GORDON’S FUNCTIONAL HEALTH PATTERN

HEALTH PERCEPTION HEALTH

MANAGEMENT PATTERN

● Patient was admitted by her daughter on May 1, This pattern is related to the client’s perceived
2010 Saturday at 8:05 in the morning due to cough, pattern of health or well-being, knowledge of
chest pain and a fever of 38 degrees Celsius. lifestyle and the relationship to health, knowledge
of preventive health practices and adherence to
● Two weeks prior to admission, patient had a medical and nursing prescriptions. Data collection
persistent fever of 38 degrees Celsius and a cough. is focused on the person's perceived level of health
She was already having chest pain and a productive and well-being, and on practices for maintaining
cough of white sputum 2 days before admission, so health. Habits that may be detrimental to health are
she decided to seek management care from Dr.Uy also evaluated, including smoking and alcohol or
hospital. drug use. Actual or potential problems related to
safety and health management may be identified as
● 1 week before the onset of signs and symptoms, well as needs for modifications in the home or
patient was able to her ADL’s independently needs for continued care in the home. Measure for
without any complaints of discomfort in her body. personal cleanliness and grooming, called personal
She was able to do her household chores and even hygiene, promote physical and psychological well-
goes to the Sacred Heart church to serve as a lay being. Nurses assist the patient with basic hygiene
minister. But a day before her fever appeared she must respect individual patient preferences,
was very tired because she cleaned the outside of providing only the care that patients cannot or
her house while it was very hot. should not provide for themselves.

● As the patient can remember, she was not fully

immunized, but was able to get injected once with
BCG vaccine when she was still a child.

● Due to financial problems she only often goes for

medical check-up, and the last time she visited for
her check-up was 5 years ago, still due to her 1
month cough. She was prescribed with a medicine
which she cannot remember what the name was
and after a week she got better already.

● Patient usually does her exercise by cleaning up

her house and its environment early in the morning.
If the patient cannot do her usual habit of doing
household chores in a day she usually feels weak,
so she’d rather find something to do like sewing.

● Patient is a bit malnourished due to her 2 weeks

sickness, she does not have any specified diet,
instead she often eats meat products but most of the
time she eats vegetables and does not drink water
that much.

● Patient often gets massage by her daughter if

they visit her every month and demands her to take
Multivitamins, but sometimes if it runs out of stock
the patient doesn’t buy any of it, instead she buys
herself a herbal medicine that side vendors sell, the
name was Vimar. She takes it once a day without
knowing if its safe for her or not.

● Patient does not drink, smoke or used any abuse

drugs.

● The last time she was hospitalized was in the

year 1980, when she got high fever due to
depression from her daughter that got married and
decided to stay in Cebu. It took her a week before
she got discharged from the hospital because of
refusal to eat and drink the medicine given to her
and she was already malnourished that time. She
only went back to eating properly when her
daughter went back from Cebu and stayed for her
in a month.

● 3 days PTA she took non prescribed medication

dextromethorphan given by her daughter, but there
were still presence of cough until chest pain
occurred already and fever was still at 38 degrees
Celsius.

● Patient’s personal hygiene is not that good,

sometimes she does not take her bath in a day
because she is cold intolerance, and instead she just
wipes herself with wet towel all over her body. She
does not brush her teeth that much neither, cause
according to her there is nothing left to brush in her
teeth, she just simply gargle her mouth with water
and salt. But even though she does not take her
bath sometimes in a day, and does not frequently
brush her teeth, still she tries to maintain proper
hygiene in a way that she can feel that she is still
clean.
ELIMINTATION PATTERN

A. BOWEL
Bowel and bladder elimination patterns, changes,
● Patient usually defecates once every day with control problems, use of assistive devices, use of
normal color and texture, but 2 weeks PTA, patient medications. Inquire about – bowel elimination,
defecated only once a week and hasn’t been incontinence. Data collection is focused on
eliminating since she was admitted. She could not excretory patterns (bowel, bladder, skin). Excretory
already remember the color, texture and amount of problems such as incontinence, constipation,
her feces because she wasn’t wearing her diarrhea, and urinary retention may be identified.
eyeglasses that time
Most people have individual pattern of elimination
B. BLADDER including frequency, timing considerations,
position and place. The frequency of defecation is
● Patient doesn’t have any problem in urination. highly individualized, varying from several times
He urinates 5 glasses a day even when the onsetof per day to two to three times per week. Urine
symptoms appeared. collects in the bladder contains between 250 to 450
ml of urine.
C. SKIN

● Patient’s skin is dry, warm and intact with senile

turgor and brown in color.

ACTIVITY-EXERCISE PATTERN

A. SELF-CARE ABILITY

● The patient doesn’t work anymore; instead, her Assessment is focused on the activities of daily
daily living activity is cleaning her house and living requiring energy expenditure, including self-
sewing sometimes. She even serves thrice a week care activities, exercise, and leisure activities.
as a lay minister in the Sacred Heart. She is the one Pattern of exercise, activity, leisure, recreation,
who cooks, washes the dishes, washes and iron the ability to perform activities of daily living. Inquire
clothes for her husband whose already 85 years old. about – activities of daily living, leisure activities,
When she has spare time she just sits and watches home care and mobility.
TV and sometimes listens to the radio especially
every Sunday when old songs are mostly played in
the radio station. She doesn’t converse with her
neighborhood that much.
● She takes a bath 4-5x a week and brushes her
teeth very often.
● She wears slipper inside their house.
● She often forgets to cover her mouth and nose
when someone sneezes and coughs in front of her.
● She washes her hands regularly but not always
using soap.
● Before going to sleep she washes her face with
wet towel.
● She feels that her hygienic practices are
adequate, and she feels clean and neat.
SLEEP-REST PATTERN
Assess
 Patient usually sleeps for about 6-7 hours ment is focused on the person's sleep, rest, and
everyday. She sleeps 8:00 in the evening and relaxation practices. Dysfunctional sleep patterns,
wakes up 3:00 in the morning. But prior to her fatigue, and responses to sleep deprivation may be
admission, she experiences disturbed sleep identified. Inquire about- Patterns of sleep, rest,
pattern. For 2 weeks she has been suffering perception of quality and quantity. Many factors
from fever and cough, she can only sleep for affect a person’s ability to rest. Illnesses and
4-5 hours a night and can’t sleep during various life situations that causes physiological
daytime. She is often awakened and can’t go stress tends to disturb sleep.
back to sleep anymore. For 2 weeks she has
been suffering from sleep deprivation due to
her present ill condition.

COGNITIVE-PERCEPTUAL PATTERN

A. Vision
Assessment is focused on the ability to comprehend
● Patient uses an eyeglass with the grade of 250. and use information and on the sensory functions.
She stated that if she uses her eyeglasses she can Data pertaining to neurological functions are
see more clearly while reading if the object is far. collected to aid this process. Sensory experiences
such as pain and altered sensory input may be
B. Hearing identified and further evaluated. Vision, learning,
taste, touch, smell, language adequacy, memory,
● Patient’s hearing acuity is not that good; she can decision-making ability, complaints of
hear more in the left side of her ear than in her right discomforts. Inquire about – decisions, comfort,
side. She can only hear what you are saying when knowledge, sensory input, learning.
you make your voice a bit louder.

C. Smell

● Patient does not have any problem on her sense

of smell, she doesn’t have any cold but she
sometimes has difficulty in breathing due to her
present illness.

D. Touch

● Patient is sensitive to cold but has a good sensory

touch perception.

E. Taste

● Patient’s sense of taste at her present condition is

not normal due to white sputum production of her
cough. She doesn’t want to eat because all she can
taste is the bitterness in her tongue.

F. Balance

● She loses her balance sometimes especially when

standing after finishing washing their clothes. She
sometimes also needs guidance with her daughter
and husband.

G. Ability to Read and Write

● Patient can still write but she is already slow in it,

she cannot hold a pen for long because she feels
tired quickly. She reads newspapers but not that
long too because it gives her headache.

SELF-PERCEPTION- SELF-CONCEPT
PATTERN

At her age she feels very weak already that’s why it Assessment is focused on the person's attitudes
makes her feel sad not being able to travel far away toward self, including identity, body image, and
to visit her grandchildren. She feels lonely sense of self-worth. The person's level of self-
sometimes because she and her husband are left in esteem and response to threats to his or her self-
their house. She stated that “In ani na dyud concept may be identified. Attitudes about self,
padungnan ang kinabuhi sa tao pud, kita2x nalang sense of worth, perception of abilities, emotional
mabilin dayun” , but inspite of her sad feelings of patterns, body image, identity. Inquire about -
being weak, she is still happy cause she feels that Anxiety, fear, control, self concept. Self concept
she has done her part as a mother after seeing her involves all of these self perceptions, that is,
children having a good family life. Even her appearance, values and beliefs that influences
children lives far away from her, they never forget behaviors. Self concept is also affected by role-
to visit her twice in a month with her strains. People undergoing role-strains are
grandchildren. When she gets very tired, all she frustrated because they feel or made to feel
does to cope herself from stress is by having a rest. inadequate or unsuited to a role.
When she has problems, prayer is one thing she
will always depend on because she knows that in
her service to the Lord, he will never leave her. At
this point even though she is sick, she believes that
she will soon recover because she’s feeling better
than the first 2 weeks of her illness.

ROLE-RELATIONSHIP PATTERN
Assessment is focused on the person's roles in the
She has good relationship with her family. Even world and relationships with others. Satisfaction
though they live far away from her, they never with roles, role strain, or dysfunctional
missed visiting her and his husband in a month relationships may be further evaluated.
bringing with them their grandchildren. Her third Relationship to another person is a developed
daughter was the one who quickly decided to admit manner in which there is the sharing of self,
her to the hospital after arriving from Cagayan De showing care and putting trust. A healthy
Oro. She is the one who has been taking care of the
patient and according to her their eldest will be
arriving this coming Monday from Davao to visit relationship affects an individual’s emotional
her after having been informed that she got development, it will facilitate the channeling of the
hospitalized from CAP. ideas, feeling of joy an others.

SEXUALLY- REPRODUCTIVE PATTERN

Assessment is focused on the person's satisfaction
At the patient’s age she is not already sexually or dissatisfaction with sexuality patterns and
active and so is his husband. She already had Pap reproductive functions. Concerns with sexuality
Smear but couldn’t remember when it was. may be identified. Menstrual, reproductive history,
satisfaction with sexual relationships, sexual
identity, premenopausal or postmenopausal
problems, accuracy of sex education. Inquire about
problems with reproductive system and sexual
response.

Assessment is focused on the person's perception of

COPING STRESS PATTERN stress and on his or her coping strategies Support
systems are evaluated, and symptoms of stress are
Patient usually gets tired quickly and she told me noted. The effectiveness of a person's coping
that what she does to cope with it, is just by strategies in terms of stress tolerance may be
drinking her milk and going to sleep. One of her further evaluated. Ability to manage stress,
stressful days are the days when she just tries to do knowledge of stress tolerance, sources of support,
any work just to forget her loneliness from missing number of stressful life events in last year. Inquire
her children. She wasn’t use to be left by her about – coping, stress, events. Coping mechanisms
children because her youngest daughter that usually which are behaviors used to decrease stress and
stays with her left and went to Dubai to work as a anxiety. Many coping behaviors are learned, based
housekeeper. It was hard for her to cope but she’s on one’s family past experiences, and socio-cultural
trying to get use to it. influences and expectations.

Assessment is focused on the person's values and

VALUE-BELIEF PATTERN beliefs (including spiritual beliefs), or on the goals
that guide his or her choices or decisions. Values,
Patient is a religious person. She has been nurtured goals, beliefs, spiritual practices, perceived
well by her parents with good values and attitude, conflicts in values
that’s why her children loves her so much because
she nurtured them with good attitude and Spiritual well-being is the condition that exists
discipline. She goes to church 3x a week to serve. when the universal spiritual needs for meaning and
purpose, love and belonging, and forgiveness are
met. Spiritual well-being is manifested by a
generally feeling of being alive, purposeful and
fulfilled.
GENOGRAM/ FAMILY HISTORY

FATHER MOTHER

(+) HPN (+) HPN

BROTHE BROTHE
SISTER
R R
(+) HPN
(+) HPN (+) MVA

(*)

PNEUMONIA
♥ (x)

PNEUMONIA

(C) (C)
(C) ♥ Dsc. (C)
(C) (+) HPN