Chapter V

GORDON’S FUNCTIONAL HEALTH PATTERNS

A. HEALTH PERCEPTION AND HEALTH MANAGEMENT PATTERN

Patient D considered himself as a healthy human being. He stated that ‘akon problema

gid kay ning akon stroke, hindi ko kalakat tarung kay sakit ang akon balakang’.

He also received both Sinovac and Pfizer COVID-19 vaccines in 2022 and has no

history of surgery. His last physical examination was in 2012 for urinary tract infection.

He is currently taking Losartan and Multivitamins for his hypertension, indicating his

familiarity with his medication.

CUES NURSING PRIOTIZATION RATIONALE

DIAGNOSIS
Subjective: Chronic pain related to HIGH 1 The prioritization of this
The patient, while hip pain secondary to nursing concern as high
stroke as evidenced by priority (HIGH 1) is
considering himself a
limited ADLs justified by the significant
"healthy human being," impact on the patient's
reported experiencing activities of daily living
ambulatory challenges (ADLs) due to chronic hip
due to the aftermath of a pain following a stroke.
The subjective report
stroke, stating, "akon
from the patient reveals a
problema gid kay ning perceived severity of the
akon stroke, hindi ko ambulatory challenges,
kalakat tarung kay sakit indicating that walking is
ang akon balakang." compromised due to the
aftermath of the stroke
and associated hip pain.
Objective: The objective observation
The patient further confirms the
demonstrated difficulty patient's difficulty in
in walking attributed to walking, substantiating
hip pain. the subjective claim.
Considering the
importance of mobility in
daily life and the potential
for compromised
independence, addressing
and managing the chronic
hip pain becomes a
 priority (HIGH I) to
enhance the patient's
overall well-being and
quality of life.

B. NUTRITIONAL AND METABOLIC PATTERN

Patient D is 53.31kg of weight, height of 154 cm, and his BMI is 22.5. He stated that he eats

three meals a day, comprising breakfast, lunch, and dinner. Although he is able to consume

any kind of meal, he chose to avoid sour and sweet food as his preference. He also

mentioned that ‘wala man bawal saamon kay katoliko man ako’. Notably, the patient

has no allergies.

CUES NURSING PRIOTIZATION RATIONALE

DIAGNOSIS
Subjective: Not applicable LOW 1 N/A
The patient reported
that he eats 3x per day
and that he prefers to
avoid sweet and sour
food. Furthermore, the
patient verbalized
‘wala man bawal
saamon kay katoliko
man ako’.

Objective:
His calculated BMI is
22. 5 which falls
under the range of
normal. Additionally,
the patient
demonstrated a
healthy appetite and
no allergies were
noted

C. ELIMINATION PATTERN

The patient reported that ‘ normal lang man akon nga ihi, yellow kag wala man

sang baho’. He urinates about 3-4 times a day. He also mentioned that he has regular
 bowel movements without the use of laxatives and claimed that he has no difficulty

defecating.

CUES NURSING PRIOTIZATION RATIONALE

DIAGNOSIS
Subjective: Not Applicable LOW 2 N/A
The patient verbalized
“normal lang man
akon nga ihi,
yellow kag wala
man sang baho.”
He urinates 3-4
times a day and
defecates without
difficulty, indicating
that his urine and
bowel movement
function normally.

Objective:
The patient’s urine
is yellow and
odorless. He
urinates 3-4 times
and he has no
problem defecating.

D. ACTIVITY AND EXERCISE PATTERN

The patient stated that he takes a slow walk around the facility using a cane as an

exercise before going to bed 'ga lakat-lakat ako bag-o matulog'. He denied having a

cough and mentioned that he has regular heart rate changes when he walks.

CUES NURSING PRIOTIZATION RATIONALE

DIAGNOSIS
Subjective: Risk for fall related to HIGH 2 The patient's reliance on
The patient walks as his limited mobility as walking as a form of
form of exercise, as evidenced by use of exercise, as expressed
stated “'ga lakat-lakat assistive devices, through "ga lakat-lakat
ako bag-o matulog.” ako bag-o matulog,"
underscores the
Objective: significance of mobility in
The patient experiences his daily routine.
limited mobility and However, the objective
uses assistive device to assessment reveals limited
ambulate. Nonetheless, mobility, necessitating the
he acquired a total of 6 use of assistive devices for
points on the Katz ambulation. Despite
Index of Independence achieving a total of 6
in ADLs, signifying points on the Katz Index
that he can perform of Independence in
ADLs such as bathing, Activities of Daily Living
dressing, toileting, and (ADLs), which indicates
feeding on his own. proficiency in tasks like
bathing, dressing,
toileting, and feeding, the
patient's risk for falls is
heightened due to
impaired mobility, as
evidenced by the use of
assistive devices.
Therefore, prioritizing
interventions to mitigate
the risk for falls becomes
crucial (HIGH 2) to ensure
the patient's safety and
prevent potential injuries
associated with
compromised mobility.

E. COGNITIVE / PERCEPTUAL

The patient claimed to have good memory and social skills, he is oriented with time,

date and place but struggles with forming coherent sentences 'gahingal ako pag mag

sige ako storya' as he stated and the patient has no indication of memory loss. Also,

patient is able to speak and understand Bisaya, and Tagalog.

CUES NURSING PRIOTIZATION RATIONALE

DIAGNOSIS
Subjective: Impaired Verbal HIGH 3 The patient's self-
The patient expresses Communication related to expression of struggles
struggles with sentence difficulty forming with sentence coherence,
coherence, as coherent sentences, as as indicated by the
verbalized "gahingal evidenced by the patient's statement "gahingal ako
ako pag mag sige ako statement "gahingal ako pag mag sige ako storya,"
storya" to describe the pag mag sige ako storya." underscores a significant
difficulty. challenge in verbal
communication. Despite
Objective: the patient's cognitive
The patient awareness, proper
demonstrates cognitive orientation, and
awareness with proper proficiency in language
orientation to time, comprehension, the
date, and place. No MMSE result of 16
memory loss is indicates a moderate
reported, and the patient degree of impairment,
shows proficiency in suggesting a need for
both speaking and supervision. Given the
understanding Bisaya essential role of effective
and Tagalog. communication in patient
care, prioritizing
Additionally, his Mini- interventions to address
Mental State impaired verbal
Examination (MMSE) communication becomes
result revealed a total crucial (HIGH 3) to
score of 16, which enhance the patient's
indicates a moderate ability to express needs,
degree of impairment, understand instructions,
supervision may be and actively engage in
required. therapeutic interactions,
thereby positively
influencing overall care
outcomes.
F. SLEEP AND REST PATTERN

The patient mentioned that he usually sleep at around 8pm and wakes up at 6am. He also

takes a 2-hours nap every day. Upon waking up, he feels well-rested and does not

require any sleeping medication. Additionally, he mentioned that he walks around before

going to sleep ‘para mahilis ang pagkaon’.

CUES NURSING PRIOTIZATION RATIONALE

DIAGNOSIS
Subjective: Not applicable LOW 3 N/A
The patient reported a
consistent sleep routine,
usually retiring at 8 pm
and waking up at 6 am,
with a daily 2-hour nap.
Furthermore, the patient
incorporates a pre-sleep
routine of walking
around to facilitate
digestion, stating,
“para mahilis ang
pagkaon.”

Objective:
No sleeping problems
were reported.
 G. ROLES AND RELATIONSHIP PATTERNS

The patient stated that in former times, he serves as the provider and a decision maker in

his family, describing his role as ‘ga garab ako.’ In the past, when he was hospitalized,

his wife assumed the responsibilities, and all of his family members was cooperative with

him. In his current condition, he depends on his caregivers for his basic needs.

CUES NURSING PRIOTIZATION RATIONALE

DIAGNOSIS
Subjective: Ineffective role MODERATE 1 This is considered as
The patient reported performance related to role moderate priority level
that in his present
transition from provider to (MODERATE 1) due to
condition he relies on
the caregivers for his dependent due to current its impact on the patient's
basic needs, indicating condition as evidenced by psychosocial well-being
a shift in his role from patient’s statements. and overall adjustment.
provider to dependent. The patient's self-report
regarding reliance on
caregivers for basic needs
signifies a significant shift
in roles, moving from a
position of providing to
becoming dependent..
Addressing this diagnosis
involves interventions
aimed at supporting the
patient's adjustment to the
new caregiving dynamic,
fostering a sense of
empowerment and
participation in decision-
making within the current
role context.

H. SEXUALITY AND REPRODUCTIVE PATTERN

 The patient exhibits a passive approach to sexuality and reproductive patterns.

CUES NURSING PRIOTIZATION RATIONALE

DIAGNOSIS
Subjective: Not applicable LOW 4 N/A
The patient is socially
active.

Objective:
The patient has no
history and present
health problems as
well in terms of the
reproductive system.

I. COPING AND STRESS TOLERANCE

The patient stated that 'akon gina himo kay matulog lang'.

CUES NURSING PRIOTIZATION RATIONALE

DIAGNOSIS
Subjective: Ineffective Coping MODERATE 2 This is considered as
The patient reported related to sleep as a moderate 2 because the
that he sleeps to cope patient's reliance on sleep
maladaptive coping
up, as mentioned “akon as a coping strategy
gina himo kay matulog mechanism, as evidenced suggests that he may be
lang.”. by the patient's report, using excessive sleep as a
"akon gina himo kay means of dealing with
matulog lang." stress, challenges, or
emotional distress. The
identification of ineffective
coping mechanisms is
essential for developing
targeted interventions to
help the patient explore
healthier and more
adaptive strategies for
managing stressors and
improving overall well-
being.
 J. VALUES AND RELIEF

The patient religion is Roman Catholic and he prays habitually.

CUES NURSING PRIOTIZATION RATIONALE

DIAGNOSIS
Subjective: Not applicable LOW 5 N/A
The patient
demonstrates no
problem in practicing
his religion.