Gordon's Functional Health Pattern (Teen)
Adolescent Summary - Gordon's Functional Health Pattern
Biographical Data
Date of Visit: 8/31/2012, 10:30am.
Age
DOB: 3/2/1999
Race/Gender Hispanic, Female
Weight: 34 kg.
Height: 4ft. 7 inches
BMI: Normal Range 16.6 kg/m2
Phone [HIDDEN]
Reason for Visit: Evidence of exasperated asthmatic conditions. (Not an acute asthma attack). Became overexerted at school, 8/30/12. Restless night and complaints of tightness in chest and inability to catch breath. Slight wheezing can be heard during exhales. Potential asthma complications; albuterol has proven slightly ineffective in easing symptoms and discomfort.
Financial History: Patient is fully covered under parent's insurance. Mother works; serving as informant and escort to physician. Single parent household.
Past Health History: Patient is fully immunized and receives all routine health and wellness physicals and exams as appropriate. Last physical exam 5/30/2011, prior to beginning of summer camp. History includes struggle with exercise-induced asthma (albuterol use via bronchodilator). Describes an allergy to pineapple (reaction includes appearance of red, rash like spots on face). Mother provides multi-vitamin supplements. No reported childhood illness. No chronic illness.
Wellness Young Adult Behavior Assessment History Screening: In good, general health and physical condition. Mother indicates normal, full term pregnancy, although patient did have jaundice during first two weeks of life. Otherwise healthy infancy and early childhood. Patient is active in school activities (participates in physical education and cheerleading). Enjoys swimming and bike riding, helps with household chores. Lives in middle class community and walks/plays with two younger female siblings and peers within subdivision. No depression. Normal menstruation...
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Functional Behavioral Assessment: John Doe John Doe is a six-year-old boy (D.O.B. 11/15/2005), who is presenting with irritated symptoms relating to a diagnosis of moderate autism. At first glance, John appears to be a healthy, well-nourished and well taken care of young boy. John lives at home with his parents and two younger sisters in a middle-class suburban neighborhood. John was diagnosed with autism in 2010, and since this time has
Gordon's Functional Health Assessment for Children & Erickson's Developmental Stages This study will use Gordon's Functional Health Assessment for Children and Erickson's Developmental Stages and list normal findings in an assessment and potential problems a nurse would discover in an assessment of the ages groups including toddlers, preschool age and school age children. This work will compare and contrast identified similarities and differences in expected assessment across the childhood age groups
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Several assessment tools are available, often using data collection sheets that include items such as direct observation and interviews with adults who closely interact with the student. In Justin's case, this group could include Carrie, the paraprofessional who works directly with Justin, in addition to the special education teacher, the speech and language specialist, other teachers who regularly interact with Justin (e.g., art, physical education, music and media), and
The second step is to document and track the behavior through direct and indirect observation. This may mean creating a scatterplot (chart or grid) recording single events and their context to determine what situations are most likely to trigger the problematic behaviors (Direct and indirect measures, 2001, CECP). Another direct method to observe student behavior is with an Antecedent-Behavior-Consequence (ABC) chart. The behavior can be further monitored indirectly through teacher
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