GORDON’s FUNCTIONAL HEALTH PATTERNS
HEALTH PERCEPTION
Health perception – Health
management
(The actions in maintaining
health focuses on how to
cope up with the individual’s
health.)
PRIOR TO DURING INTERPREATION
HOSPITALIZATION HOSPITALIZATION
Mr. PD. had normal activities After surgery of Open As people understand that
of daily living (ADL) before Reduction Internal Fixation they establish a set of
hospitalization. (ORIF), the patient began to beliefs, perceptions and
have a limited range of values related to health.
motion. These perceptions include
basic ideas regarding what
health is and how to
maintain it. Those people
who are highly motivated to
maintain health are likely to
be successful.
Nutritional – Metabolic

(Pattern of food and fluid
consumption relative to
metabolic need and pattern;
indicators of local nutrient
supply.)
The digestive system of the The patient eats according As the patient decreased his
patient doesn’t have any to his mood. He can’t eat nutritional needs, physical
problem excluding the properly due to his gastric mobility is also decreased.
Gastrointestinal Bleeding irritation.
due to toxicity of medicines
he took before admission.
Mr. PD eats four times (4x) a
day with different menus.
He’s not taking any vitamins.
He takes eight (8) glasses of
water a day or more. He is
also an occasional alcohol
drinker. He is not smoking.

Elimination

(Patterns of excretory There is no problem to He doesn’t have a Foley Genitourinary system

function (bowel, bladder, patient’s genitourinary catheter, and he has regular continues to function
and skin). Includes client's system. The patient has no bowel movement with no appropriately.
perception of “normal" difficulty in urinating prior to report of abdominal pain.
function.) admission.
Activity – Exercise

(Patterns of exercise,
activity, leisure, and
recreation.)
The patient uses motorcycle
to go to his work, which
takes 12 hours of his time
every day.
Upon admission, he is
lethargic until post operation.
After a couple of days, the
patient can verbalize his
needs and pain
experienced. Patient
became exhausted after the
surgery. He has dry skin and
pale eyelids.
A gradual progression of
recovery was identified
because of the patient’s
interactions to the nurse.
Muscle numbness
decreases.

Sleep – Rest

(Patterns of sleep, rest, and
relaxation.)
Before hospitalization, Mr.
PD used to sleep 5 hours a
day. This is because of 12
hours work of his profession
(Security Guard).
Upon admission, he felt Acceptance of irritability may
uncomfortable and occur during hospitalization
verbalized sleep deprivation. because of the noise of the
environment heard and felt
at times. Sleep disturbances
frequently occur if
unaccustomed primarily to
post BKA.
Cognitive – Perceptual

(Speed in ability may affect He is well-known active and The patient is said to be
when cognitive thinking is persistent. depressed. He pronounced
destroyed with some answers according to our
psychological disorders. questions but sometimes
Diseases may also affect the answers were delayed which
cognition of every people.) shows difficulty and
hesitancy in giving out
information.
Cognition can be affected by
physiologic health,
environment and
psychosocial influences.
These changes are related
to differences in the
environment like being
hospitalized or admitted to
skilled facilities.

Self perception – Self

concept

(Client's self-concept pattern
and perceptions of self.)
His perceptions were
respected and he accepted
the fact appropriately and he
knows that it will affect his
ADL, especially his work.
The patient is experiencing
pain and a lot of changes in
his body. Although those
changes suddenly changed
his life, he accepted the fact
about his situation.
Successful psychological
aging is reflected on what’s
the patient’s interaction to
the nurse.
Role – Relationship

(Client's pattern of role According to Mr. PD, at
engagements and times, he’s on his mood to
relationships.) interact with his family or
friends and sometimes even
to strangers, but he admits
that he is an aloof type of
person.
Through out life, a role of
being a son, brother and
father is very difficult. Self-
esteem and coordination
were definitely depressed.
During hospitalization, his
brothers/sisters went and
visit him.
Planning and care for
understanding according to
his situation may apply and
also of his extremity.
confronting the
psychological issues such
as taking care of his family
now that he lost one

Sexuality

(Interest in sexual activity is
not lost as people age. It’s
just decreasing. And it
depends on the people how
active she/he is.)
According to Mr. PD, he is
sexually active but didn’t
want to elaborate more.
They have a 2-yr. old child.
Interest in sexual activity is A person’s sexual desire
decreased/ declined due to and activity declines but not
hospitalization. disappear. Some significant
sexual dysfunction may be
one of the reasons of
decreasing the interest to
have contact.
Coping – Stress

(Coping strategies in In terms of this pattern, The patient coping Coping pattern of our patient
response to stress coping mechanisms are mechanism increased when is slightly arising. This
producing situations are increased with the presence relatives and friends are development encourages
important factors in of his wife and relatives. there to support him. uplifting his self-esteem.
determining how
successfully one adapts to
an event and whether self-
esteem is maintained,
enhanced or decreased.)

Values – Beliefs

A single person’s crisis can According to our patient, he His beliefs are still present Acceptance in his situation
be based on personal and is a Roman Catholic and he even though he’s in a increased through GOD’s
spiritual cases. The usual really believes in GOD. difficult situation. love and glory.
coping mechanisms don’t
work if a person is facing a
difficult situation such as
death or an upcoming
surgery. It becomes a crisis.