GORDONS 11 FUNCTIONAL PATTERN 1.

Health Perception and Health Management Pattern Before Hospitalization The patient viewed health as the absence of illness and the ability to perform activities of daily living. She considered herself healthy because she can do all her duties as a mother and as an active member of their barangay organization namely: RIC and Botika Ng Barangay. She even rated her health as 9 out of ten. Whenever she experiences minor illnesses like headache, cough and colds and fever, she usually takes OTC drugs such as amoxicillin, mefenamic, paracetamol and vitamin B complex to lessen episodes of muscle cramps. She is not using any herbal medications and believes in healing procedures like hilot. During Hospitalization According to Patient L.B her health was already compromised because of her condition. There are some restrictions regarding strenuous activities and prolonged walking and standing because she often experiences difficulty of breathing (DOB). She managed this by responding to every treatment that the hospital would want her to do such as undergoing thoracentesis, ultrasound and chest x-rays. 2. Nutritional-Metabolic Pattern Before Hospitalization She eats three times a day and usually consumes 1 1/2 cups of rice each meal. It is often consist of pork and vegetables. She also takes afternoon snacks which is commonly biscuits and can consume 16 oz. of soft drink a day. She drinks 8 glasses of water at approximately 1920cc daily. She has no difficulty in swallowing and does not experience vomiting during meal time. She has no known food and drug allergies. During Hospitalization The patient is under Diet As Tolerated (DAT). She consumes 1000cc of water which has a 920cc difference before she was admitted. According to her, she easily gets full and does not experience any difficulty in swallowing but encounters episodes of DOB. She also receives_______________________. 3. Elimination Pattern Before Hospitalization The patient usually voids for 5 to 6 times a day whenever she feels the urge. She described it as straw amber in color and aromatic. She does not experience any difficulty or discomforts when voiding. She oftentimes defecates once daily and characterized it as brown in color but sometimes varies with the food she eats, formed and aromatic. She is not using any stool softeners and laxatives. During hospitalization The patient has irregular bowel movement during the first half days of admission. According to her, when she ate kangkong, she experienced loose bowel afterwards but resumed to normal after a day. She voids 6 to 7 times a day, still straw amber in color.

4. Activity-Exercise Pattern Before Hospitalization The patient does all the household chores. When she was not experiencing DOB she works at the Botika ng Barangay, owns a sari-sari store and makes home products like bagoong and vinegar. According to her, nine days prior to admission she began to experience DOB as early sign of pleural effusion, persists and progresses. Her workload decreases until such time she stopped working and avoided strenuous activities. Her usual leisure activity is watching television. She is not used of performing any physical activities and considers working as a form of exercise. She does not smoke and drink alcoholic beverages. During Hospitalization The patient can ambulate and do self-care activities without assistance and cannot tolerate long period of standing and walking. 5. Sexuality- Reproductive Pattern Before Hospitalization Patient L.B had her first menstruation during her elementary years at the age of 12. According to her it usually lasts for 2-3 days with moderate amount and flow and consumes 3 pads per day. She expressed that its been 10 years since her last contact with her husband who is not living with them. She is not using any contraceptives and family planning method due to her work. During Hospitalization Despite of having an inactive sexual life, patient L.B still expresses satisfaction in her life. According to her whats more important is that you have moved on and accept the things the things that you just cant change. Living with her children is what matters most to her. 6. Sleep- Rest Pattern 7. Sensory Perception and Cognitive Pattern Before hospitalization Patient L.B. expressed some alteration in her sense of right. According to her, she can no longer read small font of [printed materials and often uses eyeglasses to make it more visible. She said the she still has normal hearing ability. She perceives the alternation of sense of sight as a part of aging process. She also feels chest pain on the left lung field that is characterized by a pricking and squeezing sensation. She verbalized that is usually occurs when she is tired and relieved when she is relaxed. She takes OTC drugs (mefenamic/ paracetamol ) and have rest to alleviate pain. During Hospitalization Still, she suffers from some alternation of vision and with clear hearing ability. The pain on her chest worsens during prolonged standing and walking. She also complains for easy fatigability 8. Role Relationship Pattern 9. Self Perception/Self Concept Pattern 10. Coping Stress Tolerance

Before Hospitalization The patient expressed aloofness regarding her relationship with her husband. This is because of going to abroad without her husband knowing it. This incident brought a big change in their family which she considered as one of the stressful things that had happened to her. According to her she managed this by engaging herself into various activities like joining and supporting the programs of their barangay and by directing her sari-sari store. She also diverts into leisure and recreational activities. During Hospitalization Despite of having her family and friends around her, patient L.B has a hard time expressing her feelings and problems with them. According to her, whenever she faces problems including her condition, she keeps it on her own because she doesnt want to be a burden to them. She expressed feelings of disappointment knowing that her condition might worsen. 11. Value-Belief Pattern Before hospitalization Patient L.B is a Roman Catholic. According to her, she is faithful and attends mass every Sunday. She stated that she value most her family and her primary source of strength is God and her children. She wants her children to finish their studies and to have a prosperous life in the future. During hospitalization According to her, everything that had happened, including her condition is according to Gods will. She verbalized that she is not yet ready to submit herself to God because no one will take care of her 17 and 15 years old son and daughter, respectively. Despite of her condition, her faith has not changed and does not take into blame anyone about her situation but herself.