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TOPIC: Gordons 11 Functional Patterns

PATTERN OF HEALTH PERCEPTION &HEALTHMANAGEMENT How does the person describe her/ hiscurrent health? What does the person do to improve ormaintain her/ his health? What does the person know about linksbetween lifestyle choices and health? How big a problem is nancing health carefor this person? Can this person report the names ofcurrent medications s/he is taking and theirpurpose? If this person has allergies what does s/hedo to prevent problems? What does this person know about medicalproblems in the family? Have there been any important illnesses orin!uries in this person"s life?

NTRITIONAL ! META"OLIC PATTERNIs the person well nourished?How do the person"s food choices comparewith recommended food intake?#oes the person have any disease thate$ects nutritional% metabolic function?

PATTERN OF ELIMINATION&re the person"s e'cretory functions withinthe normal range?#oes the person have any disease of thedigestive system urinary system or skin?

PATTERN OF ACTI#IT$ & E%ERCIEHow does the person describe her/ hisweekly pattern of activity and leisuree'ercise and recreation?#oes the person have any disease thate$ects her/his cardio%respiratory system ormusculoskeletal system?

COGNITI#E ! PERCEPTAL PATTERN

#oes the person have any sensory decits?&re they corrected?Can this person e'press her/ himself clearlyand logically?How educated is this person?#oes the person have any disease thate$ects mental or sensory functions?If this person has pain describe it and it"scauses(

PATTERN OF LEEP & RET#escribe this person"s sleep%wake cycle(

#oes this person appear physically restedand rela'ed?

PATTERN OF ELF PERCEPTION & ELFCONCEPTIs there anything unusual about thisperson)s appearance?#oes this person seem comfortable withher/ his appearance?#escribe this person"s feeling state?

ROLE ! RELATIONHIP PATTERNHow does this person describe her/ hisvarious roles in life?Has or does this person now have positiverole models for these roles?Which relationships are most important tothis person at present?Is this person currently going though anybig changes in role or relationship? What arethey?

E%ALIT$ ! REPRO'CTI#E PATTERNIs this person satised with her/ hissituation related to se'uality?How have the person"s plans ande'perience matched regarding havingchildren?#oes this person have any disease/dysfunction of the reproductive system?

PATTERN OF COPING & TRETOLERANCEHow does this person usually cope withproblems?#o these actions help or make thingsworse?Has this person had any treatment foremotional distress?

PATTERN OF #ALE & "ELIEFWhat principals did this person learn as achild that are still important to her/ him?#oes this person identify with any cultural

ethnic religious regional or other groups?What support systems does this personcurrently have?

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AMPLE Gordons Functional Healt( PatternA) Healt( Perce*tion and Mana+e,entPrior to ad,ission:

Can only recall being immuni*ed with +C,

and #-. arely visits a doctor to have a check%up

and seek for medical assistance

0ses herbal medicines such as oregano

guava bitter gourd and ginger

+uys and takes over the counter drugs

such as 1olmu' 2eo*ep +iogesic3efenamic acid #iatabs and 4operamide(

1topped taking multivitamins 5nervon

When sick goes to the manghihilot or !ust

waits for the sickness to heal

-ractices healthy lifestyle and depends on

fruits and vegetables 2o vices since young such as drinking

alcoholic beverages and smoking cigarette

&fter e'periencing di6culty in defecating

she decided to see a physician'urin+ (os*itali-ation:

7riented

Conscious and coherent

Concerns for her surgical site after incision

and repair

Willing to accept and listen to health

teachings

1hows interest to recover easily and fast

&lways prays to ,od

") Nutrition. Meta/olis,Prior:

5ats more of fruits and vegetables

5ats her meals 8' a day with snack in

between

Can drink up to 9(:4 of water or ;%:

glasses a day

#rinks co$ee in the morning and in the

afternoon

Claimed to be allergic on shrimps and

claimed to have good appetite'urin+:

Weight< ;9 kg

Height< ; ft and 9= in

2ormal +ody 3ass Inde'> +3I 9@(@Akg/mB

&verage +ody .emperature is 8= C

&ble to fast in preparation for surgical

procedure

+efore operation being infused with an

IDE of #:23 94 ' 9= hooked at her leftcephalic vein

&fter operation being infused with an IDE

of -4 94 ' @ hours as main line hooked ather left cephalic vein with a side drip of-211 :==m4 F B ampules Doltaren atB=cc/hr and an IDE of -211 94 ' GD7hooked at her right cephalic vein with aside drip of Bunits -+C

7n 2-7

C) Eli,inationPrior:

1he voids ;%: times a day

Her urine color is yellow which is dark

most of the times

.here is no burning sensation/ pain felt

during urination

1he usually moves her bowel every

morning

With brown and formed stools( +ut

recently she is having di6culty indefecating

.he impression to the result of the

ultrasound of her whole abdomen is toconsider ileus> partial obstruction andfecal stasis

'urin+:

2o pain or burning sensation during

urination

+efore operation she e'perienced

vomiting with yellowish vomitus andhasn)t move her bowel all throughoutthe @ hour shift

&fter undergoing the surgical

procedure a nasogastric tube is used

which is attached to a drainage bottle>a colostomy is present attached to acolostomy bag

&fter operation a foley catheter was

used which is attached to the uro bagdraining well with dark yellow urinewith an output of 9: cc was takenafter the shift

') Acti0it.E2ercisePrior:

.he patient ambulates within the

house

1he does household chores 1he takes a walk at their

subdivision to visit the neighborsand buy at the store

1he does simple e'ercises on the

upper and lower e'tremities bymeans of shaking and stretching

&ble to bathe herself

'urin+:

eaction to stimuli are slower

#ecreased strength> becomes weak

in prolonged activities

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#ecreased speed of movement

4imited range of motion

adial pulse rate easily palpable

and heard

-< = bpm

at on bed and showsevidence of weakness

1teady and in deep sleep for ;

hours

E) e2ualit. Re*roducti0e

3arried

& mother of ; children

3enarche was on the year 9A8@ when she

was 99 years old

7n her menopausal stage 1he has no history of 1e'ually .ransmitted

#isease or any disease a$ecting hergenitals

F) Co+niti0e.Perce*tualPrior:

2o sensory decits but functions are

diminished due to age

7riented to people time and place

esponds to stimuli verbally and

physically

-ain felt radiating on the abdomen

'urin+:

-re%operative -hase

+efore operation she verbali*ed J1akit

kaayo akong tiyan tapos butod ko(3agbalik%balik ang sakit(K

1he rated pain as @ from a pain scale of

9%9= 9= as the highest possible painperceived

1he claimed that pain starts at the right

upper Luadrant and radiates allthroughout the abdomen

Claimed pain to be intermittent

In normal thought process -ost%operative -hase

J&kong tahi nagasakit pa(K as verbali*ed

Eelt pain around the surgical site

1light facial grimacing

Can respond to stimuli verbally and

physically with weakness noted

+elieves that pain felt is due to post%

operative e'perience

G) lee*.RestPrior:

Can sleep for %A hours per night

1traight hours of sleep

Her earliest time in going to sleep is at

A

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Prior:

Copes up with stress by doing household

chores and by taking a nap or sleep

Copes up with problems by talking about it

with the family and nds ways to resolve ittogether

2o traumatic events e'perienced before

eason for admission is to alleviate thepain and correct her bowel

Went to hospital and sought for medicalassistance after e'periencing inability ofdefecating

'urin+:

.akes a nap and rests when tired

Derbali*es desires to recover

&ble to accept situation by cooperating

with the medical advices and procedures

5) #alue."elie3Prior:

& oman Catholic

Have strong faith in ,od

1he always brings with her the rosary and

always prays at night

1he goes to the church with her youngest

child and her grandchildren to attend the

mass every 1unday'urin+:

2o restrictions in the procedure broughtby religion

.he admission and surgery don)t interfere

with spiritual practices