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Topic 4 DQ 2
System Admin
Max Points: 15.0
Which theoretical perspective, that guides the nursing process with assessment of
the family, do you find to be the most helpful and effective? Why is this theory more
appealing to you than the others?
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Nov 03, 2015 03:14 PM
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Oscar Robleto
4 posts
Re:Topic 4 DQ 2
Marjory Gordon, Ph.D., RN, FNI, FAAN (1931-2015) was a nursing professor and
theorist, president of the North American Nursing Diagnosis from 1973 to 1988. She
created the nursing assessment theory; Gondon’s Functionality Health Pattern. In
1982, Gordon challenged nurses to adopt a standard nursing framework to guide
data collection in the assessment of nursing process (Nettle, C 1993). The goal of
this assessment structure was to provide nurses with a common data base
regardless of which nursing conceptual framework he/she chooses in practice. She
outline 11 health patterns as universal framework to be tested by nurses. Individual,
family and community assessment were identified for each health pattern.
1.
Role relationship patter: Family membership, stage in family life cycle.
communication roles in the family, income,
2.
Cognitive-perception pattern: Members of the family level of education, who
makes the decision in the household? Are there any family members with
learning or developmental disabilities?
3.
Self perception/self concept pattern: What is the family’s perception of their
ability to keep the family unit. Pride? Home or neighborhood perception?

4.
Nutritional-metabolic pattern; Eating pattern? Food preparation? How and
who decides in meal choices, purchases? Food storing.
5.
Elimination pattern: cleanliness, sanitary codes, how is garbage disposed?
6.
Activity –exercise pattern: Family activity related to spare time.
Implementation of family roles
7.
Sleep-rest pattern: Hours of sleep, patterns, arrangement for each family
member.
8.
Sexual reproduction pattern; Sex education for kids. Family planning. Sexual
relationship.
9.
Value belief patter; Ethic background. Religion preference. Influence on
family health behavior.
10.
Coping stress tolerance pattern; How dose the family handles crisis/illness
11.
Health Perception-Health management pattern: How is the family’s health
history, health practices. Health status of family members. Health insurance.
Health care management.
Gordon’s theory covers all necessary elements to property assess family’s
functionality. Other theories are great but have certain limitations. For example:
Family developmental theory locks of family’s diversity and it is middle class
homogeneity. The Structural family’s theory has been criticized for focusing more on
issues of power between different generations rather than focusing more on issues
of power which take pace between relationships in the current generation. The
system theory focuses on family as whole rather than evaluating each individual of
the family.
