GORDON’S FUNCTIONAL PATTERN

Health Perception/ Health Management Pattern

Ms. Missy Bonbon’s reason for admission was due to edema on lower
extremities and difficulty of breathing that started two weeks prior to admission.
According to patient, she seeks medical advice to cure her illness. She expects that the
health care team will provide efficient and good quality care to her. The patient hasn’t
hospitalized before, she doesn’t perform self examinations.

Nutritional Metabolic Pattern

Before Ms. Missy Bonbon’s hospitalization, during week days, she eats one junk
food and 12 ounce soft drink for her breakfast, same as through with her lunch. During
weekends, she eats three meals a day composed of rice and a viand such as fish, egg,
and a chicken as her favourite, she also likes soup especially for dinner and likes to eat
fruits such as banana and marang. Being an Islam, she had never eaten pork since it’s
against their religion. According to the SO, if they have the money, the patient requests
for chicken as her viand for a week’s consumption. This was her desired food
preference which started on her high school years. But during her elementary years she
normally eats 3 meals a day. During her hospitalization she only consumes about ½
-1/4th from food served on her breakfast and lunch, and doesn’t usually eat her dinner.
Sometimes she doesn’t even eat her meals and prefers to eat about 1/4th of junk food
given by her SO, and a Max candy or chewing gum. She doesn’t experience any
discomfort in swallowing. Her typical fluid intake before hospitalization was 5-7 glasses
per day but now she could nearly consume 2-4 glasses per day.

Elimination Pattern
The patient’s regular bowel movement pattern before hospitalization was once a
day any time of the day. During our shift, Day 1 she defecated twice with black, slightly
wet stool, Day 2 she defected once with brownish, slightly wet stool, Day 3 she
defecated twice with a yellowish, slightly wet to semi formed stool. The patient didn’t
experience constipation or diarrhea. Her urinary elimination pattern is 3-4 times a day.
But during our hospitalization, she was on diaper with an output of about 400-500 cc per
day. According to the patient, she does not experience any problem with regards to
urination such as incontinence, dysuria, burning sensation, dribbling, nocturia, polyuria
and urinary retention. The following are records of 24 hour total intake and output from
our 1st day until 3rd day of duty; 1st day (Intake- 1,400 cc, Output- 480 cc with 2BM), 2nd
day (Intake- 1,370 cc, Output- 510 cc with 1BM), 3rd day (Intake- 1,620 cc, Output- 450
cc with 3BM). The patient has Grade III bilateral pitting edema, ascites with an
abdominal girth of 88cm on Day 1 and Day 2, and 84cm on Day 3, with skin lesion
approximately 2cm in diameter & reddish in color on the sacral area. She had not also
experienced excess perspiration and odor problems.

Exercise and Activity Pattern

Ms. Missy Bonbon’s typical day’s activity is doing household chores, such as
cleaning the house, helping in washing clothes and dishes. According to the patient,
mostly she spends about 2-4 hours watching television and surfing in the internet as her
leisure time. She does not perform any exercise, she does not engage to any sports
and claimed that she doesn’t experience any problem with her activity not before she
experienced ascites and edema because she had difficulty in walking associated with
fever and cough. The patient doesn’t engage herself to smoking or tobacco use and
alcohol. During hospitalization, patient couldn’t move freely its lower extremities due to
grade III bipedal pitting edema. The patient together with the SO was encouraged to
perform passive ROM on the patient’s both lower extremities.

Sleep/ Rest Pattern

Before the patient was hospitalized, she usually sleeps at 10:00 pm and arises at
5:00 am. She doesn’t take naps at the afternoon or anytime of the day since she has
classes. Sometimes, when she has school or paper works, she retires at 12:00 am.
During hospitalization, the patient verbalized that she gets disturbed from sleep when
hospital staff is doing routines such as monitoring vital signs, and also she has a
difficulty in sleeping. After sleeping, she feels rested and seems to be in an improved
condition. The patient did not experience any nightmares and insomnia.

Cognitive/ Perceptual Pattern

The patient did not undergo any examinations except for her laboratory tests at
AMAI Pakpak Medical Center at Cagayan de Oro City under Dr. Ipig and at Northern
Mindanao Medical Center at Cagayan de Oro City under Dr. Magsayo and Dr. Yusof
last August 9, 2010. The patient doesn’t wear any eyeglasses or contact lenses. She
does have blurring of vision as claimed by the patient. Ms. Missy Bonbon has no special
senses nor feels any problem on ability to feel pain, ability to distinguish object by touch
and ability to smell object and ability to taste.

Self Perception Pattern

“Noon, yung hindi pa ako ngkasakit, malusog na malusog ako, mataba,
nagagawa ko pa ang gusto kung gawin, pero ngayon nanghihina na ng katawan ko,” as
verbalized by the patient. When she was asked if there is something she wants to
change about herself she said, “wala, gusto ko nang gumaling agad”.

Role Relationship Pattern

Ms. Missy Bonbon lives at Lombayao Balindong, Lanao del Sur with her family
and stepmother, since her mother died when she was 6 years old. She has an extended
family living with them. The relatives and her family managed her illness by supporting
and caring her. The health status does not affect her relationship with others especially
with her family.

Environmental Health Patterns

In Ms. Missy Bonbon’s hometown, the SO described the place as a rural area.
They live in a farm with fresh air, fresh water and many fruit bearing trees. Their
neighbours are their relatives. During her high school years, she studied at Gensan and
lives with her relatives. According to the SO, there are no industrial buildings near their
house.

Value and Belief Pattern

According to the patient the most important thing or person to her is family. She
generally did not get what she wants in her life due to financial instability. She fined
prayers as helpful to cure her illness. According to her, her illness does not affect her
belief in her religion or Allah.