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

Topic 3 DQ 2

Discuss how functional patterns help a nurse understand the current and past state of health for a patient. Using a condition or disease associated with an elimination complexity, provide an example.

Replies

Class, what is the nurse’s role with a functional health pattern as it relates to elimination issues?

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

Performance Category	100% or highest level of performance 100% 16 points	Very good or high level of performance 88% 14 points	Acceptable level of performance 81% 13 points	Inadequate demonstration of expectations 68% 11 points	Deficient level of performance 56% 9 points	Failing level of performance 55% or less 0 points
Total Points Possible= 50	16 Points	14 Points	13 Points	11 Points	9 Points	0 Points
Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic topics.	Presentation of information was exceptional and included all of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information was good, but was superficial in places and included all of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information was minimally demonstrated in all of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information is unsatisfactory in one of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information is unsatisfactory in two of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information is unsatisfactory in three or more of the following elements Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information
	16 Points	14 Points	13 Points	11 Points	9 Points	0 Points
Application of Course Knowledge Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations	Presentation of information was exceptional and included all of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information was good, but was superficial in places and included all of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information was minimally demonstrated in the all of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information is unsatisfactory in one of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from and scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information is unsatisfactory in two of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information is unsatisfactory in three of the following elements Applies principles, knowledge and information and scholarly resources to the required topic. Applies facts, principles or concepts learned scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.
	10 Points	9 Points			6 Points	0 Points
Interactive Dialogue Initial post should be a minimum of 300 words (references do not count toward word count) The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count) Responses are substantive and relate to the topic.	Demonstrated all of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.	Demonstrated 3 of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.			Demonstrated 2 of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.	Demonstrated 1 or less of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.
	8 Points	7 Points	6 Points	5 Points	4 Points	0 Points
Grammar, Syntax, APA Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition Error is defined to be a unique APA error. Same type of error is only counted as one error.	The following was present: 0-3 errors in APA format AND Responses have 0-3 grammatical, spelling or punctuation errors AND Writing style is generally clear, focused on topic,and facilitates communication.	The following was present: 4-6 errors in APA format. AND/OR Responses have 4-5 grammatical, spelling or punctuation errors AND/OR Writing style is somewhat focused on topic.	The following was present: 7-9 errors in APA format. AND/OR Responses have 6-7 grammatical, spelling or punctuation errors AND/OR Writing style is slightly focused on topic making discussion difficult to understand.	The following was present: 10- 12 errors in APA format AND/OR Responses have 8-9 grammatical, spelling and punctuation errors AND/OR Writing style is not focused on topic, making discussion difficult to understand.	The following was present: 13 – 15 errors in APA format AND/OR Responses have 8-10 grammatical, spelling or punctuation errors AND/OR Writing style is not focused on topic, making discussion difficult to understand. AND/OR The student continues to make repeated mistakes in any of the above areas after written correction by the instructor.	The following was present: 16 to greater errors in APA format. AND/OR Responses have more than 10 grammatical, spelling or punctuation errors. AND/OR Writing style does not facilitate communication
	0 Points Deducted					5 Points Lost
Participation Requirements	Demonstrated the following: Initial, peer, and faculty postings were made on 3 separate days					Failed to demonstrate the following: Initial, peer, and faculty postings were made on 3 separate days
	0 Points Lost					5 Points Lost
Due Date Requirements	Demonstrated all of the following: The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT. A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.					Demonstrates one or less of the following. The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT. A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.

Replies

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).

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

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

Replies

Hello Barb McGraw,

The central role of a functional pattern for a nurse includes checkup, diagnosis, planning of a healthcare approach, and execution and assessment of the patient’s data. The procedure helps a nurse apply the best care framework to eliminate waste from the patient’s body. The functional health patterns are vital for the admission and creation of databases for care plans and diagnosis (Khatiban et al., 2019). The nurse uses the information to evaluate the patient’s health before and after treatment plans. Similarly, the data determines areas of improvement to boost the quality of life.

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

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 Sciences, 6(3), 329-333.

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.

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

Grace Ochulor

replied toBarb McGraw

Aug 6, 2022, 12:41 AM

Replies to Barb McGraw

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

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

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

Gaewkhiew, P., Sabbah, W., & Bernabé, E. (2020). Functional dentition and changes in dietary patterns among older adults in Thailand. Public Health Nutrition, 24(14), 4556-4563. https://doi.org/10.1017/s1368980020004279

JA, J. (2017). New ABC Chronic Kidney Disease Classification. International Journal Of Nephrology And Kidney Failure, 3(2). https://doi.org/10.16966/2380-5498.144

Jessiya Thomas

replied toElizabeth Mateo Gonzalez

Aug 7, 2022, 7:03 PM

Replies to Elizabeth Mateo Gonzalez

the functional nursing patterns , they play a vital role in process of helping the nurse develop an understanding of the past and the current state of health for a patient. Notably, it is through the use of the functional patterns that the nurse is able to get a comprehensive analysis of the condition of the patient. In that instance, the nurse can be able to administer care which is based on evidence and also patient-centered.

Atoyia Ortiz

Aug 5, 2022, 9:26 PM

Replies to Barb McGraw

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.

Discuss how functional patterns help a nurse understand the current and past state of health for a patient NRS 410 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 Science, 26(2), 146–156. https://doi.org/10.3746/pnf.2021.26.2.146

Rouguiatou Hendricks

replied toAtoyia Ortiz

Aug 6, 2022, 10:38 PM

Replies to Atoyia Ortiz

Understanding functional health patterns are crucial to having a thorough knowledge of patients’ current health status, at-risk behavior, and informative health history. All these functional health patterns can dictate whether a patient is at risk for health diseases or is taking preventive measures to not acquire chronic diseases. For instance, studies have shown not getting the appropriate amount of sleep puts an individual at risk for hypertension, diabetes, and cardiac dysthymias (Books et al., 2020). If an individual is required to work the night shift, like some nurses, it can even put them at risk for obesity (Books et. al., 2020). Since such a population requires stimulants to stay awake, this also increases their chance for various health effects (Books et al., 2020). Specifically to the elimination pattern to the liver, health patterns such as nutrition and activity, and exercise patterns can put an individual at risk for liver failure. For instance, if a patient has a diet high in fatty foods or excessively drinks alcohol can predispose them to illnesses such as fatty liver disease or cirrhosis of the liver (Loomba et. al., 2021)

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

Books, C., Coody, L. C., Kauffman, R., & Abraham, S. (2020). Night shift work and its health effects on nurses. The health care manager, 39(3), 122-127.

Loomba, R., Friedman, S. L., & Shulman, G. I. (2021). Mechanisms and disease consequences of nonalcoholic fatty liver disease. Cell, 184(10), 2537-2564.