fhp
ChristianaCrusoe
rubricformywork.pdf
Functional Health Pattern Rubric Complete 2022 Course: Fa24 ADNG 1050 50-54 Foundations of Nursing Skills
Criteria
Complete and Professiona l 5 points
Satisfactory 4 points
Unsatisfact ory 1 point
Criterion Score
Client
profile
and
Develop
mental
History
/ 5Student
completes
a full
introducto
ry
statement
of the
patient
that does
not
include
any
identifying
informatio
n (No
informatio
n related
to names
of
patient/rel
atives/loc
ation of
Introducto
ry Profile
is
incomplet
e and
does not
provide a
general
overview
of the
patient
general
condition.
Does not
include
any
identifying
informatio
n (No
informatio
n related
to names
Student
includes
identifying
informatio
n that
compromi
ses the
protection
of the
patient
identity.
Omission
of
developm
ental
history or
omission
of
supportin
g
evidence.
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interview).
Introducto
ry
Statement
includes
age,
biological
gender
and
gender
identity,
and a
general
overview
of the
patient's
current
condition
and ability
to comply
with the
general
interview
process.
Correctly
identifies
Erickson’s
stage of
Developm
ent with
descriptio
n of
resolution.
Includes
of
patient/rel
atives/loc
ation of
interview).
Incomplet
e or
inaccurate
identificati
on of
stage of
developm
ent with
little
supportin
g data
supportin
g negative
or positive
resolution
of
developm
ental
crisis.
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Health
Assessm
ent of
Major
Systems
/ 5
evidence
of
thorough
body
system
assessmen
t grouped
in correct
health
pattern.
Student
completes
a fully
assessmen
t of major
health
systems
and is able
to support
any
findings
by
documenti
ng any
concerns
that the
patient
has
regarding
health in
these
areas:
1.Respirat
Student
has a full
assessmen
t of each
area,
however
does not
support
assessmen
t with
patient
comments
.
Omission
of
assessmen
t data in
any of the
three
areas.
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Health
Percepti
on/Heal
th
Manage
ment
Pattern
/ 5
ory
assessmen
t
2.
Cardiovas
ccular
assessmen
t
3.
Musculosk
eletal
assessmen
t
Document
s detailed
data:
1.pain
assessmen
t (0-10
pain scale)
2.obtains
client’
view of
their
health 5
years ago,
now, and
5 years in
future and
what they
think
caused
Incomplet
e data:
student
document
ation is
missing 2
or more of
the
required
items.
Incomplet
e data:
student
provides <
3 of the
items with
omission
of details
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their
illness
3.identifie
s allergies,
past
medical
history
4.obtains
patient
understan
ding of
their
medicatio
ns
5.reviews
preventive
health
care
history
and plan
as well as
any
substance
abuse
6.records
general
appearanc
e
objectivel
y
7.obtains
and
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Nutritio
nal
Metabol
ic
Pattern
/ 5
records
vital signs
including
O2
saturation
Document
s detailed
data:
1.dietary
& fluid
intake and
any
associated
changes
2.assessed
for n/v
3.assessm
ent of
skin, hair,
nails
4.assess
for recent
weight
changes
5.lists
height,
weight,
BMI
6.notates
feeding
precaution
Incomplet
e data:
student
document
ation is
missing 2
or more of
the
required
items.
Incomplet
e data:
student
provides <
3 of the
items with
omission
of details
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Eliminati
on
Pattern
/ 5
s or food
suppleme
nts
Document
s detailed
data:
1.typical
bowel
pattern
and last
BM
2. any
recent
changes
3.quality
of stool
4.does
client take
medicatio
n to
facilitate
BM
5.any
history of
GI surgery
6.descripti
on of
usual
urinary
habits and
Incomplet
e data:
student
document
ation is
missing 2
or more of
the
required
items.
Incomplet
e data:
student
provides <
3 of the
items with
omission
of details
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Activity
Exercise
Pattern
/ 5
quality of
urine
7.any
recent
changes
8.problem
s with
urination
i.e.
nocturia,
incontinen
cy,
frequency,
dysuria
9. any
bladder
surgeries
10.
abdominal
assessmen
t including
bowel
sounds
Document
s detailed
data:
1.Descript
ion of
normal
day for
client
Incomplet
e data:
student
document
ation is
missing 2
or more of
the
required
Incomplet
e data:
student
provides <
3 of the
items with
omission
of details
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Sexualit
y
Reprodu
ction
Pattern
/ 5
2.ADL
assessmen
t and who
assists
3.What do
they do
for
fun/hobbi
es
4.Their
exercise
routine
5. What
do they do
for a
living/wor
k-life
balance
items.
Document
s detailed
data:
1.Gender/
age
relevance
2.Female:
menstrual
history,
OB
history,
menopaus
Incomplet
e data:
student
document
ation is
missing 2
or more of
the
required
items.
Incomplet
e data:
student
provides <
3 of the
items with
omission
of details
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/ 5
e
3.Males:
erectile
dysfunctio
n,
prostate
problems,
testicular
changes
4.
perceptio
n of
sexual
activities
and their
impact on
sexuality
5. STDs
and any
history of
sexual
abuse
6. If OB or
post-
partum-
check
perineum,
lochia,
uterus, &
breasts
Document
s detailed
Incomplet
e data:
Incomplet
e data:
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Sleep-
Rest
Pattern
data:
1.Descript
ion of
usual
sleeping
time and
habits
2.Does
client take
anything
to help
with sleep
3.Quality
of sleep
4.Difficult
y
sleeping/
waking
often or
trouble
falling
asleep
5.Change
in sleeping
pattern
6. Has
client ever
been told
they snore
or have
periods
student
document
ation is
missing 2
or more of
the
required
items.
student
provides <
3 of the
items with
omission
of details
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Cognitiv
e-
Pattern
/ 5
where
they don’t
take a
breath
while
sleeping
7. Does
client
awake
feeling
rested or
still
fatigued
8. Does
client nap
during the
day
Document
s Detailed
Data:
1.level of
conscious
ness
2.level of
orientatio
n to
person,
place,
time
3.ability to
understan
Incomplet
e data:
student
document
ation is
missing 2
or more of
the
required
items.
Incomplet
e data:
student
provides <
3 of the
items with
omission
of details
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d,
communic
ate and
recall
informatio
n
4.decision
-making
ability
5.attentio
n span
6. perform
mental
status
assessmen
t of
following
7.
Attention
and
concentra
tion
8.
Memory
9. Verbal
and
mathemati
cal
abilities
10.
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Role-
Relation
ship
Pattern
/ 5
Judgment
11.
Reasoning
Document
s Detailed
Data:
1.descripti
on of
family and
their
communic
ation with
each other
2.assessm
ent of
roles
within the
family
3.how
family is
coping
with
client’s
illness
4.current
or past
occupatio
n and how
they felt
about it
5.the
Incomplet
e data:
student
document
ation is
missing 2
or more of
the
required
items.
Incomplet
e data:
student
provides <
3 of the
items with
omission
of details
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Percepti
on/Neur
ological
Assessm
ent
/ 5
most
important
person in
their life
6.what
social
groups or
communit
y activities
they are
involved
in
7.
evidence
of caring
(visitors,
cards,
flowers,
etc.)
Document
s detailed
data
1.vision
perceptio
n
2.hearing
perceptio
n
3.tasting
perceptio
n
Incomplet
e data:
student
document
ation is
missing 2
or more of
the
required
items.
Incomplet
e data:
student
provides <
3 of the
items with
omission
of details
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4.smell
perceptio
n
5.any
difficulties
they have
in these
senses
6.do they
use any
assistive
devices
(i.e
glasses,
hearing
aids) and
their
effect on
quality of
life
7.neurolo
gical
assessmen
t to
include
level of
conscious
ness and
cognition,
speech,
and
memory
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Coping-
Stress
Toleranc
e
Pattern
/ 5
Document
s detailed
data:
1.descripti
on of
most
stressful
situation
in their
life
2.how
illness has
affected
stress and
how stress
affected
the illness
3.how
health
care is
financed
4.personal
loss or
major life
changes in
last year
5.how
client
usually
copes
Incomplet
e data:
student
document
ation is
missing 2
or more of
the
required
items.
Incomplet
e data:
student
provides <
3 of the
items with
omission
of details
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Value
Belief
Pattern
/ 5
with
problems
6.use of
substance
s to
relieve
stress
Document
s detailed
data:
1.most
important
thing to
client
2.what
they hope
to
accomplis
h
3.major
source of
hope and
strength
4.religious
affiliation
and its
importanc
e
5.any
special
requests
Incomplet
e data:
student
document
ation is
missing 2
or more of
the
required
items.
Incomplet
e data:
student
provides <
3 of the
items with
omission
of details
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Summar
y
/ 5
6.are
there
health
practices
or
restriction
s
important
for client
during
hospitaliza
tion
7.would
they like a
minister,
chaplain,
priest,
shaman,
etc.
Summary
reflects a
profession
al
synthesis
of the
collected
data.
Identificat
ion of the
major
goals that
the
patient
Summary
needs
improvem
ent to
communic
ate overall
picture of
patient
data and
goals.
Summary
is lack of
profession
alism or is
omitted or
does not
address
patient
goals.
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Overall
Professi
onal
Quality
/ 5
has
identified
during the
interview
to
maintainin
g a quality
of life. (1
Paragraph)
The
assignmen
t is to be
completed
in
narrative
format,
with an
average of
one
paragraph
for each
of the
required
areas on
the
assignmen
t rubric.
Each
Functional
area
MUST
have a
header
line.
Submissio
Contains
one or
more of
the
following
qualities:
Writing
style
needs
improvem
ent to
meet APA
style.
Student
writing
needs
improvem
ent in
organizati
on and
profession
al
presentati
on.
Student
writing
Contains
one or
more of
the
following
qualities:
Writing
style
needs
significant
improvem
ent to
appear
profession
al and
organized.
Lack of
APA style
format in
writing.
Significant
use of
opinion or
bias.
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Total / 75
Overall Score
n is well
organized,
written in
APA Style,
double
spaced 12
point
Times
New
Roman,
black font.
Includes
Cover
Page, and
Reference
Page.
Student
writing is
free from
personal
opinion
and bias.
style
includes
evidence
of
personal
bias or
opinion
based
statement
s.
Level 4 11 points
minimum
Level 3 8 points
minimum
Level 2 5 points
minimum
Level 1 0 points
minimum
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