Ateneo de Zamboanga University

College of Nursing
LEVEL II

Amil, Maha O.
BSN-2C
Marjorie 11 Functional Pattern
1) Health Perception and Health Management
Before hospitalization, the patient was healthy and active. He was a lively kid just like
any other. His mother was health conscious about her son’s health so she made sure that she
got enough proteins and vitamins every day. She also made sure that he eats and finishes his
food three times a day.
During hospitalization, the toddler’s health was very weak to the point that he cannot
play with his siblings. They manage the toddler’s condition by following the doctor’s orders and
taking appropriate measures. At present, he appears to be not allergic to any food or
medication. According to the mother, the toddler has cough, colds and has belly pain every
time he coughs.

2) Nutrition and Metabolism

Before hospitalization, the toddler was healthy enough to eat food 3 times a day. The
patient used to eat a lot and was always waiting for food as verbalized by the mother. He had a
large appetite and he enjoyed every bit of his food.
But during hospitalization, the toddler has become weak and has lost his appetite. He
could only drink milk every meal (at least ½ glasses). There is no drastic change in the patient’s
weight.
3) Elimination Pattern
Before hospitalization, the patient had regular bowel movements which was 1 to 2
times a day. The patient had normal stool without discomfort or pain. The patient also voided
regularly.
During hospitalization, the toddler is having irregular movements and is voiding less.
This is a problem because most toddlers are supposed to urinate four to eight times each day,
usually about every two hours. There seems to be no odor problem or problem in control.

4) Activity- Exercise Pattern

Before hospitalization, the patient had enough energy to play around with his friends
and siblings. Inside the house, he would be active in playing with his toys and pets.
 During admission, the toddler showed signs of being weak and lethargic which is not the
usual behavior of a toddler. The toddler is also unable to play with his siblings and is usually
sleepy during the day. The perceived ability (code for level) for:
Feeding: Level III Dressing: Level II Cooking: Level II
Bathing: Level II Grooming: Level II Shopping: Level IV
Toileting: Level II General Mobility: Level II Bed mobility: Level II

Functional Level Codes: Level 0: full self-care

 Level I: requires use of equipments or device
 Level II: requires assistance or supervision from another person
 Level III: requires assistance or supervision from another person and equipment or
device
 Level IV: is dependent and does not participate

5) Cognition and Perception

Before hospitalization, the patient had no hearing, seeing or smelling difficulty. He was
dependent on his mother mostly in everything that did but could learn things by watching their
actions and watching them. He wasn’t in any pain and was very eager and curious in everything.
After hospitalization, the patient had become very weak and lethargic. Unwilling to learn
and was always in pain. He had a stuffy nose when going to sleep which cause him to breathe
harder.

6) Sleep- Rest Pattern

Before hospitalization, the patient used to get 12-13 hours and is very energetic upon waking
up. He did not suffer from nightmares or was suddenly awaken in the middle of the night.
During admission to the hospital, the patient can only get 9 to 10 hours of sleep. And
sometimes his sleep was interrupted due to sudden onset of difficulty of breathing and stuffy
nose. He usually takes nap for 1-2 hours every afternoon and wants to be carried all the time.

7) Self-Perception and Self-Concept

The patient is too young to have his own self-perception and self-concept.

8) Roles and Relationships

The patient lives with his parents along with his siblings and they are all very close. His
parents earn enough money for his admission in the hospital as well as for their living expenses.
His parents have no difficulty in handling their children because they follow and listen well.
According to the mother, the patient is very sociable despite his stoic expression.

9) Sexuality and Reproduction

 The patient is not old enough to understand her own sexuality and sexual desires. But
when he is old enough, we could provide teachings about the do’s and don’ts of it all.

10) Coping and Stress Tolerance

The patient play games and watches TV to cope with stress. His parents let him play and
watch but with limitations. He has a certain time when to play and have fun with his siblings.

11) Values and Belief

The patient and his family are Christians. They are faithful and loyal to their Lord. They
have unending trust and belief towards their faith. His parents go to church to pray for his son’s
health every Sunday when they have time and is able to.