Gordons functional health pattern for adult

Health management and perception pattern

 Do you understand your medical diagnosis? Yes.
 Cause of hospitalization or chief complaint
 Has been hospitalized before when and why - “oo kay nagka-sinus ko tung 2003”
 How did you have such disease? - “tungod man to sa akong trabaho kay puno
permi sa alikabok”
 When did it start? How did it progress? “Nag sugod man katong 2003 di na ko
kahinumdom sa adlaw. Katong nag dugay na ko sa akong trabaho sa paghimog
furniture, didto nagsugod nga ping-ot akong ilong (congested) tapos sige kog
hatsing (sneeze). Gasakit pud akong ulo ato unya gina sip-on ko maong nagpa-
check up na ko.”
 how had this affect your normal ADLs? - “maglisod na kog himo sa akong mga
buhatonon labi na sa akong trabaho kay di ko maka-focus unya gasakit pa gyud
akong ulo ato. Naglisod sad ko ato kada matulog ko kay lain akong paminaw.”
 Expecting to go home in a day or two? - No.
 Other health problems? “Wala”
 Family history? “Sa side sa akong mama naay high blood og diabetes”
 Has been compliant to the doctors orders? “Oo para maayo og makagawas na ko
sa hospital”
 What do you usually do to prevent this disease from occurring? “Wala”
 Taking vitamins? “Wala”
 Use of herbal plants? “Wala”
 Use of tobacco? “Wala”
 Use of alcohol? Yes. Type: Beer, Tanduay. Since: 20 yrs old. Amount of intake: 1
bottle. Frequency: 3 x a week
 Drugs? No
 Allergies: “wala”

Nutritional/Metabolic Pattern
Weight/Height: 64kg, 5’6
24 hour food recall
Time 9 am - tinolang manok, rice, water
11 am - biscuit (sky flakes), juice
9 pm - pinakbet, rice, water

 You consider yourself as? Right / (not overweight nor underweight)

 Weight Fluctuations: None
 Special Diet/ Supplements: None
 Eating? How many times?
Before: 4 to 5 times
Today: 3 times
 Favorite food: Wala
  Foods you don't eat: “Wala, gakaon man ko bisag unsa”
 Eating with whom? “Asawa og anak”
 Appetite: Normal
 Swallowing difficulty: None
 Dentures: None
 Skin problems: full thickness burn at left and right forearm, left and right foot
 Skin turgor: <2s
 Temperature: 39 (@4 pm) Warm to touch? Yes
 IVF: D5LR 1L x 12 hours (pero naa kay akee ang details about IVF)
 Drinking how much? Before: 1440cc; After: 2000cc
 What? Milk, Coffee, Juice, Soft drinks
 Changes in thirst: Increased

Elimination Pattern
 Bowel Habits: BEFORE - 1x a day: WNL - brown with strong odor but not
overwhelmingly foul. AFTER - No stool for 3 days - Assistive device: catheter
 Bladder Habits: BEFORE: 6 x a day - WNL - Yellow - aromatic. AFTER: with
catheter: 800 cc of urine output - Yellow color

Activity and Exercise Pattern

 Feeling of weakness: yes
 Activities carried out during routine day: Eating, drinking, dressing & bed
mobility: assistive from others… Toileting, transferring, toileting, and ambulating:
unable
 Tolerance in activities: decreased
 Rate self as: dependent
 Task is achieved with the help of: wife
 Experienced shortness of breath : no
 Exercise: (wala sya ga exercise)
 Factors affecting mobility : pain, muscle weakness, functional impairment due to
burn injury, psychological factors or unwillingness or ability to move
 Musculoskeletal impairment? Yes, due to burn injury.
 Daily living before? “Trabaho, tapos mag uli ko sa akong asawag anak. Kung
walay trabaho, galihok pud ko sa balay. Usahay mag inom kauban akong
barkada.”

Cognitive and Perceptual Pattern

 Mental status: alert and oriented
 Speech: normal
 Able to: read and speak
 Vision: within normal limits
 Pupils reaction: within normal limits
 Hearing: within normal limits
  Smell and taste: within normal limits
 Touch sensation: tingling
 Discomfort or pain: acute
 Description: described as a pins-and-needles feeling or a prickling sensation.
 Onset - "The pain started after the burns and has been constant."
 Location - left foot and left forearm
 Duration - "since the time of incident."
 Severity - 8/10
 Pattern - "The pain is intermittent. According to the patient, it lessens with the
administration of pain reliever and worsens in its absence"
 Aggravating Factors - "Movement on the affected areas and lack of pain reliever."
 Pain management: pain reliever
 Responsive to: verbal, physical stimuli
 Time, place, and person oriented
 Remove or recent memory: OK
 Decisions? OK

Roles or relationship pattern

 Lives with whom: “asawa, anak”
 How those people: “okay”
 Works as a furniture maker
 Gets along with friends and coworkers
 Major roles, relationship and responsibilities at present: Husband, Parent, Provider
of the family
 How is it? “Bago pa ko na-hospital, ako naga provide sa akong pamilya. Og way
trabaho, naga alaga pud ko sa akong anak o maghatag og oras kauban akong
asawa.“
 How was your illness affected your roles responsibilities? “Nakaapekto gyud
akong sakit karon kay dili naman ko katrabaho maong apektado pud among
pinansyal. Nagasalig nalang ko sa akong asawa og pamilya bisag sa akoang pag
kaon, pag inom og tubig.”
 Satisfactions and disturbances, in roles in responsibilities? “Tungod sa akong
sitwasyon ron dili na nako mahimo akong mga responsibilidad sa akong pamilya.”
 Support system? “Akong asawa, Nanay og Tatay nako pati mga igsuon nako,
maoy naga suporta sa akoa karon.”

Value and belief pattern

 Religion: Roman Catholic
 Practicing being in that religion? Yes.
 Go to church every: “katong wala pa ko na-admit, nagasimba mi sa akong pamilya
pero karon diri nalang magpa-sounds ra mig worship songs.”

Self-concept or perception pattern

  ways you feel different because of illness?
 Body posture & movement/Voice & speech pattern:
 Eye contact:
 Grooming:
 Concern about family? Work/school?

Sexuality and Reproduction Pattern

 Marital status: Married
 Family planning? Yes

Coping/ Stress Tolerance Pattern

 Concerns: “Dili na ko makatrabaho og makasuporta sa akong pamilya. Gina
nerbyos ko tungod sa akong operasyon.”
 Who's with you? Partner, Relatives and Parents
 Major loss/change this year: “kaning pagka-hospital nako, pagtanggal sa akong
tudlo sa akong wala nga kamot unya operahan na pud ko usab.”
 How handle: “Gaistorya ko sa akong pamilya og ginapagawas nako akong gibati.
Nagaampo ko sa Ginoo, dawaton nalang gyud nako.”
 What do you do to relax: “Mag tan-awg TV or sa cellphone.”
 Afraid? “Gina nerbyos ko sa akong operasyon.”
 Muscle Trembling? Yes
 Support System: Wife, parents, siblings, relatives

Sleep or Rest Pattern

 Before admission: 6-7 hours. Sleeps at 10 pm and wakes up at 4 or 5 am
 During admission: 8 hours. Sleeps at 11 or 12 am and wakes up at 7 or 8 am
 Feels rested after sleep? No
 Always feel dizzy? No
 Sleep problems: yes, verbalized difficulty falling asleep due to pain
 Disturbances: “makamata ko kada gabii labi nag gasakit maayo akong samad.”
 Perception of quality or quantity of sleep: “Dili maayo akong tulog kay dugay ko
makatulog unya makamata ko kada gabii.”