Questions How would you describe your overall health? What are most important things you do to keep yourself healthy? What are your basic food intakes consist of? How is your appetite? Any weight gain or loss recently?
How many hours do you sleep? Do you use any sleep aids? Any relaxation must before going to bed? Any ritual before going to bed? How is your elimination pattern? Do you have any problem with urination or bowel control? Use any laxatives? What do you do on your spare time? How will you describe your overall mobility? Use any hearing aid or reading glasses?
What is primary language? Do you read newspaper or watch news? Any learning disability? How do you feel about your own self? Any problems you are dealing with at this current moment? Any fear, depression, anxious or not able to control things? Loosing hope? Any family problems at this time? (nuclear or extended family) Any big changes in your life last two years?
Who do you talk to cope with the crisis? Is this person available to you now or no longer available? In life, how do you handle stress? What is your living situation? Are you a sole provider to your family? Sexual relationship satisfying? Any changes or problem? Do you drink alcohol; use any medications, drugs to relax during crisis? Do you feel tense or relaxed most of the time? Important plan for future? Is religion important to you? Do you feel like you get things you want from life?
Marjory Gordon developed Gordon’s functional health patterns to be used by nurses providing a more comprehensive assessment of the patient. Gordon’s functional health patterns consist of 11 health patterns to collect data for nursing diagnosis. The data collection from the assessment provides the nurse an overview of the individual’s health status and health practices that are used to reach the current status.
Collection of the data from Gordon’s functional health pattern is an important tool to formulate nursing diagnosis in prevention of illness as well as strategies to promote health and wellness. The questions above asked by this author will provide an overview of this author’s own family’s health status and health practices that are used to reach the current level of wellness. Here is the data collection from the interview of the author’s family functional pattern for health and wellness.
In health perception and management, S. Lee (personal communication, May 9, 2013) states that overall health was in a good condition. He feels like his family was as well. When he compares his physical appearance to his friends, he feels that he looks younger.
He does not have chronic diseases that require medication or substantial procedures like surgery. He is a mail carrier for the United States Postal Service and walks nine hours six days a week. “I do not take any western medicine. I don’t like to if I don’t have to. However, I’m planning to go see a Herbalist to get some boyuck to help me feel energized” (S. Lee, personal communication, May 9, 2013).
Boyuck, a form of Korean traditional medicine, is an herbal tea that is boiled with hot water over several hours a day. Korean traditional medicine originated in ancient and prehistorical times and was heavily influenced by traditional Chinese medicine, including herbal medicine, acupuncture, aromatherapy, heat therapy and meditation ("An ancient medical," 03). J. Lee (personal communication, May 9, 2013) strongly believes that boyuck is the best way to manage overall health. Using natural remedies are considered the best ways to stay on top of health.
Typical daily meals consist of a bowl of rice, a stew or large bowl of soup, few side dishes that are made of sautéed vegetables and pickled cabbage or cucumbers. J. Lee (personal communication, May 9, 2013) is very excited to talk about her family’s overall appetite.
“They love my cooking and it’s fun to cook for my family. They all have good appetite. They all have similar taste bud so it’s easy to cook for them. When I make really good soup, they have seconds and no leftovers” (J. Lee, personal communication, May 9, 2013). No one in the family has food allergies, diet restrictions or any physical disabilities that interfere with daily food intake. Alcohol consumption is not very popular for this family.
Occasional drinks are consumed “maybe five times a year, we just don’t enjoy the taste of alcohol” (S. Lee, personal communication, May 9, 2013). This family member did not experience obvious weight gain or weight loss they were concerned about. All members are very conscientious about physical appearance and do keep healthy active lifestyles and ingest healthy meals. When discussing the function of the bowel and bladder issues, S. Lee says, “We are very regular.
My wife and I take Metamucil regularly to keep our bowels active. We suffered several constipations many years back, had to use enemas to eliminate. That was very painful and embarrassing. Metamucil was recommend by our doctor and we never miss taking it. Your mom suffered hemorrhoids for many years until she had them removed. We have no problem going once a day or more sometime” (S. Lee, personal communication, May 9, 2013).
An active lifestyle keeps them feeling young and promotes wellness. They jog two to three miles on weekends when both are off from work. No weights are involved or visits to the gym for this couple. They enjoy going to the movie theater followed by eating out at a restaurant on weekends. Both have no physical disabilities, have steady gait, no limitations, great postures and overall good general health. J.
Lee wears glasses and S. Lee uses reading glasses at times. Both do not use any hearing aids. Primary language spoken at home is Korean. They watch Korean news as well as local news to stay on top of current events. J. Lee goes to Adult ESL classes in the morning to continue improving her English and S. Lee uses online ESL module to keep learning active.
Two years ago, their son moved out with his girlfriend. This caused stress in the home during this time because he did not share with the rest of the family that he was moving out. Chaos was created but this author kept the communication line active among all members and was able to keep a basic relationship between their son and his girlfriend. Even during the time they were having problems with their son, they never felt like they were experiencing depression or losing control over their lives.
They were very grateful this author was there to listen and provide them with alternative ways to handle the situation. Both kept the open communication with each other and with extended family to obtain advice. All families work and contribute to the family. This author has lived with her father and mother in West Sacramento for the last five years.
Both members declined to comment about their sexual relationship. This author felt uneasiness and awkwardness to ask any related questions in this area. The future for them will be planning for their retirement. However they do not plan to stay at home; they are tentatively planning to own a small business for the two of them to own and run together. They are very excited for the future. They are constantly in search to look for a next step that will help them become financially stable.
Data collected from Gordon’s functional health pattern gave a good picture of family’s health and wellness. The effectiveness comprehensive assessment can develop its ability to generate low risk behaviors associated with disease preventions. Two nursing diagnosis based on the Lee family’s assessment are: Impaired verbal communication related to dysfunctional communication pattern and cultural practices and ineffective coping mechanisms related to lack of communication.
References An ancient medical tradition. (03, 2012 11). Retrieved from http://www.korea.net/NewsFocus/Society/view?articleId=99249
Lee, J. (2013, May 9). Personal interview
Lee, S. (2-13, May 9). Personal interview