GORDONS 11 FUNCTIONAL HEALTH PATTERN
1. Health Management Pattern
Before Hospitalization:
When asked about how she perceives health
the patient defined health as being free from
diseases. She described herself unhealthy and
weak since she had been diagnosed with
ovarian cancer. When asked about her
childhood illnesses, she can only recall
experiencing chickenpox and measles. When
she was in Hongkong, she had weekly visit to
the hospital for her weekly check up of her
condition; she underwent chemotherapy. She
sometimes uses herbal medicine such as ginger
tea and guyabano tea. When she experiences
getting sick like cough and colds, she takes
over the counter drugs such as Neozep. She
buys and takes over the counter drugs such as
Biogesic, Mefenamic acid, and Diatabs.
She has no vices such as drinking alcoholic
beverages and smoking cigarette or any other
unhealthy habits that may have severed her
condition.
During Hospitalization:
Ms.___ appears weak, pale and thin. She
has complaints of body pain. She also
verbalized pain in the pelvic area, vomiting and
constipation. She was Onsia for her vomiting.
She has also undergone blood transfusion due
to her anemia. She was monitored under the
service of Dr. Scheryl Pua and co-managed
with other doctors. In addition to her existing
knowledge about her condition, she perceives
her health as declining. She mentioned that her
health is not getting better but still has hopes
and remained positive.
The patients current management
includes blood transfusion, chemotherapy, and
taking prescribed medications on the ordered
time.
 2. Nutritional-Metabolic Pattern
Before Hospitalization: During Hospitalization:
Ms.__ eats her meals 3 times a day with a snack On May 17, 2017, the doctor ordered
in between; breakfast at around 7AM, lunch at for diet as tolerated. Her schedule of meals are
around 12n and dinner at 6PM. She does have still the same but sometimes she was unable to
poor appetite because she consumes an average eat due to her vomiting. She prefers eating
of only 1 cup of rice a day, and a bowl of foods prepared at home thats why her SO is
vegetable dish and meat. Ms.___ stated that she bringing her packed lunch from their house.
favors fruits more often than rice dishes. Her She mentioned that she consumes
snacks usually composed of crackers or bread. approximately 1 liter of fluid a day.
Ms.___ appear skinnier from the first time
She stressed that she only consumes water and being handled.
no other liquids. However, she only drinks 3-4
glasses of water in a 24 hour period. She drinks
before and after meals and when she takes
medications. She claimed to not have any food
allergies.

3. Elimination Pattern
Before Hospitalization: During Hospitalization:
Bowel: The patient defecates every other day.
She doesnt defecate much because she doesn't
eat much. She described her stool as hard. Upon
being questioned about the quality and the
appearance of her stool, buo, matigas at dark
yung tae ko. she described. She also stated
that she frequently experiences constiapation.
In addition, Ms.___ mentions she feels pain
during defecation.
Urine: The patient urinates 5-6 times or more
in 24 hours. She also claimed that her urine is
scanty. She describes the color of her urine as
light yellow to dark yellow. She does not feel
any discomfort in urinating.
4. Activity-Exercise Pattern
Before Hospitalization:
When asked about her activities before she
was confined, Ms.___ states that she would
often ambulate around the house and do
household chores. She even mentioned that she
goes hiking with the children she is taking care
of. According to her, she is used to working
around the house every day and is not satisfied
when she is not doing something. When she
has her day off, she said that she stays at her
room and watches television. She says that she
enjoys the outdoors but rarely has the energy to
go outside anymore.
5. Sleep-Rest Pattern
Before Hospitalization:
Bowel: Upon confinement in the hospital, Ms.
___ defecates every two or three days. She
described her stool as, matigas na may
pagkabrown. She said that she does not
defecate every day because she does not eat
much. Even if she does not feel any urge in
defecating, she makes herself defecate but fails
to. She does feel pain and discomfort in
defecating. Furthermore, the client uses a
bedside commode in defecating.
Urine: The patient urinates 3-4 times a day.
Her urine color is yellow to dark yellow. Her
urine output is 80-150 mL a day because she
takes much fluid. She does not feel any
discomfort in urinating. The client uses a
bedside commode in urinating because she does
not have the strength to urinate without
assistance.
During Hospitalization:
The client mostly stays in bed because
she does not have the strength to walk for a
long period. She usually spend her time
sleeping and chatting with her family. She only
gets up from bed when she needs to defecate
and urinate at the bedside commode. Her speed
of movement has decreased, decreased strength;
becomes weak in prolonged activities, and
limited range of motion.
During Hospitalization:
 The client usually sleeps at 9PM and The client has more sleep and rest now; she
wakes up at around 5:30AM . She only sleep mostly stays in bed and sleep or watch tv. She
for a few hours an average of 4-5 hours a day. gets a 7-8 hours of sleep. Nakakatulog ako ng
Hindi ako masyado nakakatulog kasi yung mabuti dito because its quiet unlike at home
ubo ko. I always cough at night. I try to fall theres a lot of loud noises. She sleeps well
asleep right away but its hard to fall asleep but she still gets easily woken up by sounds and
because I start coughing again. She gets easily movements. She still does pray at night but
woken up by sounds and movements. As for her only sometimes when she remembers.
nap time, she sometimes takes a nap at 11AM
and wakes up for lunch. She sometimes fall
asleep while watching television in the
afternoon. At 6 PM, they eat their dinner and
after dinner, she hangs out with her helpers and
talk until they are about to fall asleep. Before
going to sleep, she prays for strength.

6. Cognitive Perceptual Pattern

Before Hospitalization:
Mrs. DH was diagnosed with cataracts
on both eyes in Australia so she uses glasses.
She does cannot hear well but can taste well,
she does not like sweet food. She neither uses
any special devices such as contact lenses, and
hearing aids nor takes any
medications/treatment in relation to this. The
client was able to recall recent events like the
doctor's instructions to her; she can also clearly
recall some events of when she still lived in
Australia while her husband was still alive.
Mrs. DH has no problem in expressing
her thoughts and explaining things to others.
She finds decision making as variable because
it will depend upon the situation. When she is
unsure of making major decisions, the client
consults her sister.
According to the SO, one time at night at
home, the patient tells inappropriate
imaginations like, I-open mo nga yung ref,
ipalit mo sa ABS-CBN.
During Hospitalization:
Patient is alert and conscious. She
understands instructions given to her and she
collaboratively works with the nurse. Upon
assessment, objectively, she is oriented and
aware of her environment.
Still, according to the SO the patient seemed to
be confused at times and say inappropriate
imaginations. According to the SO, one at
night the patient tells inappropriate
imaginations like Kunin niyo yung aso sa
kwarto ko katayin natin hindi pa ako
nakakatikim ng ganyan kinakalmot ako.
.
 7. Self-Perception-Self Concept Pattern
Before Hospitalization:
She described herself as sickly and
skinny but strong woman in a way that she still
hopes that whenever she feels ill, she will get
along with it as long as she continues her
prescribed medication. The patient added, I
accepted my condition but I was still hoping
that I would get better somehow even though I
knew my condition was going anywhere
better. She accepts her physical appearance
because she is old and she is sick. She perceives
herself as a strict but nice, supportive and
friendly person.
8. Role-Relationship Pattern
Before Hospitalization:
During Hospitalization:
She described herself as a sickly, weak, and old
woman who will never get better. According to
the patient, she has mentioned to her SOs that
she is hopeless, that she wants to go home and
that she wants to die. In addition, her family is
somehow prepared wherever the condition is
going. She still perceives herself a nice and
friendly person but she feels like she comes off
rude when there are a lot of people in her room
because she tells them to be quiet and leave
because she gets dizzy.
During Hospitalization:
 Mrs. DH is a widowed woman with no
children. The patient is currently living with her
3 personal helpers and sister. Mrs. DH can be
mean sometimes but the helpers just have to
deal with her and understand her. She is close
to one of her helpers and thats who she mostly
calls on when she needs help or needs
assistance. Mrs. DH is well supported and
loved by her family with close relationship that
she gets visitors everyday.
During her hospitalization stay, one of
her helper has stayed by her side since day one
of her admission along with Mrs. DHs
granddaughter. Her helper mostly stayed with
her throughout her stay. Mrs. DH is closer to
her than anyone else; she looks for her if she is
gone for too long. The relationship between
Mrs. DH and her family has weakened; shes
gotten bitter and easily gets irritated. Mrs. DH
has been stubborn about when eating but her
helpers and family are understanding. Shes
only mentioned that she is glad she did not have
any children because she would have passed
down her diseases to them.

9. Sexuality and Reproductive Pattern

Before Hospitalization: During Hospitalization:
Menarche: 13 years old
Menopause: 55
She was 13 years old when she had her
first menstrual flow. Shes practiced self breast
exam but found negative lumps or any signs of
symptoms of breast cancer. When asked about
her sexual relationship, Mrs. DH said that shes
never had any. She got married when she was
53 years old to her Australian husband and
never had any sexual intercourse. She said that
sex was not the center of their relationship but
the love and God itself. She does not practice
self breast exam. Shes had a pap smear but
does not recall the last time she had one.

10. Coping- Stress Tolerance Pattern

Before Hospitalization: During Hospitalization:
 The client considers loud and noisy
things as her stressor. She doesnt like kids
running around being loud. I scold the
children who run around being loud in our
neighborhood as stated by Mrs. DH. When she
is stressed, she just sits down and divert to other
things such as watching television and falling
asleep. She does not smoke nor drink alcohol to
overcome the stress.
Im prepared if God ever takes me.
Nahihirapan na din kasi ako sa mga
nangyayari sa akin. The patient does not like
it when there are a lot of people in the room
because it stresses her out and makes her dizzy.
She likes a minimal amount of visitors.

11. Value-Belief Pattern

Before Hospitalization: During Hospitalization:
Mrs. DH is a Roman Catholic; she has a She still believes and fears God. She
strong faith in God that she keeps the rosary prays when she remembers to; sometimes she
with her all the time wherever she goes. forgets to pray. According to the patient, her
According to her, when she lived in Caritan faith has decreased and she mentioned to her
Centro, she visited Church every Sunday to SOs that she is hopeless, wants to go home and
attend mass but when she moved to Annafunan, that she wants to die.
she rarely visited Church due to her condition;
she would feel nauseous and easily gets tired.
The client considers her family as her strength
and hope; they are the ones she value the most.
When she was younger, she did not believe in
quack doctors but when she came home from
Australia, her family took her to a quack doctor
and she started believing in them.