11 GORDONS FUNCTIONAL HEALTH PATTERNS

I. HEALTH-PERCEPTION-HEALTH-MANAGEMENT PATTERN

My client considers health as an absence of disease so once a person doesn’t have any disease he/she
can live a really good life. According to him we need to exercise , eat adequate amount of food, drink
vitamins and our maintenance in order to manage health. He feels that his body's condition is 70%
good since he feels okay most of the time and 30% bad because of his chronic disease which is
diabetes. With his age and current health condition his only form of exercise is sweeping the leaves
on his garden in order to sweat each morning ,as much as he wants to jog around the neighborhood
his feet can’t handle it. The reason why he got type 2 Diabetes Mellitus it’s because of his eating
habits when he was young . He used to like eating foods with high sugar content such as ice cream ,
leche flan and halo-halo . There’s no day before that he will miss eating ice cream. As of the present
he fully realized the risk of unhealthy diet after he was diagnosed with diabetes so he makes sure that
he’s really careful on what he is eating and been avoiding foods that aren’t good for him which is
what his doctor advised him. He had colds a couple times this year but it doesn’t really last for long
and he also had a minor slip last week because his feet is kind a weak already. There are rare times
when he felt dizzy and he feels like his sugar is too high so he makes sure to drink his medication in
order to manage it. His general health had been good this past weeks except during the days when
his arthritis attacks. Aside from drinking his prescribed medications he also drinks herbal medicines or
drinks for diabetes and vitamins to keep him in good condition . He also stopped having vices a long
time ago just for his health because he thinks that what is important right now is good health and
being not to sick will be helpful to the family because it won’t add up to any problems existing at
home.

II. NUTRITIONAL-METABOLIC PATTERN

⮚ Describes pattern of food and fluid consumption relative to metabolic need and pattern indicators of local
nutrient supply.
⮚ Includes the individual’s patterns of food and fluid consumption: daily eating times, the types and quantity
of food and fluids consumed, particular food preferences, and the use of nutrient or vitamin supplements
4 times a day ,fish ,coffee, talong, centrum vitamins
• Describes breastfeeding and infant feeding patterns.
• Includes reports of any skin lesions, ability to heal, and measures of body temperature, height, and
weight.
He really avoids having lesions because it will took a long time to heal and sometimes it gets worst
• General appearance of well-being and condition of skin, hair, nails, mucous membranes, and teeth are
included.
• Has dark foot, hair is greyish white, has good nails if cleanse a couple of teeth was broken
• Typical daily food intake? Describe. Supplements? 2 cups of rice , centrum silver
• Typical daily fluid intake? Describe. 8 glasses of water
• Weight loss/gain? Amount? Height loss/gain? Amount? The same weight
• Appetite? Sometimes he loses appetite if he’s sugar is too high
• Food or eating discomfort? Swallowing? Diet restrictions? If appropriate, breastfeeding? Problems with
breastfeeding? Diet Restrictions such sweet foods , high carbs food just like rice ,alcohol, sitaw, salty
foods,
• Heal well or poorly? Heal poorly
• Skin problems, such as lesions, dryness? Dryness of foot
• Dental problems? Tooth ache problems

III. ELIMINATION PATTERN

⮚ Describes patterns of excretory function (bowel, bladder, and skin).

Once a day poop , sometimes not, 10 times a day , sweaty if hot
⮚ Includes the individual’s perceived regularity of excretory function, use of routines or laxatives for bowel
elimination, and any changes or disturbances in time pattern, mode of excretion, quality, or quantity of
elimination. Dapat once a day mag poop and then may urine is not normal
⮚ Also included are any devices used to control excretion
⮚ Bowel elimination pattern? Describe. Frequency? Character? Discomfort? Problem in control? Laxatives?

⮚ Urinary elimination pattern? Describe. Frequency? Discomfort? Problem in control?

Hindi ma control ng ihi ,not mahirap mag ihi, white or yellow

⮚ Excess perspiration? Odor problems? Only if hot

IV. ACTIVITY-EXERCISE PATTERN

⮚ Describes pattern of exercise, activity, leisure, and recreation.

Maglinis ng garden ang way of exercise everyday tapos manood ng tv or sleep the rest of the day
⮚ Includes activities of daily living requiring energy expenditure, such as hygiene, cooking, shopping, eating,
working, and home maintenance.
Cleaning the garden, eating , walking, hygiene
⮚ Also included are the type, quantity, and quality of exercise, including sports, that describe the typical
pattern for the individual
Ilang 10-20 minutes
∙ Leisure patterns are also included and describe the activities the client undertakes as recreation either with a
group or as an individual.
Before he plays madjong with friends but now his during his lesuire time he watches tv
∙Emphasis is on the activities of high importance or significance and any limitations.
∙Factors that interfere with desired or expected activities for the individual (such as neuromuscular deficits
and compensations, dyspnea, angina, or muscle cramping on exertion, and cardiac/pulmonary classification, if
appropriate) are also included
He wants to jog around the area but he can’t because his feet can’t handle it since he has diabetes and this
disease affected his neurons on his feet which made it numb
• Sufficient energy for desired/required activities?
• Exercise pattern? Type? Regularity?
• Spare time (leisure) activities? Child’s play activities?
• Perceived ability for the following (code level according to Functional Levels Code below)

• Feeding
• Grooming
• Bathing
• Toileting
• Dressing
• Bed mobility
• Cooking
• shopping
• General mobility
• Home maintenance

Functional Levels Code

• Level 0: Full self-care
• Level I: Requires use of equipment or device
• Level II: Requires assistance or supervision of another person
• Level III: Requires assistance or supervision of another person
and equipment or device
• Level IV: Is dependent and does not participate

V. SLEEP-REST PATTERN

• Describes patterns of sleep, rest, and relaxation.

There are times when he finds it hard to sleep so sometimes he
sleeps really late, before sleeping he makes sure someone will apply
linements on his and on his foot to avoid the attack of his arthritis
there’s also times when the weather is too cold his feet is greatly
affected by it since it will hurt badly
• Includes patterns of sleep and rest/relaxation periods during the
24-hour day.
Sleeps- 12pm – 7 am . Siesta 1 -2pm
• This pattern includes perception of the quality and quantity of
sleep and rest, perception of energy level after sleep, and any
sleep disturbances, as well as aids to sleep such as medications
or nighttime routines that the individual uses.
Sleep for energy , mahina ang energy , If he thinks about
problems,
• Generally rested and ready for daily activities after sleep?
• Yes

• Sleep-onset problems? Aids? Dreams (nightmares)? Early

awakening?
Minsan nagigising siya kasi masakit ang paa , tapos magihi and
kapag may nightmare

• Rest/relaxation periods?
After doing daily tasks

VI. COGNITIVE-PERCEPTUAL PATTERN

• Describes sensory-perceptual and cognitive pattern.
Hindi mabasa ang maliliit na letters , makasolve pa ng math
• It includes the adequacy of sensory modes, such as vision,
hearing, taste, touch, and smell, and the compensation or
prostheses currently used
Okay both taste and smell ,have prostheses sa teeth ,sense of
touch on feet is medyo minimal
• Reports of pain perception and how pain is managed are
included when appropriate.
If may pain there’s a problem with the body and we should manage
by applying topical pain relievers

• Also included are cognitive functional abilities such as language,

memory, judgment, and decision making
He’s in right mind to decide all things, sometimes he forgets things
but it rarely happens
• Hearing difficulty? Aid? None
• Vision? Wear glasses? Last checked? Wear glasses and last time
he checked was 20 years ago
• Any change in memory lately?
Nope
• Easy/difficult to make decisions?
Hard to make decisions
• Easiest way for you to learn things? Any difficulty learning?
Math . Ask people through experience
• Any discomfort? Pain? How do you manage it?
Paa then liniment ang inaapply

VII. SELF-PERCEPTION-SELF-CONCEPT PATTERN

• Describes self-concept pattern and perceptions of mood state.
Madali siya mainis, ayaw niya may nag aaways sa harap, ma sad
walang pera
• Includes the individual’s attitudes about self, perception of
abilities (cognitive, affective, or physical), body image, identity,
general sense of worth, and general emotional pattern.
Same self perception as before
• Body posture and movement, eye contact, voice, and speech
pattern are included
Straight posture, medj slow movement, normal tone of voice still
• How would you describe yourself? Most of the time, do you feel
good (not so good) about yourself?
Good, still wuth confidence,
• Changes in your body or the things you can do? Are these
problematic for you?
Yes there are things change on his his body and things he can do
but he doesn’t really mind it because for him minding these
things will cause him stress and he doesn’t want that
• Changes in way you feel about yourself or your body (since
illness started)
No , when he figured out he has diabetes he just followed what
 the doctors advise and manage it
• Find things frequently make you angry? Annoyed? Fearful?
Anxious? Depressed? What helps?
Kapag wala pera , magbigay pera , mag relax
• Ever feel you lose hope? Not able to control things in life? What
helps?
Yes and prayer helps

VIII. ROLE-RELATIONSHIP PATTERN

• Describes pattern of role engagements and relationships.

• Includes the individual’s perception of the major roles and

responsibilities in his or her current life situation.

Contribute something to your wife ,to budget every thing for school

• Satisfaction or disturbances in family, work, or social

relationships and responsibilities related to these roles are
included.
• Pagkamagastos ng wife niya
• Live alone? Family? Family structure? Draw diagram.
• Familt
• Any family problems you have difficulty handling
(nuclear/extended)?
Money problem, away
• How does the family usually handle problems?
Mag usap
• Family depend on you for things? How are you managing?
Yes but he always makes his family understand when he can’t
provide something
• If appropriate, how do family/others feel about your
illness/hospitalization?

• If appropriate, problems with children? Difficulty handling?

Hindi matulog ng maaga

• Belong to social groups? Close friends? Feel lonely (frequency)?

Have close friends before now not he is alone but doesn’t feel
lonely
• Things generally go well for you at work? School? If appropriate,
income sufficient for needs?
•
• Feel part of (or isolated in) neighborhood where living? Part

IX. SEXUALITY-REPRODUCTIVE PATTERN

• Describes patterns of satisfaction or dissatisfaction with
sexuality; describes reproductive pattern.

• Includes the individual’s perceived satisfaction or reports of

disturbances in his or her sexuality.
• Included also is the female’s reproductive stage (premenopause
or postmenopause) and any perceived problems.
• If appropriate to age/situation, sexual relationships satisfying?
Changes? Problems?
• If appropriate, use of contraceptives? Problems?
• For females, when menstruation started? Last menstrual period?
Menstrual problems? Para? Gravida?

X. COPING-STRESS-TOLERANCE PATTERN
• Describes general coping pattern and effectiveness of the pattern
in terms of stress tolerance.
Mag relax , manood ng tv ,makinig ng radyo
 • Includes the individual’s reserve or capacity to resist challenge
to self-integrity, modes of handling stress, family or other
support systems, and perceived ability to manage stressful
situations.
• Support system
• Any big changes in your life in the last year or two? Crisis?
• Money crisis , covid crisis
• Who’s most helpful in talking things over? Available to you now?
• His wifeeee
• Tense a lot of the time? What helps? Use any medicines, drugs,
alcohol? Not
• When (if) problems occur in your life, how do you handle them?
• Discuss it with wife and come up with solutions
• Most of the time, is this way(s) successful? Somewhere in the
middle
•

XI. VALUE-BELIEF PATTERN

• Describes patterns of values, goals, or beliefs (including spiritual)
that guide choices or decisions.
• Kung tama ba or mali , ask to others opinions, I believe in prayer
• Includes what is perceived as important in life, quality of life, and
any perceived conflicts in values, beliefs, or expectations that are
health related.
• In Life we should work hard to have enough money to live .
Because of sickness he can’t work
• Generally get things you want out of life? Important plans for the
future?
• Not all, but most . Mag save ng money and budget
• Religion important in your life? If appropriate, does this help
when difficulties arise?
• Yes, yes
• If appropriate, will being here interfere with any religious
practices?

Not

• NCM 114, 1st SEMESTER, 2020-2021