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GORDON’S 11 FUNCTIONAL PATTERNS

I. HEALTH PERCEPTION HEALTH MANAGEMENT PATTERN

BEFORE HOSPITALIZATION: Patient stated that health for him


is the absence of disease. For him a healthy person can do anything
he wants without limitations. He takes over the counter drugs such
as biogesic and neozep. But when patient’s condition is no longer
manageable at home, they bring the patient to the hospital for
treatment.
DURING HOSPITALIZATION: he perceives that his health
became poorer.

II. NUTRITION METABOLIC PATTERN

BEFORE HOSPITALIZATION: he eats 3x a day at usual time with


snacks In between meals. His usual diet is composed of 1 cup of
rice and vegetables. He also eats fish and meat at times. He can
chew and swallow food without difficulty. He drinks 8 glasses of
water a day.
DURIND HOSPITALIZATION: last July 31, 2008 patient has
given food via NGT. He consumes 740 cc of ensure every day.

III. SLEEP REST PATTERN:

BEFORE HOSPITALIZATION: patient stated that he had 8 hours


of sleep at night. He sleeps at 10pm and wakes up at 6pm. He
drinks a glass of milk before bedtime. He also takes a nap after
lunch time about 30 minutes.
DURING HOSPITALIZATION: According to him he has difficulty
in sleeping because of the new environment and due to episodes of
pain in his left leg. He has 6 hours of interrupted sleep because of
vital signs monitoring and his leg pain.

IV. ELIMINATION PATTERN

BEFORE HOSPITALIZATION: according to the patient he


urinates 6 times a day with yellow amber color urine and
approximately 50 to 100 ml per voiding without difficulty. He
defecates once a day formed in consistency, aromatic in odor, and
brown in color. But sometimes, it varies depending on the food he
eats.
DURING HOSPITALIZATION: patient has IFC connected to urine
bag with yellow amber urine measured 30 cc per hour. He
defecates once in every 2 days.

V. ACTIVITY EXERCISE PATTERN

BEFORE HOSPITALIZATION: according to the patient he usually


feed his chicken at their back yard and pig he said that it is a form
of exercise. He can perform his ADLs without assistance.
DURING HOSPITALIZATION: the patient was confined to his
bed because of generalized body weakness. He is not able to sit.
He turns to bed with assistance.

VI. COGNITIVE PERCEPTUAL PATTERN

BEFORE HOSPITALIZATION: Patient is able to hear sounds,


smell, feel, and taste food. He doesn’t use any prosthesis like eye
glasses and hearing aid. He is able to rid and write. He can speak
and understand itawes, ybanag, and ilocano, and tagalong and can
understand simple English. He can respond and answer questions
appropriately.
DURING HOSPITALIZATION: Patients 5 senses are intact. He is
oriented with time place and person.

VII. SELF PERCEPTION PATTERN

BEFORE HOSPITALIZATION: patient is concerned most on his


family. He perceives himself as a good and responsible father.
DURING HOSPITALIZATION: according to the patient he
perceives himself as a weak and irresponsible father because of
his present medical condition.
VIII. ROLE RELATIONSHIP PATTERN

BEFORE HOSPITALIZATION: He lives with his daughter since he


is a widow. According to him he plays a role of a mother and father
to his family. He has a group of friends in their neighborhood.
DURING HOSPITALIZATION. He stated that there are no
significant changes in his role.

IX. SEXUALITY-SEXUAL PATTERN

The patient was circumcised when he was 8 years old. He


described himself as an absolute man. He dresses and act
according to his age and gender. They have 3 sons and 2
daughters.

X. COPING STRESS MANAGEMENT

He usually approaches his children in times of crisis. He also


consults his friends. And most of all seek guidance to God.

XI. VALUE BELIEF SYSTEM

He was baptized as a Roman catholic. He believes that God is the


souse of everything and the most powerful of all. He goes to
church with his family during Sunday masses. However, they also
believe in quack doctors.
OBJECTIVES

GENERAL OBJECTIVE:
 The significance of this case study is to
widen our knowledge, enhance our skills
and to attain good attitude regarding the
research done pertaining this case study.
And to know more deeply regarding
PROSTATE CANCER.

SPECIFIC OBJECTIVES:

 To be able to know the pathophysiology


of the disease.
 To have an knowledge regarding the
clinical manifestations of the disease.
 To be able to identify the precipitating
and predisposing factors that triggers
the occurrence of the disease.
 To learn the significant nursing
management for specific signs and
symptoms and practice proper nursing
interventions regarding the disease.
PATYHOPHYSIOLOGY

PREDISPOSING PRECIPITATING

AGE (50 ABOVE) DIET HIGH COLESTEROL


FAMILY HISTORY SERUM TESTOSTERONE
INSULIN GROWTH FACTOR

Repeated exposure to risk factors

Mutation of normal semen secreting prostate gland cells into cancer cells in the
peripheral zone

Small clumps of cancer cells remain confined to normal prostate glands

Cellular proliferation with in pre existing ducts and glands with cytologic changes that mimic
cancer ( carcinoma in situ)

Multiplication and spread of cancer cells to the surrounding prostate tissue

Formation of tumor

Tumor growth

Metastasis

Invasion of nearby organs travel to the bloodstream


-seminal vesicles and lymphatic system
-rectum invasion of:
-bladder -bones--------bone pain

Obstruction in the organs -Lymph nodes-----lymph edema


-epidural area-----spinal cord involvement
Pain ans neuro
involvememt

Irritative voiding