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Thomas Gordon's Functional Health: A Case Study

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Thomas Gordon's Functional Health: A Case Study
From Thomas Gordon’s Functional Health Pattern (Carpenito-Moyet, 2004), three areas of nursing interventions were implemented by registered nurses to promote safe mobility. These interventions aimed to reduce Thomas from falling as well as having skin damages cause by his incontinence and in addition, to support his lower extremities pain.
According to Kneafsey et al. (2013), extended periods of bedridden and inactivities due to low mobility will cause loss of muscle mass, loss in motivation to mobilize and having a fear of falling. Based on his Gordon Functional Health Pattern (Carpenito-Moyet, 2004), Thomas’s goal was to mobilize independently with the help of a walking frame. The first nursing intervention implemented by the registered nurses was to promote Thomas to mobilize safely with a one-person …show more content…
According to Benbow (2012), Thomas could develop localized redness, irritation, skin peeling and fungal infections around the perineum, sacrum, groin, ischia tuberosity and hip (p31). Even though his skin appear to be normal but by being incontinence, it had detrimental effects on Thomas skin integrity. This could be linked to an increase in ulcer development around the following areas. Correlating this to Domain 2.2 of Nursing Competency, Braden Pressure Ulcer Risk Assessment for Thomas total score is 18-which is mild risk developing lesion (NCNZ, 2012 & XDHB, n.d.). This increases the nurse’s awareness of Thomas pressure ulcer risk and choosing the most effective prevention strategies. From Gordon’s Functional Health Pattern (Carpenito-Moyet, 2014) , he would wear sanitary pad during the day and night because he is incontinent majority of the time. Hence, nursing interventions implemented by his registered nurse should include making alterations to new sanitary pad in the morning and
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