Health History Essay

Health discernment thus plays an important government agency to provide info about ones health. Assessment is the origin step in the nursing process and includes collection, verification, organization, interpretation and documentation of selective information. (Sue C. DeLaune and Patriciak . Ladner,2011) Al almost every admitted forbearing the first time required the implementation of the health judgement to determine their health condition to enable healthcare plans and implementation what they need to do.On way of organizing the information that wet-nurse need to collect is by exploitation a nursing framework . A framework for assessment , the nurse systematically collecting the physical, psychological, socio cultural and distinct aspects of the activities of living. There are a offspring of organizing frameworks for collection of information. For example, the Gordons useful health patterns. Many health care agencies use an admission assessment format which assists the nurse in collecting data in specific categories of functioning. Richard Hogston and Penelope M. Simpson,2002) Most of the hospital and health care agencies take hold developed their own structured assessment tools. The keep companying will be relatively compare by using Gordons Functional Health Patterns as framework between the assessment from health care setting is currently using about interview on an adult. Compare these two interviews in term of structure, comprehensiveness, and applicability.StructureGordons functional health patterns, which are consistent with the gentle need philosophy, open fire provide a framework for nursing education. The eleven functional health patterns identified by Gordons are as follow Health Perception and Management, Activity and Exercise, Nutrition and Metabolism, Elimination, Sleep and Rest, Congnition and Perception, Self-Perception and Self-Concept, Roles and Relationships, Coping and tense up Management, Sexuality and Reproduction, Val ues and Beliefs. Carol R. Taylor, Priscilla Lemone, Carol Lillis, Pamcla Lynn, 2008) These functional health patterns areas allow assemblage and bunch togethering of information about a patients usual patterns and any recent changes in order to decide if the patients reception is functional or dysfunctional. If the assessment is effective or positive that will not cast off to bargain. If the results of the assessment is invalid or negative that will have to deal with through nursing care plan.The assessment from health care setting which are consistent with Profile such as name, age, sex, religion, reason for quest healthcare, family history, allergy history, health history, current health status, self-care ability, general condition, consciousness, communicative ability, language, nutritional state, skin state, limbs, special senses, emotional state, daily habits ,leisure, introduction of environment, use of facilities, religion and gamble assessment .The assessment from he alth care setting as the same as Gordons functional assessment are including Health-Perception Health-Management, Elimination, Nutritional-Metabolic, Activity- exercise, Value-belief patterns and Sleep-rest. Not the same as Gordons functional assessment form, the assessment from health care did not mention of Congnitive- Perception, Self-Perception-Self Concept, Role-Relationship, Sexuality-Reproductive and Coping-Stress-Tolerance.The assessment form health care setting can be divided into seven section including Biographical data, Reason for seeking health care provider, History of present health concern, Rest health history, Family health history, recapitulation of body systems for current health line of work, life-style and health practices profile. The Gordons functional pattern mainly is open-ended questions such as have you religions beliefs helped you to deal with problems in the past? How? Contrary, the assessment from health care setting mainly is closed-ended question su ch as what is your religion. The Gordons functional health patterns is more concentrated.Each graphic symbol of health patterns divided into objective and subjective information. The assessment from health care setting structure is more untrammeled. The same types of problems can be classified into different types of items such as nutritional state it can be combine with diet of daily habits. Comprehensiveness Gordons functional health patterns is a rule devised by Marjory Gordon to be used by the nurse in the nursing process to provide more comprehensive assessment of the patient. Gordon emphasizes that the eleven functional patterns unnaturally divided integrated human functioning.Eleven functional health patterns described as follows. Health Perception and Health Management. Its focused on the souls perceived level of health and well-being, and on practices for maintaining health. Nutritional Metabolic Pattern its focused on the pattern of food and fluid economic consumption relative to metabolic need. Elimination Pattern. Its focused on excretory patterns (bowel, bladder, skin). Activity and Exercise Pattern. Its focused on the activities of daily living requiring elan vital expenditure, including self-care activities, exercise, and leisure activities.Cognitive-Perceptual Pattern. Its focused on the ability to comprehend and use information and on the sensory functions. Neurologic functions, Sensory experiences such as inconvenience and altered sensory input. Sleep Rest Pattern. Its focused on the persons sleep, rest, and relaxation practices. Self-Perception-Self-Concept Pattern its focused on the persons attitudes toward self, including identity, body image, and sense of self-worth. Role-Relationship Pattern. Its focused on the persons roles in the world and relationships with others. Sexuality and Reproduction.Its focused on the persons satisfaction or dissatisfaction with sexuality patterns and reproductive functions. Coping-Stress Tolerance Patt ern. its focused on the persons perception of stress and coping strategies Support systems, evaluated symptoms of stress, effectiveness of a persons coping strategies. Value-Belief Pattern its focused on the persons values and beliefs. (Janet Weber, Jane Kelly ,1998) Indeed, Gordons functional health pattern can forge the potential of the patient health problem. The assessment from health care setting is less comprehensive than Gordons patterns.The assessment from health institution reflect the patients admission status, previous health status, daily habits and risk assessment. The form are lack of assess such as congnitive and percepyual, sexuality and reproductive, role and relationship, self-perception and self concept, coping and stress. It is not difficult to find Gordon functional assessment are more detailed than assessment form health care setting. For example, Gordon functional assessment including nutritional metabolic that it contain skin examination. Mucous membranes, e dema status, thyroid status, gag reflex and assess jugular vein distention etc.On the contrary, the assessment from health institution about nutritional status can only choose normal or abnormal. It is lack of sufficient information than Gordons patterns. In addition, the case of infertility patient often leads to significant pressure for fear of failed surgery. After the embryo transfer, she have to face with the failure of implantation. twain physically and mentally cause to great pressure. According Gordons assessment, form coping stress tolerance pattern, it is able to know patient was very hard put because of infertility. Patient thought it is too much pressure if the embryo cannot implantation.Nurse can give psychological counseling to the patient that allows patient to reduce stress through assessment. In comparison of assessment from health institution, it is not mention about coping-stress tolerance patterns. So there is no assess of the infertility patient that need to take care of their psychologic problem. Compare with two different assessment form, Gordons patterns was more comprehensive than assessment from health institution, but it is not the most comprehensive assessment. If two new domains add to the assessment tool safety/protection and growth/development that the assessment will become more complete. arctic/Protection for a risk of injury as a result of the interaction of environmental conditions interacting with the individuals adaptive and defensive resources. (Wilson Giddens,2001) Growth and instruction for altered physical growth, typical of age group, inability to perform self care or self control activities appropriate for age etc. (Wilson Giddens,2001) by these two items that nurse can prevent some of risk environment and assess patient growth/development to let nurse understanding what problem patient have be exist.Applicability Gordons patterns can provide extensive and detailed information that can reflect patients health sta tus but it is very time-consuming and may have to one hour or more. It is not difficult to imagine that nurse have to deal with numerous new patients in each day. The situation is difficult to use Gordons patterns to assess patients condition in the limited manpower especially at the night duty. Second, patient discharged from hospital earlier than before because based on cost-effectiveness and patient well-being.For example in-vitro fertilization(IVF), colonoscopy, inguinal hernia such as this operation usually encourage patients rest in the day care center replace of stay in the hospital for a few day. This situation need nurse faster and more efficient assess of the patient condition. Third, patient admitted to hospital in a critical situation scarce can not conduct a detailed physical assessment. In this situation like cardiac arrest, choking, an immediate diagnosis is needed to provide command prompt treatment. That why initial comprehensive assessment like Gordons assessment is not suitable for this condition.Fourth, the patients disease information may have already obtained by the attending doctor before patient admission. Therefore it is not meaningful for the nurse to collect the same healths information. The nurse can more in-depth to assess patient base on the information obtained by doctors. For this IVF case, it suggest using a assessment from institution. Compare with Gordons assessment, it free showed cause of admission and patients general condition. The Gordons assessment of many question is irrelevant. For example, general appearance is no need to assess for the IVF case.On the other hand ,embryo transfer just a minor surgery that patient are not request stay in hospital . development simple assessment like assessment from institution for the sake of save more time and work more effectively. Gordons assessment is more compound than assessment from institution so assessment from institution it is more applicable than Gordons assessment fo rm. Conclusion There are many nursing assessment frameworks have been developed. The most widely used organize frameworks for nursing diagnoses it based on functional health patterns described by Gordon.Using systematic guidelines specifically developed for a nursing assessment ensures that comprehensive, holistic data are collected for each patient. Health care institutions establish a minimum data set that specifies the information that must be collective from every patient and use a structured assessment form to organize or cluster this data. A nurse chooses a special(prenominal) framework for a variety of reason. Choice may be based on what is used in the particular health care institution or nursing needs of a particular patient population.