Gordon's Pattern continuation..
You may observe a client’s behavior when working with peers and look for signs of being attention-seeker, the usual I, Me and Myself behavior.
Tendency for ridicule for others, putting others down or perhaps being judgmental.
Being bossy, tendency to laugh at others’ mistakes or shortcomings
Note any situations that may bring about stress to client. Crises (situational and maturational) such as recent death of a family member, moving to a new home, loss of a job, marriage, pregnancy, entering college etc.
12. Inquire about the client’s confidence in his/her ability to cope with stress/problems
Cite situations in which ability to problem solve can be assessed. (to note for rational decision-making/problem-solving)
For client’s communication patterns: verify with client’s significant others if there are changes with how the client communicates (verbal or non-verbal). Example: A man who’s usually relaxed, in a normal voice tone when talking with other people suddenly becomes irritable, aggressive, intense, and with a high voice tone when communicating with other people; verbal use
Exhibits positive coping mechanism such as being in control, able to identify stressors, and acknowledges presence of support systems and resources available to him. BUT desires to have a higher level of coping –usually verbalized by client
13. When dealing with problems have you thought about hurting yourself in any way? Explore. The hurting of self here is non-fatal primarily for attention seeking purposes. .
The client is faced with problems that require action. The client still has the ability to cope but these multiple/numerous stressors may eventually bring about dysfunction in his coping patterns – either defensive or an ineffective coping
N. VALUE-BELIEF PATTERN
1. What makes a person healthy?
2. How important is health to you?
3. Any spiritual or religious practices important to you? Relevance to health?
4. Do you generally get things you like out of your life? Most important things to you?
5. Is religion important in your life? Does this help when difficulties arise?
6. What social values you were brought up with? Which ones are important to you now?
7. How do you see yourself in relation to society?
8. What is that thing you consider most significant or valuable in life?
9. Things you envision or look forward to in the future?
10. Any principle or philosophy you live up to?
11. Any cultural belief or traditional concept which has been learned in or imparted either by the family or religious groups / affiliations of which you are part, which may have a significance or relevance to health?
12. In your contention, how important is health? How do you value it? (Expound)
13. What is your view of a healthy individual…taking into account the different aspects or dimensions of health? Is this how you perceive or look at it in general?
14. On the whole, what is for you the essence of promoting or maintaining health? How will your health state affect your daily living? (ad-lib)
O. OTHERS
1. Any others things that we haven’t talked about that you’d like to mention? Questions?
References:
Alfaro, Rosalinda, Applying Nursing diagnosis and Nursing process: A Step by step guide (J.B. Lippincott Co, Philadelphia) 1990
Christensen, Paula anhd Kenney, Janet, Nursing Process: Application of Conceptual Models (C.V. Mosby Co, Missouri) 1990
Craven, Gordon, Marjorie, Manual of Nursing Diagnosis (Mosby Yearbook Inc. Missouri) 1995
Kozier, Barbara, Fundamental of Nursing. (Addison-Wesley Publishing Co.) 2001
Format for PA Findings
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Body Part Examined
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Normal Findings
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Actual Findings
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Interpretation/Analysis
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*References should be indicated
*Interpretation: normal or if deviation from normal is present, state the analysis as the Probable cause of abnormality
PA results is submitted separately from health history.
