GORDON’S FUNCTIONAL HEALTH PATTERN

Prior to Hospitalization
Functional Health During Analysis and
Pattern Hospitalization
Interpretation

I. Health The patient experiences seizure The patient is The patient follows

Perception during pregnancy. According to worried regarding and cooperates with

the patient, she rarely has her condition and the health care team.
Health
illnesses like coughs or colds how this will
Management but takes over-the-counter affect her unborn Readiness for
Pattern medication if needed. The child. The patient
enhanced
patient also stated that they try was willing to
therapeutic regimen
to maintain good health change to manage
management
especially during her pregnancy her health and her
by eating healthy foods such as child’s.
fruits and vegetables. The Reference:
patient does not smoke nor Nurses Pocket Guide
drink alcohol. 11th Edition by
Marilyn E. Doenges
p.691-694

II. Nutritional The patient usually eats more The patient started The patient is

Metabolic meat rather than vegetables. to lose weight consuming food

The patient reported that she during her more than what is
Pattern
eats more than required during hospitalization. required causing her
her pregnancy due to cravings. The patient to gain extra weight.
 The patient reported that she realizes that she
takes prenatal multivitamins needs to change Imbalanced
daily and drinks at least 12 her diet and eat nutrition: more
glasses of water a day. Her healthy foods to than body
appetite is good but started to maintain a healthy requirements
experience decreased appetite weight
in her third trimester. The
patient does not have difficulty
when eating and has no known Reference:
food allergies. Because of the Pocket Guide 13th
patient’s eating habits, the Edition by Marilyn
patient experienced weight gain E. Doenges p. 640–
during pregnancy but also 644
experienced weight loss during
her third trimester.

III. Elimination According to the patient she The patient had The patient has
defecates once a day with bulky excessive thirst been frequently
Pattern
and well-formed stool and frequent urinating and the
depending on what she eats. urination. The amount is more than
She urinates 6 times a day and patient can void the normal daily
up to 10 times a day during completely and amount of urine per
pregnancy with dark amber in frequently senses urination.
color, and odorless and about the urge to void
400 mL per urination and about and often hurries Functional Urinary
more than 3L per day. No to the restroom. Incontinence
evident excessive perspiration. Patient is also
Perspires normally with no foul incontinent in the
odor. morning

Reference:
Nurses Pocket
 Guide 13th Edition
by Marilyn E.
Doenges p. 255–
259 and p. 527–
531

IV. Activity and According to the patient, she The patient managed Prior

Exercise Pattern tries to walk around the house to position herself, hospitalization, the
every day. She does light turn side to side from patient stated that
house chores. This serves as time to time to prevent she does dishes and
her exercise. bed sore. She moves washes clothes as
Different level of activities on carefully. Her an alternative to the
the following: movements are proper exercise.
restricted due to body During her
weakness and body hospitalization, due
Level 0: aches. The patient also to his condition,
- Getting up from bed - Sitting has a fever which Patient is still at
on his/her own hinders her from risk of experiencing
- Eating moving. Due to her insufficient
- Taking a bath condition, her physiological
- Elimination physician advised her energy to complete
(Defecation/Urination) to take a bed rest. an activity which is
- Change of clothes Different level of why complete
- Hygiene and grooming activities on the assistance and bed
- Movement following: rest is advised.
- Cooking
- Household chores Level II
Activity intolerance
- Getting up from bed
- Eating
- Taking a bath
- Change of clothes
Reference:
- Hygiene and
Nurses Pocket
grooming
Guide 13th Edition
 - Movement by Marilyn E.
Doenges p. 69-73
Level III
- Sitting on his/her
own

Level I
- Elimination
(Defecation/Urination
)

V. Sleep Rest According to the patient she The patient is also Patient does not
usually sleeps at 11 PM and anxious which have any trouble
Pattern
wakes up at 6 AM to prepare prevents her from with sleeping prior
breakfast for her husband resting. After delivery, to hospitalization.
before going to work. The the patient only gets a The patient had
patient has difficulty in short and shallow trouble sleeping due
sleeping because she is unsure sleep due to the to the unfamiliar
and uncomfortable with her environment. environment.
position when sleeping. The
patient does not take any sleep
Readiness for
medications and takes naps in
enhanced sleep
the afternoon. The patient
likes to watch movies and
read to relax. Reference:

Nurses Pocket
Guide 13th Edition
by Marilyn E.
Doenges p. 869-872

VI. Cognitive No hearing difficulty. Does not The patient got The patient’s
use any hearing aids. Visions stressed and was cognitive-perceptual
Perceptual
Pattern are clear 20/20. Does not use restless about what pattern was altered
any eyeglasses, but experiences is happening due due to shock brought
blurring of vision. Can to anxiety and her by condition. Patient
comprehend instructions and current condition. was able to
questions. Patient can easily The patient was understand and
learn. Patient usually feels body also experiencing lessen worries after
aches and general weakness headaches. health teaching.
due to pregnancy and relieves it
by lying down or sitting to rest. After some Impaired comfort
interventions and
health teaching,
the patient can Reference: Nurses
verbalize Pocket Guide 13th
understanding and Edition by Marilyn
reason of a certain E. Doenges p. 210-
intervention 215

VII. Self – The client stated that she views She stated that her Although the patient
herself as functional. Although self-concept is had undergone body
Perception
she states she is reasonably altered. Other than changes due to her
Self – Concept
satisfied with her current status having low self- recent pregnancy,
Pattern in life and what she has esteem because of this does not appear
achieved for herself and her her body changes, to detract from her
family, her perception of how during her stay in general feeling of
she looks was challenged since the hospital she physical wellbeing
she has body changes due to her started to think although her body
recent pregnancy, it that she is a image and perception
demonstrates issues around burden to her of herself being a
physical dissatisfaction, possible family because she burden were
low self-esteem and a lack of is hospitalized and highlighted
confidence in social situations can only do negatively in more
minimal tasks than one pattern.

Risk for situational

 low self-esteem

Reference:
Doenges, M.E.
(2006). Nurses
Pocket Guide 10th
Edition. F.A Davis
Company. p.466-468

VIII. Role The patient is a married woman The patient stated The patient’s
for 5 years, is currently living that she had a hospitalization
Relationship
in Makati along with her close relationship brought the patient
Pattern
parents, husband, and siblings. with her siblings, and her
She views her primary roles at husband, and friends/family closer
this stage of her life as being a parents right now than before.
wife, sister, and a mother. She because they are
enjoys close relationships with the one who is
Readiness for
her parents and 2 siblings. She taking turns in
Enhanced
stated that so far, they have taking care of her
maintained a good during her hospital Communication
harmonization between each stay. Her friends
family member. The patient as also visited her
well as her significant other once to catch up Reference:
meet their financial needs and bring her Doenges, M.E.
through her husband’s job. The spirits up, (2006). Nurses
patient stated that she has close Pocket Guide 10th
friends to talk to but because of Edition. F.A Davis
her having her own family and Company.p.145-149
taking care of her family, she
has little spare time to socialize
with friends

IX. Sexuality – The patient was practicing The patient and Despite the patient’s

Reproductive family planning and was trying her husband had condition, the patient
Pattern to conceive. The patient had her planned to and her husband
menarche at 12 years old. She conceive, and her were ready to prepare
usually experiences back pain pregnancy was for and maintain care
and dysmenorrhea during the happy learning of the newborn that
week before her menstrual about her is sufficient for
period. This is her first pregnancy. ensuring well-being
pregnancy. The patient does not Although the and can be
feel any pain during intercourse patient’s situation strengthened
and urination. became a
complication with Readiness for
her pregnancy enhanced
childbearing process

Reference: Nurses
Pocket Guide 13th
Edition by Marilyn
E. Doenges p. 200–
209

X. Coping- Stress The patient stated that The patient The patient is still

Tolerance whenever she has a problem, verbalized that she optimistic and copes
she always shares it to her shares her feelings to stress by sharing
Pattern
parents and her partner. She to her mother and her problems and
also tries to relax whenever she partner. She feels talking to her family
feels stressed and may relieve it at ease whenever and friends. Despite
by watching tv shows. she talks to the her health condition.
person, she is
comfortable to talk Readiness for
to. She thinks of enhanced coping
family, and which
helps her to feel at Reference:
ease. Being with Nurses Pocket Guide
her family during 14th Edition by
her hospitalization Marilyn E. Doenges
 also helped the p.186-189
client

XI. Value- Belief The patient is Roman Catholic, According to the The patient remains

Pattern and she attends mass 3 times a patient, she always faithful to God and
month. She often prays at night prays at night did not blame Him
before she sleeps. before she sleeps. for her condition.
She seeks for
guidance, good Readiness for
health, and fast enhanced spiritual
recovery from her wellbeing.
condition. She
also expressed her Reference: Nurses
gratitude to God Pocket Guide 14th
for the blessing Edition by Marilyn
that he gave. E. Doenges p. 821–
824