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Gordon's functional health pattern is a framework that helps healthcare providers assess and analyze the individual’s well-being and overall health across various categories (Karaca, 2016). In this paper, I will compare and contrast the growth and development of a one-year-old toddler and a three-year-old toddler using this framework.

Regarding health and perception, both one-year-old and three-year-old toddlers still depend on caregivers to manage their health. They still rely on adults to provide them with a safe and healthy environment, medical needs, and healthy food.

Regarding nutrition and metabolism, there are subtle differences. According to Silver Butcher & Jones (2021), this component examines the toddler's feeding habits, dietary intake, and any other nutritional patterns. Thus, the one-year-old is transitioning from breast/formula milk to eating solids food exclusively and may have certain feeding requirements and preferences for foods with specific tastes and textures. The three-year-olds have more diverse choices of food. They also demonstrate independent eating habits and a better understanding of nutrition.

Regarding the elimination pattern, the one-year-old is still learning about bladder/bowel control; thus, diapers are used. However, the three-year-olds, in this group can control their bowel and bladder movements better, and thus many can use the toilet.

The activity/exercise pattern deals with an individual's physical activity levels, development of motor skills, play patterns, and other recreation and exercise opportunities (Turen & Enc, 2022). In both age groups, the toddlers are actively exploring their environment; however, the one-year-old crawls and walks while the three-year-old can run, climb and jump.

Sleep and rest- both age groups require adequate sleep. However, a year-old may need at least 12-14 hours of sleep every day, including daytime naps, whereas three-year-olds may need only 10-12 hours of night sleep without the necessity for daytime naps.

Regarding cognitive and perceptual patterns, at one year old, toddler is developing cognitive abilities and exploring their senses. The three-year-olds, however, have significantly improved their cognitive abilities and language skills and have a greater understanding of the environment around them.

Self-perception-self-concept pattern- toddlers usually develop a basic sense of oneself around one year old. They can recognize themselves in the mirror and also display preferences. By age three, however, the toddler's self-concept becomes widely developed, and they can display emotions, communicate better and also assert some form of independence.

Regarding patterns of roles and relationships, the one-year-old will start developing a relationship with the caregiver and the family member. The three-year-old, however, will start developing relationships with peers and developing friendships with other individuals.

Coping –stress and pattern of tolerance also happens gradually. Toddlers seek guidance and support from their caregivers. However, they start demonstrating an increased level of independence and problem-solving as they get older.

The pattern of values and beliefs. The immediate world around toddlers shapes their values and beliefs. Family values and cultural/religious beliefs influence toddlers' behavior and understanding of their world. 

Thus Gordon's functional patterns are a crucial framework when comparing the growth patterns of toddlers. Based on this framework, there are remarkable differences between a one-year-old and three year old.

References

Karaca, T. (2016). Functional Health Patterns Model – A Case Study.  Case Studies Journal.1-9.  https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3415861

Silva Butcher, R.D., & Jones, D.A. (2021). An integrative review of comprehensive nursing assessment tools developed based on Gordon's Eleven Functional Health Patterns.  International Journal of Nursing Knowledge , 32(2). http://doi.org/ 10.1111/2047-3095.12321

Türen, S. Enç, N. (2020). A comparison of Gordon's functional health patterns model and standard nursing care in symptomatic heart failure patients: A randomized controlled trial.  Applied Nursing Research,  https://doi.org/10.1016/j.apnr.2020.151247 .