????????????????????????????? ?????????????? PH:7.492?PaCO2:30.2?PaO2:67.1?SaO2:94.9%? ??????????????PaO2???118.8???????ACMV ????10?/????? 25-30?/??HR:83-118?/??

    66. (?)???????<?> 10/5 :???????:No growth? 10/6~10/22:???????????? 10/6-10/20 :??:35.9-38.7???? 10/6?10/17:??????????,?????? 10/7:??X-???????? ??:???????????????????????????

    67. (?)??????? 10/7:??????8???????????????????,??????????????? ???ICU??????,????????????????? 10/10:????:??2?,??4?,??3??????????,?????10%??? 10/12:??????????????????? 10/15:?????????????? ??:???????????,?????????,???????????

    68. (?)??????? 10/6:????????????????,?????? 10/8:????,???,??????????,????? 10/9:????:???87?5???,?????????????????????????8????????????????????????????,??????????????????????,???????ICU?????????,??????????? ??:??????,??????????,????????????????????????????,???????????

    69. (?) ??????????? 10/6:????????????,????????,?????????????????27-33?/??Bp:151/78mmhg,???98-108?/?????, ???????????????,??????,???????????????????,?????????????????????? ????????????????:????????? ???????????,?????? 10/17???:?????????????30???????:??????????,?!?????????

    70. (?) ???????????<?> 10/18:???:???????,??????,??????????? 10/19:???:???????,?????????????????,????????????? ??:??????????????????????????,??????????,????????????,???????????

    71. (?)???????? 10/6-10/8:?????????? 10/8:?????????? 10/9:????GCS11?(E4VTM6)????3.0???????????,????????,?????,?????????,??????,??????????,?????????? 10/10:???????????????? ??:????????????????,????????????????????????????????

    72. (?)????? 10/6-10/14:???????????,??????????,???????????????????:???72??????;???????????????????:?????? 10/23:???????:??????,????,???? 10/24:???:???????,?????,?????,???????????????,????????????,?????????????????????????????????????,???????????????????????,???????????,???????,?????????????????????????????

    73. (?)?????? ????????30??,??????????????,?????,????????????????????????????,???????????????

    74. (?)????????? 10/8-10/14:?????????,???????,??????,????,?????????????,????????,??????????,????????;???????????????????;???????? 10/9:??????:??????????????,???????,??????????,????????????????? ????????????????????

    75. (??)??????? ????????????????????????,???????,?????????

    76. ???? ?????????????????????: 1.??/????????????????????(10/6?) 2.?????????/?????????????? ???(10/7?) 3.??????/????????????(10/7?) 4.??????/????????????????? ?????(10/9?) 5.??/????,????????(10/10?) 6.?????/??????????????????? ?????(10/10?)

    77. ??? ???,50?,???????,????,?????????,??,??????,????????????,???????,??????? ?????????,???????????????,???????????,????????????????,??????????????,????????????????????,??????????????????,?????????,???????

    78. ???<?> ???6?11?????????????????????????,????????????,???????,?????????????2?3???,??????????????????,???????????????????;??????????????????????????,????????

    79. (?)Gorden???????????? 1.???????????? ???:??????????,??????????????????????,??????,???????????? ???:???6/11???????????,?????????,??????????,???????????????,?????????????,???????????????,???????

    80. (?)Gorden???????????? 2.???????? ???:????????????,???????,???????????,????????????,??????2500?,??180???74??,????:62+(180-170)×0.6=68?????????? ???:??????????????,????????,??????????????,????????????900kal\day,4\20??????????,???????,??????????1\3,????????6\24??????,?????,?????1000gm-1500gm,??????72??,?????25??????????,???????????????,????????????

    81. (?)Gorden???????????? 3.???? ???:??????????????????,????????,???????????? ???:????????????,?????,????????????,????????????3000-4000?,????????????1-3?H2O,?????1500-2000????????????,??????????,????????????,???????????????????????????????,???????????????

    82. (?)Gorden???????????? 4.???????? ???:????????????????,??????????????????,???????????? ???:???????????,??????????,???????,??????????????????,???????????????????,????????????

    83. (?)Gorden???????????? 5.??????? ???:??????,????????????????????? ???:???????,???????????,?????????????,?????????????????,????????,??????,??????????????????,???????:??????????????????????????????????????,??????????

    84. (?)Gorden???????????? 6.??????? ???:??????????????,???????????????,?????????,????????????,????????? ???:??????????,????????,??????,????????????,????:???????????????,????????????5-6??,??????????,????1-2???

    85. (?)Gorden???????????? 7.???????????? ???:???????????????????????????????,?????????? ???:??????????,?????????????????,??????????????????,????????????,????????,??????????????,??????????

    86. (?)Gorden???????????? 8.???????? ???:?????????????????????,??????????????????? ???:????????????????,???????????????,?????????????????????,???????,??????????????

    87. (?)Gorden???????????? 9.??????? ???:???????,????????????????,????????,?????????,?????????????????? ???:??????????????,??????????????,?????????????

    88. (?)Gorden???????????? 10.????????? ???:????????,??????,???????????,??????,?????? ???:?????????????????,??????????????,????:?????,???????,???????????,??????????? ????????????????????,???????,????????

    89. (?)Gorden???????????? 11.???????? ???:????????,??????,???????,???????,??????????????????????? ???:????????????,??????????????,??????????????????,?????????????

    90. (?)Gorden???????????? ?????? 1.?????????(6/11??) 2.??(6/11??) 3.??(6/12??) 4.?????(6/12??) 5.??????(6/12??)

More Related