NRS 410 Discuss how functional patterns help a nurse understand the current and past state of health for a patient

NRS 410 Discuss how functional patterns help a nurse understand the current and past state of health for a patient

NRS 410 Discuss how functional patterns help a nurse understand the current and past state of health for a patient

Nurses use a functional health pattern as part of the nursing process. Using a series of questions, nurses can complete an in-depth assessment to help better understand a patient’s overall health and lifestyle. Information regarding functional health patterns offers the nurse significant insight into patients’ current and past state of health (Whitney, 2018). Interviewing patients about their elimination patterns may help with the early identification of clinical manifestations of disease based on changes they experience (Whitney, 2018). The assessment can help to determine if the changes are related to aging or resulting from a more serious medical condition. Nurses play a role in assessing and identifying risk factors for diseases and managing elimination complexities at initial presentation, during treatment, and upon discharge (Whitney, 2018).

Reference

Whitney, S. (2018). Elimination complexities. In Grand Canyon University (Ed.), Pathophysiology:Clinical applications for client healthhttps://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/#/chapter/3

Assisting patients with elimination is an essential aspect of the nurse’s role and has important medical significance as well as psychosocial effects on the client’s quality of life (Dal Molin et al., 2018). As the pattern of healthy bowel movements and urination vary in different patient groups, the management for each patient population may differ. Nurses need to assist with healthy elimination patterns to ensure patients are having regular soft bowel movements and adequate urination and to identify abnormal patterns such as flatulence, constipation, diarrhea, incontinence, fecal impaction, hemorrhoids as well as polyuria, anuria, and other abnormalities which can be signs of underlying medical conditions (Dal Molin et al., 2018). The nursing team must provide strong supportive communication when assisting clients with elimination. A study found that the nurse’s attitudes toward excretion-related nursing care strongly influenced the use of a toilet and the physical functions of the elderly (Dal Molin et al., 2018). Patients may be reluctant to discuss their bowel and bladder problems due to embarrassment. It is vital that nurses maintain open communication and empathy with their clients and ask questions as well as physically assess patients for signs of bladder and bowel irregularities.

References

Dal Molin, A., Gatta, C., Boggio Gilot, C., Ferrua, R., Cena, T., Manthey, M., & Croso, A. (2018). The impact of primary nursing care pattern: Results from a before-after study. Journal of Clinical Nursing, 27(5-6), 1094-1102. https://doi.org/10.1111/jocn.14135

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While there are pharmacologic alternatives to assist with elimination issues, assistance by nurses is often required. For instance, in abdominal pain syndrome and constipation, studies show that abdominal massage appears to increase bowel function, but without the negative effects of laxatives. Conversely, certain medications can cause constipation, diarrhea, and hinder or exacerbate elimination. Opioids, NSAIDs, antibiotics, anticoagulants, can all induce constipation. It is vital nurses know which patients are at risk for bowel and bladder disruption and monitor them for these issues. The nursing team must provide strong supportive communication when assisting clients with elimination. A study found that the nurse’s attitudes toward excretion-related nursing care strongly influenced the use of a toilet and physical functions of the elderly. Patients may be reluctant to discuss their bowel and bladder problems due to embarrassment. It is vital that nurses maintain open communication and empathy with their clients and ask questions as well as physically assess patients for signs of bladder and bowel irregularities.

 

Piyush, S, & Bhutta B.(2020). Assisting Patients With Elimination Published 16 June 2020

Functional health pattern refers to a technique that was devised by Marjory Gordon to be utilized by nurses in the

NRS 410 Discuss how functional patterns help a nurse understand the current and past state of health for a patient
NRS 410 Discuss how functional patterns help a nurse understand the current and past state of health for a patient

professional process of providing the patient a more detailed medical assessment (Gaewkhiew et al., 2020). The mentioned assessment entails taking medical history and running necessary examinations. When it comes to running a database and evaluation of a diagnosis, these assessments comes in very handy since a nursing history provides all the functional patterns of the given patient. The functional health patterns are often acquired from the patient or in some cases where the patient is not in a sound state this information is attained from family, friends, or any other caregiver. The functional patterns avails both the subjective and objective data of a patient and thus can be said to be enough to help a nurse determine the past and the current state of health of a patient.

An instance of an illness where functional health pattern can come in useful is the elimination issue of kidney failure. During a kidney failure, the kidney gets impaired failing to sift the waste materials from the blood. These waste materials pile up after some time resulting in a disproportion in the biochemical proportions of the blood raising clinical manifestations that prompts one to seek for care immediately (JA, 2017). Among the symptoms of this illness are fatigue, chest pain, angina, confusion, weariness, fluid retention, swollen feet and eyes, and minimized urine production among others. The available treatment options of this condition includes medicinal and natural processes such as dieting and exercises. The above methods reflects on applying the functional health plans patterns in helping a nurse understand the current and past health state of a patient.

References

Gaewkhiew, P., Sabbah, W., & Bernabé, E. (2020). Functional dentition and changes in dietary patterns among older adults in Thailand. Public Health Nutrition24(14), 4556-4563. https://doi.org/10.1017/s1368980020004279

JA, J. (2017). New ABC Chronic Kidney Disease Classification. International Journal Of Nephrology And Kidney Failure3(2). https://doi.org/10.16966/2380-5498.144

The nurse’s focus during data collection is different from that of the physician and other health team members; however, it complements these approaches and encourages collaboration among the health care providers, as each member brings his or her own focus to the situation.

Obtaining a health history, as a part of a thorough nursing assessment, is the first step in the nursing process. The health history is conducted to determine the individual’s state of wellness or illness and is best accomplished as part of a planned interview. The use of a health history guide (such as the functional health patterns created by Gordon) helps in obtaining patient information and directing the course of the interview. According to Khatiban et al, “each of the patterns consists of different questions to reflect the uniqueness of the individual patient, as well as to assess her/his strengths and weaknesses, which could link to the diagnostic categories” (2019).

 

An example that can be used is a patient being admitted with constipation. This patient may be at risk of bowel obstruction due to inability to pass stool, as discussed by Gholizadeh et al (2021). During the functional health discovery, concentration will mainly be in the areas of NUTRITIONAL- METABOLIC PATTERN & ELIMINATION PATTERN. The questions from these two areas mainly establish the patient’s daily habits regarding food and fluid consumption; their bowel and bladder elimination patterns; any excessive and unintentional weight loss and/or weight gain; and any food or eating discomforts. The patient’s response to these questions can help the nurse formulate a nursing diagnosis and appropriate interventions to help manage the constipation.

 

REFERENCES

 

Gholizadeh, E., Keshteli, A. H., Esmaillzadeh, A., Feizi, A., & Adibi, P. (2021). The relationship between functional constipation and major dietary patterns in Iranian adults: Findings from the large cross-sectional population based SEPAHAN study. Preventive Nutrition and Food Science26(2), 146–156. https://doi.org/10.3746/pnf.2021.26.2.146

 

Khatiban, M., Tohidi, S., & Shahdoust, M. (2019). The effects of applying an assessment form based on the health functional patterns on nursing student’s attitude and skills in developing the nursing process. International Journal of Nursing Sciences6(3), 329–333. https://doi.org/10.1016/j.ijnss.2019.06.004