Assesment

[cutemisuki]

please organize these data according to gordon's functional health patterns, maslow's human needs and Body systems..

1.Age: 36

2.Married, has three small children

3.occupation:landscape architect and homemaker

4.religion: episcopalian

5.medical diagnosis;pneumonia

6.T: 100; P:100; R:28; BP: 104/68

7.States she is concerned about how her husband is caring for the children,that is "tough on him."

8.States she feels weak and tire all the time but can't seem to rest beacuse she keeps coughing all the time

9.Appetite poor.Has eaten less than half of regular meals.Is forcing fluid well (1000ml per shift)

10.States she smokes a pack of cigarettes a day

11.states she always has been in good health and never had to be hospitalized (even gave birth at home)

12.states that all of the tests that have to be done make her nervous; she is worried about getting AIDS from needle sticks

13.lungs have bilateral rhonchi;she coughs up thick yellow mucus

14.chest x-ray examinations show improvement over the past 2 days

15.white blood cell count is elevated at 16,000.:typing

[traumaRUs, MSN, APRN]

What have you got so far?

http://www.deepermind.com/20maslow.htm

[cutemisuki]

it's not quite complete but i would like to thank you for your reply:rcgtku:

[sirI, MSN, APRN, NP]

What traumaRUs is asking: How have you determined the organization of this data according to gordon's functional health patterns, maslow's human needs and Body systems...

Please show your own attempts at the work and we will be happy to assist you.

[Daytonite, BSN, RN]

here are sites that have the guidelines for assessing by gordon's health needs. assess and sort the data according to gordon's first.

• http://instructors.butlercc.edu/nr105/tgreen/tgnpg11healthpatterns.htm
  
• http://home.hiwaay.net/~theholt1/nurs1100/class5.htm
  
• http://www.csi.edu/ip/nursing/faculty/vwarner/careplan.doc - form for assessing the 11 functional health patterns for a general medical patient

then look at the data you have and prioritize it by maslow. this is the order of priority for maslow:

1. physiological needs (in the following order)
   • the need for oxygen and to breathe [the brain gets top priority for oxygen, then the oxgenation of the heart followed by oxygenation of the lung tissue itself, breathing problems come next, then heart and circulation problems--this is based upon how fast these organs die or fail based upon the lack of oxygen and their function.]
     
     
   • the need for food and water
     
     
   • the need to eliminate and dispose of bodily wastes
     
     
   • the need to control body temperature
     
     
   • the need to move
     
     
   • the need for rest
     
     
   • the need for comfort

[*]safety and security needs (in the following order)

• safety from physiological threat
  
  
• safety from psychological threat
  
  
• protection
  
  
• continuity
  
  
• stability
  
  
• lack of danger

[*]love and belonging needs

• affiliation
  
  
• affection
  
  
• intimacy
  
  
• support
  
  
• reassurance

[*]self-esteem needs

• sense of self-worth
  
  
• self-respect
  
  
• independence
  
  
• dignity
  
  
• privacy
  
  
• self-reliance

[*]self-actualization

• recognition and realization of potential
  
  
• growth
  
  
• health
  
  
• autonomy

[cutemisuki]

i don't get it also... how can you identify the needs of these data?

[Daytonite, BSN, RN]

i don't get it also... how can you identify the needs of these data?

Read over the data you were given (those 15 items). Then, classify the data into Gordon's 11 functional patterns (needs) as best as you can. You have to do some decision-making.

For example:

1.Age: 36

2.Married, has three small children

This data fits in with the

relationship pattern.

3.occupation:landscape architect and homemaker

This data fits in with the

role, sexuality, reproductive pattern

.

13.lungs have bilateral rhonchi; she coughs up thick yellow mucus

This data fits in with the

pattern of activity and exercise

.

Now, to prioritize just those by Maslow's Hierarchy, it would be:

1. lungs have bilateral rhonchi; she coughs up thick yellow mucus (physiological need)
   
2. Married, has three small children (love and belonging need)
   
3. occupation: landscape architect and homemaker (self-esteem need)
   

To classify by body system:

• lungs have bilateral rhonchi; she coughs up thick yellow mucus (respiratory system)
  
• Married, has three small children (reproductive system)
  
• occupation: landscape architect and homemaker (?? musculoskeletal system - because it involves physical activity)