Share this: 

Facebook  Twitter  Reddit  LinkedIn  WhatsApp   
Overall Introduction:

I am presenting here my overall health assessment by using the Gordon’s functional health
patterns. Then, my stress is presented as focused assessment. This part of assessment assist me in
knowing the level of stress while the internet source helps me in gaining more knowledge about
causes , effects of stress in normal health status and the methods to reduce the stress or its
management. Finally my essay on the health promotion is presented last.

Part 1: Self Health Assessment and plan

Functional Health Pattern (Gordon)

Biographical Data

Name: Lalita Bhandari

Address: 3/5 Danica Ct., Kearneys Spring

Date of Birth: 13th Feb. 1992

Place: Nepal

Age: 22 years

Gender: Female

Occupation: Student

Marital status: Single

Qualification: Bachelor in nursing (ongoing)

Contact number: 0404473722

Height: 162 cm.

Weight: 60 kg.

 Health perception and management pattern:

 Past health history: No history of any chronic illness

 Present condition: Stress due to study workload and homesickness

-Immunized all the vaccines which include tuberculosis, all three doses of Diphtheria, Pertusis
and Tetanus, polio, measles, BCG, hepatitis and Rubella.
-No habit of alcohol consumption, smoking and chewing of tobacco and no use of other
injectable drugs.

 Nutritional-metabolic pattern:
 Good appetite
 Food intake: 2-3 times a day and many snacks
 No any food allergies
 Fluid intake: 3-4 liters of water per day
 Have no difficulties with eating and swallowing
 Vitals (at the time of doing assignment)
 Temperature: 36.8 deg. centigrade
 Pulse: 74/min.
 Respiration: 78/min
 Blood Pressure: 110/60 mm of Hg.
 Height: 162 cm.
 Weight: 60 kg.

But sometimes get disturbed with stress.

 Elimination pattern
 Bowel: regular bowel at least once daily
 Bladder: normal frequency of menstruation and no problem associated with bladder or
urination
 Activity-Exercise pattern
 No planned routine for regular exercise regime
 Depends upon mood and only on leisure time but rare
 Sleep and rest pattern
 Normally no problem of insomnia
 Have 5-6 hours of sleeping pattern
 Never use of any sleeping aids and sedatives to rest

But sometimes, when I get stress, I suffer from insomnia

 Cognitive-Perceptual patterns
 Good sensory and auditory adequacy
 No difficulties in learning
 Good memory
 Oriented
 Self-Perception and self concept patterns
 I am kind, helpful and soft-hearted
 Show positive attitudes towards others
 Respect others feelings

But sometimes I feel losing hope when nobody cares.

  Goal set to be a qualified and dedicated Registered Nurse
 Punctual, obedient and hardworking
 Never give up and learn from every mistake and move forward

Part B: Focused Assessment

While performing self health assessment, I found some problems in my behavior, which is
mainly caused by stress due to new environment, new place, new rules and regulation. Study and
distance between me and my family are the other factors that lead to stress. In this focused
assessment, I am focusing in assessing level of stress.

Get Help With Your Nursing Essay

If you need assistance with writing your nursing essay, our professional nursing essay writing
service is here to help!

Find out more

I browse internet to gain more knowledge on my stress level. I assessed my stress level using
“life change index scale/ The Stress Test”, written by Thomas H. Holmes and Richard H. Rahel.
This stress test has three different rows including event, impact score and my score. As event
adds up, there occurs increase in score. The higher the score, the chance of becoming ill will also
be higher and also the change of returning back to normal health will decrease.

LIFE CHANGE INDEX SCALE : THE STRESS TEST

Event Impact Score My

Death of spouse 100  
Divorce 73  
Marital Separation 65  
Jail Term 63  
Death of close family member 63  
Personal injury or illness 53  
Marriage 50  
Fired at work 47  
Marital reconciliation 45  
Retirement 45  
Change in health of family member 44  
Pregnancy 40  
Sex difficulties 39  
Gain of a new family member 39  
Business readjustment 39  
Change in financial state 38 38
Death of a close friend 37  
Change to a different line of work 36  
Change in number of arguments with spouse 35  
Mortgage over $20,000 31  
Foreclosure of mortgage or loan 30  
Change in responsibilities at work 29  
Son or daughter leaving home 29  
Trouble with in laws 29  
Outstanding personal achievement 28  
Spouse begins or stop work 26  
Begin or end school 26 26
Change in living conditions 25  
Revisions of personal habits 24  
Trouble with boss 23  
Change in work hours or conditions 20 20
Change in residence 20  
Change in schools 20  
Change in recreations 19  
Change in church activities 19  
Change in social activities 19  
Mortgage or loan less than $20,000 17  
Change in sleeping habits 16 16
Change in number of family get-togethers 15  
Change in eating habits 15  
Vacation 13  
Christmas approaching 12  
Minor violation of the law 11  
Total   100
Life change units Likelihood Of Illness In Near Future
300+ about 80 percent
150-299 about 50 percent
less than 150 about 30 percent
According to the score interpretation presented above in the table, my level of score is 100 which
is less than 150 so I have less risk of illness in my near future. In this way Homes and Rahes
stress life change index scale helps me to assess my level of stress and help me in reducing the
stress and promote my health.

References

Holmes, T. H., & Rahe, R. H. (1967). The social readjustment rating scale. Journal of
psychosomatic research, 11(2), 213-218.

Retrieved from http://www.dartmouth.edu/~eap/library/lifechangestresstest.pdf
Part 3 Internet Sources

While doing my individual self assessment, i determine that stress is the main cause for
detoriating my healthy living and daily activities. For promoting my own health, I have selected
two internet sources to reduce my stress. As per the source, i came to know that stress is
determined as the physical reaction to several events of our life in our daily way of living. Both
the sources provide brief information about the stress, causes, management and technique to
relief or cope with the stress. According to the helpguide.org, “stress is a normal physical
response to events that make you feel threaened or upset balanc e in some ways”. Also with the
help of the source i came to know that stress have both merits and demerits .These both
explained about the stress and mainly focused on various strategies for stress management which
include 4As-Avoid unnecessary stress , Alter the situation, Adapt the streesor and Accept the
things cannot be changed. Similarly the article prepared by University of South Australia also
has been presented with more information about the management of stress. This source focuses
mainly in different strategies of managing stress according to our body, mind, thinking and
behaviour.

As both the sources have the name of the author with the date and name of publication with more
information , i found these are the reliable and trustworthy for me. I found both the sources
important and informative in handling with the stress.

References :

1. Managing stress Monday (2013). Retrieved April 22, 2013, from

http://w3.unisa.edu.au/counsellingservices/wellbeing/stress.asp

1. Smith, M., Segal, R., Segal, J. (2013). Stress Symptoms, signs and causes. Retrieved

http://www.helpguide.org/mental/stress_signs.htm

Part 4. Health Promotion Essay

Health is considered to be the precious wealth of an individual. It is an important aspect of our

life. According to the definition provided by World Health Organization, “Health promotion is
the process of enabling people either individually or in group like community to increase control
over, and to improve their health” as cited by Selekman,( 2006).Health is affected by various
factors so that to promote the health a teamwork is required between health personal, community
and other different sectors. Being a health person, Nurses play vital role for accessing the health
of patients, identify their health needs and encourage them to promote their health in an effective
way. This essay explains about the problems in student nurses health and the programs to
promote their health.

Nurses are the key persons to promote the health. They are well experienced either with the
knowledge they gain or exposing with the patient of different health condition. According to
Dempsey(2009), “ Health promotion model is important for an individual to promote their
health”. . According to Mary,Sally and Kathleen (2011) , the student nurse are known as the
main person to identify health issues where low school performance and change in health status
are found more common ,as cited by American Academy of Pediatrics Council on School Health
(2008). This explains that the students are found to be more stressed which causes great changes
in academic achievement and also their health status will detoriate. The student nurse may face
problem like difficulty in identifying the problem in their clinical placement , sometimes hard
even to understand the medical term. As per Fethiye and Fatos(2009),there are numerous factors
that causes negative influence on decision making and nursing practices such as individual
variables such as personal character traits and value , lack of knowledge and sensitivity about
ethics and patients rights ,limited autonomy and unsatisfactory working .

There are different approaches to health promotion and different health promotion model are in
use. Health promotion model include characteristics models to promote environment where
healthy decisions can be made about attaining high standard lifestyles reducing. According to
Jennifer , fran and janat (2013) explain that the health-promoting behaviors of nursing students
might be the key factor for their academic success and also facilitate them for post graduate
practices . the health promotion behavior includes change in lifestyle , adjustment with new
environment of study as well as hospital and development o, lifestyle, beliefs and thoughts,
motivation health and promoting behavior. Practicing nurse can use these health f strength to
cope with various people. According to Chambers and Thompson(2009), “empowerment is the
other main focus on health promotion and participate” The student nurses should be encouraged
to promote their health, change their behavior and also motivate them in changing their lifestyle
and behavior and also reduce stress by avoiding , adapting the stressor and accepting the changes
.

At conclusion, there are many factors that cause stress in the student life of the nurses which
causes problem in their health. There are many reasons to promote health. Encouragement helps
nursing student to promote their health by brining change in their lifestyle

Overall conclusion

I have done my own self assessment with stress as a focused assessment. I found stress as a main
factor that chauses change in my normal health status. Finally the essay on health promotion is
presented at list of references the end of the assignment.

List of References :

1. Baisch, M. J., Lundeen, S. P., & Murphy, M. (2011). Evidence-Based Research on the

Value of School Nurses in an Urban School System. Journal Of School Health, 81(2), 74-
80. doi:10.1111/j.1746-1561.2010.00563.x

Retrived from http://web.a.ebscohost.com.ezproxy.usq.edu.au/ehost/pdfviewer/pdfviewer?
sid=95fefa95-373a-4bb3-a0d3-09b4b9baaf42%40sessionmgr4005&vid=0&hid=4212
 1. Bektas, M., & Ozturk, C. (2008). Effect of health promotion education on presence of
positive health behaviors, level of anxiety and self-concept: Social Behavior & Personality:
An International Journal, 36(5), 681-690. doi:10.2224/sbp.2008.36.5.681

RETIREVED
FROM http://web.a.ebscohost.com.ezproxy.usq.edu.au/ehost/pdfviewer/pdfviewer?
sid=53bd6502-3b56-4fb0-9ad8-dfe19e80ee51%40sessionmgr4005&vid=0&hid=4212

1. Bryer, J., Cherkis, F., & Raman, J. (2013). Health-Promotion Behaviors of

Undergraduate Nursing Students: A Survey Analysis. Nursing Education Perspectives,
34(6), 410-415. doi:10.5480/11-614 RERIEVED
FROM http://web.a.ebscohost.com.ezproxy.usq.edu.au/ehost/pdfviewer/pdfviewer?
sid=394eddc7-bbd1-4e40-9b94-3546e235556b%40sessionmgr4004&vid=1&hid=4212

1. Dempsey,J., French ,J., Hillege,S., &Wilson,V.(2009) . Fundamental of Nursing

&midwifery: A person centered approach to care,(5th ed). Lippincott Williams &wilkins,
broadway, NWS

1. Erdil, F., & Korkmaz, F. (2009). ETHICAL PROBLEMS OBSERVED BY STUDENT

NURSES. Nursing Ethics, 16(5), 589-598
2. Holmes, T. H., & Rahe, R. H. (1967). The social readjustment rating scale. Journal of
psychosomatic research, 11(2), 213-218.

Retrieved from http://www.dartmouth.edu/~eap/library/lifechangestresstest.pdf

1. Managing stress Monday (2013). Retrieved April 22, 2013, from

http://w3.unisa.edu.au/counsellingservices/wellbeing/stress.asp

1. Smith, M., Segal, R., Segal, J. (2013). Stress Symptoms, signs and causes. Retrieved

http://www.helpguide.org/mental/stress_signs.htm

NUR1200: Concepts in Patient

Care
Assignment:Portfolio of Health
assessment / Health promotion
marks: 20 (Weight 20%)
Part One 0 – .5 1- 2 2.5 – 3
Self-Health Assessment Absent or minimal health data Data is logically Comprehensive
presented but is assessment include
No framework limited in scope psycho/ social para

Surface approach only Utilises and Interprets health st

references a
 Absent or minimal summary or framework Assesses and Anal
analysis data
Some areas of
Material is presented or written poorly assessment could
be expanded more
Part Two 0 – .5 1-1.5 2
Focussed assessment Focussed Health issue does not relate Focus is limited in Comprehensive
to student’s health assessment in Part depth
1 Interprets health st
Resource used for
No resource(s) used assessment Utilizes and refere
resource(s)
Minimalanalysis/interpretation Lacks clarity in
focus Analyses data
Material is presented or written poorly
Lacks clarity in Organized presenta
writing
Part three: 0 .5 1
Health resource Source not cited Includes in-text or Analysis/critique
other means of regarding usefulne
Internet Resources (two) Does not state the health topic being citing internet sources
addressed sites
Insightful commen
No analysis Surface critique regarding
only reliability/validity
No comment regarding reliability sources
Comments on
reliability but
could have more
depth
Part four: Essay section  
Demonstrates knowledge related 0 1 2-3
to Health promotion
/4
2  
/2
2  
/2
1  
/1
2  
/2
 

MARKS LOST FOR LATE    

PENALTY (IF RELEVANT – 5
% per business day)
FINAL MARK ( MARKS    
AWARDED LESS MARKS
LOST)
Marker:    
       
1

Share this: Facebook  Twitter  Reddit  LinkedIn  WhatsApp   
Cite This Work
To export a reference to this article please select a referencing stye below:

 APA
 MLA
 MLA-7
 Harvard
 Vancouver
 Wikipedia
 OSCOLA
 Copy to Clipboard 
Related Services
View all 

Nursing Essay Writing Service

From £124

Nursing Dissertation Writing Service

From £136
 Reflective Writing Service
From £124

DMCA / Removal Request

If you are the original writer of this essay and no longer wish to have your work published on the
UKDiss.com website then please:

Request the removal of this essay

Related Services

Our academic writing and marking services can help you!

 Nursing Essay Writing Service 

 Nursing Dissertation Writing Service 
 Reflective Writing Service 
 Marking Service 
 Samples of our Service 
 Full Service Portfolio 

Related Lectures

1.
2. Essays

Get academic writing help today!

Place an Order
We've received widespread press coverage since 2003
Safe & Trusted

Your NursingAnswers.net purchase is secure and we're rated 4.4/5 on reviews.co.uk

Bespoke

All work is written to order. No plagiarism, guaranteed!

Contact us

We're here to answer any questions you have about our services

Part of All Answers Ltd