GORDONS 11 FUNCTIONAL HEALTH PATTERNS

I. HEALTH PERCEPTION- HEALTH MANAGEMENT PATTERN BEFORE HOSPITALIZATION: According to the patient, he viewed health as the absence of signs and symptoms of illness. He rated his health status as 9/10. Whenever he experiences minor discomforts such as cough and colds, fever and headache, he uses over-the-counter drugs like paracetamol, neozep and carbocistein to manage it. He seeks medical advice when his condition worsens. He believes that the activities that keep him healthy include having a regular exercise and maintaining a healthy diet. He doesnt believe in quack doctors nor the use of any herbal medication.

DURING HOSPITALIZATION: He verbalized Gumaganda naman ang kondisyon ko which reflects a positive perception of his condition due to its good prognosis. He manages this by being compliant with the treatment modalities and adhering to every doctors order.

II.

NUTRITIONAL METABOLIC PATTERN

BEFORE HOSPITALIZATION: Pt. J.B eats thrice a day. Having a breakfast which consists of noodles, hotdog and coffee; a lunch composed of at least 2 cups of rice with vegetable dish such as monggo, along with meat (adobo); and a supper which is usually consists of vegetables. According to him, he has allergies on poultry products such as chicken and eggs as well as fish. He takes a snack twice a day, one in the morning and another one in the afternoon, which is usually composed of bread, crackers and coffee or milk. He verbalized that he doesnt have difficulty in swallowing. He regularly drinks water about 7 glasses per day approximately 1680 cc daily. He weighs 64 kg (140.8 lbs) and is 5 ft and 4 inches tall. His computed BMI is ----------DURING HOSPITALIZATION: The patient is under low purine diet. He is prescribed with omeprazole and ferrous sulfate to decrease gastric acidity and treat his anemia. He consumes 5 glasses of water per day which is approximately 1200 cc daily. He is receiving an IV solution of PNSS 1L hooked in his left arm to be instilled within 24 hours. He doesnt experience any difficulty in swallowing but often encounter loss of appetite. His weight had decreased to 54 kgs (118.8 lbs) and his computed BMI is--------------------III. ELIMINATION PATTERN

BEFORE HOSPITALIZATION: According to Pt. J.B he defecates once a day usually in the morning. He described it as formed in consistency and brown in color. He doesnt use any enema or suppository to aid his bowel and hasnt undergone any bowel surgery. He voids 5 times a day, whenever he feels the urge, with varying amount but estimated it with a volume of 800-1000 cc. He described it as clear and light yellow in color. DURING HOSPITALIZATION: Pt. J.B defecates once a day and described its consistency as watery and varies from yellow to black in color. Still he doesnt use any enema or suppository. He voids 7-8 times a day whenever he feels the urge, with varying amount but estimated it with a volume of 1400-1600 cc, clear and yellow amber in color. IV. ACTIVITY- EXERCISE PATTERN

BEFORE HOSPITALIZATION: Upon waking up Pt. J.B performs his self-care activities. He jogs in the morning for about 30 minutes and considers this as his form of exercise. He spends most of his time in the farm doing field works. DURING HOSPITALIZATION: Pt. J.B sits on his bed most of the time and ambulates whenever he wishes to use the comfort room. He can still perform his self care activities with minimal assistance because he seldom feels weak. He believes that his occupation as a farmer contributed to his illness in a way that he is usually exposed to chemicals like fertilizers, insecticides and pesticides. His present condition no longer permits him to work in the farm.

V.

SLEEP-REST PATTERN

BEFORE HOSPITALIZATION: According to Pt. JB he usually sleeps at around 7:00 oclock pm to 9:00 oclock pm and wakes up at 4:00 oclock in the morning in preparation for his work in the field. After accomplishing all his work, he takes a rest for about an hour. He doesnt take any medication to aid him in sleeping. He rated his quality of sleep and rest as 9/10 and 8/10 respectively. His leisure time is usually watching the television and having a typical conversation with his neighbours. DURING HOSPITALIZATION:

The patient sleeps at around 6:00 oclock in the evening after eating his dinner and wakes up at 5:00 oclock in the morning but is often interrupted due to hospital routines. He usually sleeps in the afternoon for about an hour. He rated both his quality of sleep and rest as 8/10. VI. COGNITIVE AND SENSORY-PERCEPTUAL PATTERN

BEFORE HOSPITALIZATION: According to Pt. JB he does not experience any alteration in smelling, seeing, touching and tasting. His remote, recent and immediate memories are intact. DURING HOSPITALIZATION: Patient J.B. is oriented to time, place and person and is able to communicate well. He is a high school undergraduate (second year). He has no alteration in his sense of smelling, tasting, hearing, sight and touch. His remote, recent and immediate memories are still intact. VII. SELF- PERCEPTION- SELF- CONCEPT PATTERN

BEFORE HOSPITALIZATION: He describes himself as an individual who would do anything to make his family happy. He said that he is contented with how he looks and he has no plan of modifying his appearance. According to him he is a person with good character. DURING HOSPITALIZATION: According to him, he is anticipating a better future with his family. He remains happy despite of his condition because he believes that he can recover with what he is going through. He has changed physically and suffered from alopecia as a side effect of his chemotherapy. VIII. ROLE-RELATIONSHIP PATTERN

BEFORE HOSPITALIZATION: Pt. J.B is married and has a son who is 4 months old. He is the middle son among 5 children. His family describes him as kind, diligent and a silent type of person. He contributes to the financial settlements in the family. According to him he doesnt have any social problems may it be with his family members or with other people. Whenever problem arises within the family, he takes part in resolving it and is involved in decision making. DURING HOSPITALIZATION According to Pt. JB his relationship with his family grew stronger. He doesnt solely decide on what would make him better but he seeks advice and opinions from other people. Despite of his condition, he still managed to deal with others but with caution.

IX.

SEXUALITY-REPRODUCTIVE PATTERN

BEFORE HOSPITALIZATION: Pt. JB was circumcised when he was 12 years old using the traditional way. He had his first coitarche when he was 19 years old. According to him he finds satisfaction with his sexual life. He doesnt have any sexual problems. He is contented with his masculinity and rated it as 10/10. DURING HOSPITALIZATION: Despite of his condition he is still contented with his masculinity. According to him he may have lost his hair but what matters the most is that he will recover from his the disorder. X. COPING-STRESS TOLERANCE PATTERN

BEFORE HOSPITALIZATION: According to Pt. JB he considered the death of his father as the most stressful situation that he encountered. He coped up with this by believing that everything is happening for a reason. Whenever he is faced with problems he prays to God whom he considered as his source of strength and asks for strength and guidance. He also draws power from the people who never cease to support him. DURING HOSPITALIZATION: According to the patient, he considers his condition as his major stressor but he remains strong in spite of this. The patient uses the same coping mechanism that is why he maintains himself calm and follows instruction well. XI. VALUE-BELIEF PATTERN

BEFORE HOSPITALIZATION: The patients religious affiliation is Jesus Miracle Crusade Ministry. He attends mass every Sunday. He also reads the bible and prays regularly. DURING HOSPITALIZATION: Patient J.B prays even harder for Gods guidance. The only problem he has is that he cannot attend mass because of his confinement.