Gordon’s 11 Functional Health Pattern:
Areas of Functional Pattern Health Perception – Health Management
Before Hospitalization
During Hospitalization
Analysis
Interpretation
Patient LAA is an active business woman who sells sweet goods “ube.” As part of her daily routine she vends her product door-to-door in the community. She rarely visits the barangay health center for check-ups because she thinks that keeping herself healthy will prevent getting illness. Whenever she has a free day patient walks around their community for an exercise.
Patient LAA is now being hospitalized and consider she’s not healthy anymore; She was diagnosed with Community Acquired Pneumonia High Risk and had undergone confinement. She manifests fever prior to her confinement and difficulty of breathing. She is expecting to recover from his present condition with the help and support of her family and the health providers attending to her needs.
The onset of all pneumonias is marked by any or all of the following manifestations; manifestations; fever, chills, sweats, fatigue, cough, sputum production and dyspnea. (Medical-Surgical Nursing Vol. 2 8 th Edition by Joyce Black p.1599)
Patient LAA cannot function well with respect to his illness pneumonia evidenced by difficulty of breathing and fever. Patient also undergone oxygenation during confinement.
Nutr Nutrit itio iona nall - Met Metab abol olic ic
Pati Patien entt LAA LAA is is liv livin ing ga healthy lifestyle her appetite is well. She’s fond of eating different types of dishes consisting of vegetables, fishes and meats. meats. She drinks plenty of water and patient takes her supplement (Centrum.)
Patient LAA is on her low sugar diet consisting mainly of fruits, and vegetables. That’s being served in the hospital.
“An individual health status greatly affects eating habits and and nutr nutrit itio iona nall stat status us”” (Fundamen (Fundamentals tals of Nursing Nursing by Kozier p.1178)
Nutritional and metabolic status of patient LAA has been changed slightly to her confinement and to her medical condition.
Elimination
Bowel Patient LAA defecates 1-2 times a week without experiencing discomfort. Stool is color brown and well-formed.
Bowel Patient LAA defecates daily. Stool is brownish in color, normal in amount but with discomfort.
Elimination is important because urinary and bowel movement affects your entire physiology. It makes the body pH in balance and it eliminates body toxins with it.
Bowel There was a change in frequency of bowel elimination
Bladder Patient LAA usually voids 5-7 times a day. Urine is light-yellow in color and without any discomfort.
Bladder Patient LAA urinates 5-7 times daily without having discomfort. Urine is lightyellow in color without any discomfort.
Urinalysis is an array of test performed on urine and one of the most common methods of medical diagnosis. (Fundamentals of Nursing by Taylor, Lillis)
Activity-Exercise
In the morning patient LAA walks around their community as an exercise. At her business, she usually sells door-to-door goods. After her work patient LAA mingles with her grandchildren. Patient LAA likes watching television shows, listening to radio and make conversation with her siblings.
Patient LAA’s activities in the hospital are limited only within her room. Patient LAA is activityintolerance due to her condition. She often lies in bed and only shifts to a chair with the help of her relatives whenever she wants to sit. She talks with her relatives whenever she feels boredom and frequently reads the newspaper.
“Ind “Indiv ivid idua uals ls who who have have inactive inactive lifestyle lifestyles s all who are faced faced with with inacti inactivit vity y because of illness or injury are at risk for many proble problems ms that that can can affect affect major ajor body ody syst system ems” s” (Fundamen (Fundamentals tals of Nursing Nursing by Kozier page 1068.)
During patient EO’s conf confin inem eme ent, nt, ther there e is a limitatio limitation n and his activities activities of daily living and a disruption in his his leis leisur ure e and and recr recrea eati tion on pattern.
Cogn Cognit itiv ivee-Pe Perc rcep eptu tual al
Pati Patien entt LAA LAA is a hig high h school graduate. She can read and speaks well and listens attentively.
Patient LAA’s present condition affects her cognitive-perceptual pattern. Her sensory perception is limited to her hospital room, and within the hospital area.
“When a patient is admitted to a health health agency agency he or she she is conf confro ront nted ed with with stimuli that are different in qualit quality y and quanti quantity ty than than that to which he or she is accustomed.” (Fundamentals of Nursing, 5 th ed. By Taylor Taylor,, Lillis Lillis,, p.906)
There was a change in cogn cognit itiv ive e and and perc percep eptu tual al patter pattern n in terms terms of stimul stimulii is limited only to the environment which which is within within the hospit hospital al area and patient’s room.
Sleep- Rest
Patient LAA usually sleeps sleeps around around 11 pm. She She drin drinks ks her her milk milk before she goes to bed; this this help helps s her her to fall fall asleep asleep.. She wakes wakes up earl early y in the the morn mornin ing g arou around nd 5 am as her her daily daily routin routine e and body body clock.
Patien Patientt LAA’s LAA’s sleepi sleeping ng pattern is disturbed due to every 1 hour of vital signs to be taken. Cold breeze of the air-condit air-conditioni ioning ng of the patien patient’s t’s room room also also adds adds as a factor factor to her difficulty in sleeping.
“Illness that causes pain or distress can result in sleep problems. People who are ill require more sleep than normal and normal rhythm and wakefulne wakefulness ss is often often disturbed. (Fundamen (Fundamentals tals of Nursing Nursing by Kozier.7 th ed.)
Patient Patient LAA’s sleep and rest pattern was changed when she was admitted to the hospital. hospital. Due to her illness illness and other other contributing factors.
Self-Perception – Self-Concept
Patient LAA is a friendly and happy person. And she use to socialize with her fri friends ends in thei heir neighborhood and to her clients clients in her business. business. She is a well-determined person and she wants to be happy and free from anxieties. Her family and relatives is always there for her to give assistance and support. She wants to have good health and live her life to the fullest.
Patient’s LAA considers her-self sick. She now thinks that she can’t function well as before.
“Events “Events or situation situations s may chang change e the level level of selfselfconce concept pt overti overtime me illnes illness s and trauma can also effect the self-concept” (Fundamen (Fundamentals tals of Nursing Nursing by Kozier Kozier page 959 and 962.)
Due to his present condition, condition, there is a change to the level of patient self perception and self concept due to her illness on her age of life. She now thinks that that her her acti activi viti ties es now now are are limited.
Role-Relationship
Patient LAA speaks Taga Tagalo log g and and clea clearl rly y unders understan tands ds Englis English. h. She can express express herherself very well. Patient is a widower and lives with her siblings. She is also very active and socia ociallizes izes with her friends and neighbors.
Patient’s LAA family is with her during her confinement, they are supportive in giving the necessary needs and wishing the patient to be well and to recover soon. The patient’s visited by her friends and relatives during her stay in the hospital.
“When “When and illness illness occurs, occurs, role roles s chan change ges s for for both both patient and family.” (Fundamen (Fundamentals tals of Nursing Nursing by Taylor page 63).
Sexu Sexual alit ityy-Re Repr prod oduc ucti tive ve
Pati Patien entt LAA LAA does doesn’ n’tt enga engage ge in sexu sexual alit ity y acti activi vity ty prio priorr to her her husb husban and’ d’s s deat death h and and age.
Patient’s LAA sees herself healthy even-though she’s not sexually active anymore.
“Sexual response involves Ther There e are are no chan change ges s in people’s emotional patient sexuality and psychological physical and reproductive pattern. spiri spiritua tuall makeup makeup,, which which plays plays a significa significant nt role in sexual satisfaction.”(Fundamental satisfaction.”(Fundamental s of Nursi ursing ng by Kozi Kozier er page 980.
Coping – StressTolerance
When When she she is anxi anxiou ous s patient LAA wants to be alone alone and haves some res rest. When hen she has has proble problems ms she used used to communicate and share her her prob proble lems ms to his his family family and friends. She makes herself busy like watch watching ing televi televisio sion n or listening to radio.
During her hospitalization patien patient’s t’s LAA copes copes by with with family family and friend friends s with their support.
“According to Folkman and Laza Lazaru rus, s, copi coping ng is the the cogni cognitiv tive e and behavi behaviora orall effort effort to manage manage specif specific ic extern ternal al and inte nterna rnal demands that are appraised as taxing exceeding the resources of the person.” (Fundamen (Fundamentals tals of Nursing Nursing by Kozier page 1020.)
Pati Patien entt LAA LAA achi achiev eves es her her emotional emotional and moral support from her families and friends, which will help her to cope with her present condition.
The patient has outlet to let her feel feelin ings gs of stre stress ss out out by interactin interacting g with the family family and friends friends during during visitati visitation on hours and the ability of the patient to adap adaptt on her her cond condit itio ion n to lessen stress.
Value-Belief
Patient LAA is a Roman Catholic, Catholic, and she goes to mass mass every every Sunday Sunday with with her her fami family ly.. The The patien patients ts have have a great great value of sense when it comes to religion.
Patient Patient LAA still still believe believe that God will always help them. them. Accord According ing to her fami family ly they they stil stilll atte attend nd mass mass even even withou withoutt her, her, praying for patient’s faster recovery.
“A person’s values infl influe uenc nces es beli belief ef abou aboutt human needs, health, and illn illnes ess, s, the the prac practi tice ce of heal ealth beha behav viors iors and and human responses to illness. illness.”” (Fundamentals of Nursing, 5 th Ed. By Taylor, Lillis, LeMone, p. 91)
Pati Patien entt LAA LAA beli believ eves es that that everything has a purpose or a reason reason,, the patien patientt take take her present situation as a chal challleng enge, and with ith the the supports supports of her families, families, she accepted her condition and she will seek medical medical assistanc assistance e for check-ups for prevention of her illness in the future.
