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Patent Name: De Vera, Estela Sagala Age: 63

Room number: 3A- 312

Gordons Pattern of Functioning


PATTERN

BEFORE
HOSPITALIZATION
The patient does
not go to the
hospital or health
centers for check
up when she feels
her illness is not
serious.

DURING
HOSPITALIZATION
The patient is
monitored
regularly on
admission to the
hospital.

NUTRTIONAL
AND
METABOLIC

The patient reports


that she likes to
drink water and
frequently likes to
eat meat and
vegetables on a
daily basis.

The patient is
currently on
hypoallergenic
diet as prescribed
by the doctor

ELIMINATION

The patient reports


that she voids
more than three
times per day. She
also has bowel
movement every
morning.

The patient voids


in her diaper or in
a commode in the
course of her
hospital stay. She
has bowel
movements every
so often during her
stay.

ACTIVITYEXERCISE

The patient does


most of her
exercise by doing
her household
chores. She also
likes to watch
television and use
the computer
whenever she feels

The patient during


her stay is mostly
in bed because
she is enduring
her painful muscle
joints and needs
assistance when
she gets up.

HEALTH
PERCEPTION
AND HEALTH
MANAGEME
NT

ANALYSIS
An individual should be able
to focus on his/her own
perceived level of health and
well-being, and on practices
for maintaining health helps
in improving activities of daily
living. (Womans Health and
Illness in the Expanding
Family Jeanette Koshar, RN,
MSN, NP, PhD)
Healthy individuals should
normally take 8- 10 glasses of
water a day, eat fruits and
vegetables. Usual pattern of
food, fluid intake and types of
food should be monitored.
The adequacy of local nutrient
supplies is essencial to avoid
problems related to fluid
balance, tissue integrity, and
host defenses may be
identified as well as problems
with the gastrointestinal
system. (Womans Health and
Illness in the Expanding
Family Jeanette Koshar, RN,
MSN, NP, PhD)
Normally, a person voids 3060ml of fluids via urination.
Monitoring the Bowel and
bladder elimination patterns
of patient having problems
with the kidneys specifically
on urine production must be
done hourly, changes will
prevent excretory problems
such as incontinence,
constipation, diarrhea, and
urinary retention may be
identified. (Womans Health
and Illness in the Expanding
Family Jeanette Koshar, RN,
MSN, NP, Ph)
An individual should do
regular exercises in order to
maintain proper functioning.
Do jogging or walking at least
twice a week. Activities of
daily living requiring energy
expenditure, including selfcare activities, exercise, and
leisure activities. The status of
major body systems involved
with activity and exercise is
evaluated especially for older
patients whose joints

like it. She also


reports that she
didnt smoke or
likes to drink.

becomes stiffer and less


mobile . (Womans Health and
Illness in the Expanding
Family Jeanette Koshar, RN,
MSN, NP, PhD)

SLEEP-REST

The patient usually


sleeps moderately
when she has
nothing to do and
usually feels
refreshed when she
wakes up. She
reports no sleep
disturbances.

The patient on her


stay sleeps more
often than her
usual routine
before and
sometimes feel
unrefreshed when
she wakes up
because of her
joint and muscle
pains.

A person should have a


regular sleeping hours of at
least 8 hours to help and give
time for the body to rest and
repair damaged tissues.
Illness that causes pain or
physical distress can result in
sleep problems. People who
are ill require more sleep than
normal and the normal
rhythm and wakefulness is
disturbed. (Fundamental of
Nursing 7thed by Barbara
Kozier, et al, p 1117)

COGNITIVEPERCEPTIVE

She reports no
problem of her
other senses prior
to admission. Her
memory is fine as
well.

A person should have no


problems on cognition and
perception and have minimal
effort on recalling memory
but as people age their
senses go dull and some
requiring assistive devices to
function more productively.

SELFPERCEPTION
AND SELFCONCEPT

The patient reports


that she is well
comfortable with
her own body and
feels contented.

She reports no
problem of her
other senses prior
to admission. Her
memory is fine as
well. She has been
received as
conscious and
coherent.
The patient
reports that she is
well comfortable
with her own body
and feels
contented.

ROLERELATIONSH
IP

The patient is living


together with some
of her children. Her
husband is
deceased.

The patient is
currently being
taken care of by
some of her
children in her
hospital room. She
is frequently
visited by friends.

Norms:
Self-concept is ones mental
image of oneself. A positive
self-concept is essential to a
persons mental and physical
health. An individual
possessing a strong selfconcept should be better able
to accept or adapt to changes
that may occur over the life
span. (Fundamentals of
nursing by Barbara Kozier,
Glenora Erb, Audrey Berman
& Shirlee Synder, 7th edition,
page 957)
A Family should always stay
close together, never leaving
anyone behind. They must be
oriented and well-rounded.
How clearly and openly family
members communicate with
each other will be a strong
determinant of how the family
members perform in any of
the family functions.
(Fundamentals of Nursing
Phil. Ed by Rick Daniels
p.1582) And the support of

the family will help the client


to recover fast.

SEXUALITYREPRODUCTI
VE

The patient is a
mother. She is
currently not
seeking any
intimate relation of
the opposite sex at
the moment.

The patient is a
mother. She is
currently not
seeking any
intimate relation of
the opposite sex
at the moment.

COPINGSTRESS
TOLERANCE

The patient usually


handles stress by
going out and she
frequently
verbalizes her
feelings to her
offsprings and
relatives and in
turn they help her
solve her problems.

VALUE
BELIEF

The patient is an
active member of
Iglesia ni Kristo and
goes to worship
every so often.

The patient
usually handles
stress by going out
and she frequently
verbalizes her
feeling to her
offsprings and
relatives and in
turn they help her
solve her
problems.
The patient is an
active member of
Iglesia ni Kristo
and goes to
worship every so
often. But during
her hospital stay
she cant go to

Creating and having your own


Offsprings is the foundation of
a family. Individuals, specially
couples should be healthy
enough to produce their own
kind. The mother should be
able to ovulate once a month
to maintain an eggcell
capable of sperm cell
penetration. On the other
hand, guys should also
maintain having a healthy
lifestyle so that they will be
able to produce healthy
gonads capable of
reproduction. Psychosexual
integration involves a
dynamic progression of
growth along a wide
continuum of behavior and
characteristic also relating to
the mental or emotional
attitudes about sexuality.
(Ferder and Heagle, 1997)
According to Folkman and
Lazaruz, coping is a
behavioral effort to manage
specific external and/or
internal demands that are
appraised as taxing or
exceeding the resources of
the person (Fundamentals of
Nursing by Kozier p. 1020)

Different Religions have


different ways of believing
and worshiping their own
Gods and Goddesses. Respect
for particular religious beliefs
and remembering how
religious beliefs may impact a
clients choices and comfort
are important. (Fundamental
of Nursing Phil. ed by Rick
Daniels p. 1680)

worship because
of her condition.

Pamela U. Domingo
BSN 4A