11 Gordons Functional Health Pattern

Pattern ` Health Perception/ Health Management Pattern Before Hospitalization Sa tingin ko, Hindi ako malusog dahil sa naramadan ko at ngaun naospital. as verbalized by the clients. Her general health was not good for the past 2 years because he has been that disease and has been diagnosed the past 2 years. During Hospitalization Its not the clients first time to be hospitalized; The client perceives her self-health still as unhealthy. kasi nga ito may skit na naman ako, as verbalized by the client. They just only monitor his vital signs and I&O because our concern now is that I have stones in my kidney. Analysis

Florence Nightingale defined health as a state of being well and using every power the individual possesses to the fullest extent. WHO also defined health as a complete physical, mental and social wellbeing and not merely on the absence of disease and infirmity. (Fundamentals of Nursing 8th ed.by Kozier and Erbs pp. 295) Pt. M. perception of health has decreased from 6 to 5 because of the present health condition. Because he was been diagnosed from that disease 2 years ago, but with 2 months continues medication has been relieved. In order to attain good health, proper health management is the key to achieve health and wellness in relation to compliance for guidelines for overall health. For example, check-up should be done in a healthcare setting not only when sickness comes but also for prevention purposes. Nutrition is the sum of all interaction between an organism and the food it consumes. In other words, nutrition is what a person eats and how the body uses it. Although the nutritional content of food is an important consideration when planning a diet, an

Nutritional Metabolic Pattern

On a typical day, they eat three times a day with breakfast, lunch, and dinner with merienda sometimes. For breakfast, she/they usual stuff includes pandesal together with coffee and sometimes fried rice.

The pt. is presently hooked with IV fluids (D5LR 2223ggt/min). His weight is 62kg during the hospitalization. No nausea and vomiting noted.

For lunch as well as in the dinner, But most of the time I forgot to drink plenty of water mostly when I was in Dubai . as verbalized by the clients. He doesnt have any allergies when it comes to food. He always has a good appetite for food especially when he is hungry. She usually drinks water of 3-4 glasses a day.

individuals food preferences and habits are often a major affecting actual food intake. Habits about eating are influenced by developmental considerations, gender, ethnicity and culture, beliefs about food, personal preferences lifestyle, economics, alcohol consumption and psychological factors (Fundamentals of th Nursing 8 ed. By Kozier and Erbs pp.1233, 1237 As the saying goes You are what you eat Before, the client has a good appetite until he became sick. Due to the drugs he had taken he used to eat only the food prescribe by the dietician. The client defecates twice, noted to be soft with change in color due to the drugs he had taken and also the urine with slightly brownish color with no faulty odor. No excessive perspiration is noted. A person urinary habit depends on social culture personal habits and physical abilities. Personal habits regarding urination are affected by the social propriety of leaving to urinate, the availability of private facility and initial bladder training, urinary and bowel elimination is essential to health in order become aware for any associated symptoms. (Fundamentals of Nursing 8th ed. By Kozier and Erbs pp 1285) Defecation patterns usually affects because of diet, fluid intake and output activity and psychologic factors, medications, lifestyle and disease. Hospitalized client may suppress the urge also because of embarrassment about using bedpan, because of

Elimination Pattern

His normal defecation pattern is twice or thrice daily. The color is described as yellowish to brownish in color, no foul smelling odor and with semi formed consistency. His normal urination pattern is 2-3 times daily with no difficulty. The color is yellowish- slightly brownish with light faulty odor but no presence of blood being noted. No excessive perspiration noted. hindi naman ako pawisin as verbalized by the client.

lack of privacy or defecation is too uncomfortable ( pp 1323,1327) Activity and Patient M. is an I.T, Exercise Pattern his usual activity includes bathing, eating, fishing, playing basketball and playing chess. Clients activities in the hospital are limited due to his condition. Hygienic practices like bathing etc. are decrease, sometimes he was just only cleaning his genitals. People often define their health and physical fitness by their activity because mental wellbeing and the effectiveness of body functioning depends largely under mobility status. Physical activity is bodily movement produced by skeletal muscle contraction that increases energy expenditure. Exercise is a type of physical activity defined as a planned structured and repetitive bodily movement performed to improved or maintained one or more components of physical fitness. (Fundamentals of Nursing 8th ed by Kozier and Erbs, pp 1106) In the case of Patient M., the usual activity pattern and activities of daily living had been compromised due to activity intolerance and ability to move freely because of limitations. Sleep is a basic human need. It is a universal biological process common to all people. We require sleep for many reasons: to cope up with daily stresses to prevent fatigue, to conserve energy, to restore the mind and body and to enjoy life fully. Sleep enhances daytime functioning. It is a vital for not only optimal psychological functioning, but also physiological functioning as the rate of healing of

Sleep and Rest Client usually sleeps Pattern for 5-7 hours and usually takes naps in the afternoon for an hour. His sleeping environment is described with good ventilation and sleeps with the lights off/on. He doesnt use any medications to get him sleep. He doesnt experience problems waking up at nights and no history of insomnia. There are no rituals before going to bed.

He has a total of 45 hours of sleep with episodes of waking up in the middle of the night due to interruptions of sleep. Sleeping environment is also good to sleep and rest because the client was confined in a private room, and has an aircondition as a form of ventilation.

CognitivePerceptual Pattern

The client is able to read and write and solves simple mathematics. He finish his college degree. The patient doesnt have any difficulty both in hearing and vision. The client doesnt use hearing aid nor eye glasses. The client can speaks coherently and answers questions.

Client is able to speak and communicate. The patient was able to repeat whispered words. Glasgow Coma Scale scored as 15.

Self-perception hindi na gaanong self-concept ganoon ka ganda ang pattern tingin ko sa sarili ko dahil nga sa sakit kong ito as bervalized by the pt.

Patients condition affects his selfconcept and selfperception because he is not able to do the things he can do before.

damaged tissue is greatest during sleep. Sleep is an important factor in a persons quality of life. Sleep is also affected due to external stimuli such as noises. (Fundamentals of Nursing 8th ed. By Kozier and Erbs, pp 1164) The waking up pattern of the client is understandable in the middle of the night because of certain change in environmental activity due to monitoring of the vital signs. Cognitive refers to the manner and which people learn to think, reason, and use language. It involves a persons intelligence and perceptual ability and ability to process information. It also represents a progression of mental abilities from simple to complex, illogical to logical. According to Piaget, cognitive development is an orderly, sequential process in which a variety of new stimuli must exist before intellectual abilities can develop. (Fundamentals of Nursing 8th ed, by Kozier and Erbs, pp 356, 981) Clients cognitive ability has not been affected. Self-concept is ones mental image of oneself. A positive self-concept is essential to a persons mental and physical health. Individuals with a positive self-concept are better able to develop and maintain interpersonal relationships and resist psychological and physical illness. An individual possessing a

strong self-concept should be better able to accept or adapt to changes that may occur over the life span. How one views one-self affects ones interaction with others. (Fundamentals of Nursing 8th ed, by Kozier and Erbs, pp 1003

RoleRelationship pattern

He is a father of 1 child and he is married. Today he lives in one of their house in Antipolo City he has been a good provider to the needs of his family. He is friendly, good communicator and very sociable to his neighbors. He is also a law-abiding citizen.

His relationship with the members of the family deepens probably because of the concern and love for him. His loneliness in the hospital had been relieved and alleviated because some of his friends visited him.

A role is a set of expectations of about how the person occupying one position behaves. Role performance relates what a person in particular does to the behavior expected of that role. (Fundamentals of th Nursing 8 ed. By Kozier and Erbs, pp1006) The relationship of the family ties is more strengthened. There was passing of role as a head of the family, it starts when he got paralyzed.

SexualityReproductive Pattern

The client is comfortable with the gender he belongs. In the past 40 years of life, he doesnt have any mind confusion when it comes to her sexual preference. The client was married maayos naman ang relasyon naming ng asawa ko hanggang ngaun,, as verbalized by the client. He husband used condom as a contraceptive before.

The client refused to answer some of the questions that are related to this pattern.

Sexual health is an individual and constantly changing phenomenon falling within the wide range of human sexual thoughts, feelings, needs, desires. For most people, sexual health is not considered until its absence or an impairment is noticed. A positive sexual self-concept enable people to form intimate relationships throughout life. A negative sexual selfconcept may impede the formation of relationships. (Fundamentals of Nursing 8th ed. By Kozier and Erbs, pp.1019)

Coping-Stress

The

clients He just wants to be Coping may be described

tolerance pattern condition now is their primary concern or problem. The client copes up by these problems by means calling his friends. He handles stress also by upon fishing. His child is his source of inspiration and serves as his source of happiness if there are some problem that arises.

with his child, wife, and friends in his side to lower his stress out of his condition. He also manages stress by keeping it silent and quiet and sharing to his wife. thankful naman ako dahil napadalaw ang mga kaibigan ko at hindi ako iniiwan ng asawa, as verbalized by the client.

as dealing with change, successfully or unsuccessfully. Problem focused coping refers to efforts to improve a situation by making changes or taking some actions. Emotion focused coping includes thoughts and actions that relieve emotional stress. Emotion focused coping does not improve the situation but the person often feels better. (Fundamentals of th Nursing 8 ed. By Kozier and Erbs, pp 1068) In the case of patient M, he usually copes up adaptively. Adaptively, because he deals with the problem effectively by sharing it with his wife. These only shows that his coping behavior might always seem appropriate. Spirituality refers to the part of being human that seeks meaningfulness through intra/inter/transpersonal connection. Spirituality generally involves a belief in a relationship with some higher power creative force, divine being, or infinite source of energy. Ones spirit titer is influenced by numerous factors such as life experiences, coping skills, social supports and individual belief systems. (Fundamentals of Nursing 8th ed, by Kozier and Erbs, pp.1042)

Value-Belief Pattern

He is a Roman Catholic, he believes in only one God. He do attend mass regularly together with his family he doesnt fail to pray every night. h He believes that everything happens for a reason and only God controls everything as he always says. They believe also in some superstitious beliefs. He is a God-fearing person and that what he gives emphasis to his child.

The clients spiritual beliefs were more strengthened because he believes that God is the only one who can save him. He always pray for his condition and to his family.