Functional Health Pattern

On
BRAIN TUMOR

Submitted to:
Asst. Prof. Mary Nathalie Cata-al

Submitted by:
Trisha Ann Marie Pesigan
Adrian Solutan
Joi Owen Teves

NCM 53 RLE C1
 CASE STUDY ON BRAIN TUMOR

Scenario

F.N. is a 57-year-old housewife, happily married with grown children, and 2 new grandchildren. F.N. made an
appointment with her optometrist to explore a progressive OS visual loss over a 9-month period. Her eye exam was
essentially normal, and the optometrist referred her to a neurologist. After workup, a 2.5 cm brain mass was found, and
surgery was scheduled. Her only past medical history (PMH) is hypertension, for which she takes nifedipine XL 60 mg
qd. Her past surgical history (PSH) includes T&A as a child, cholecystectomy, and a TAH at age 42. She also takes a
conjugated estrogen (Premarin) 0.625 mg qd.

Nursing History

Part I.
Demographic Information

Name: F.N.
Civil Status: Single
Sex: Female
Educational Attainment: Undergraduate
Address: Dumaguete city, Negros Orriental
Religion: Roman Catholic
Occupation: Housewife
Student Room and Bed No.: 123 A
Doctor(s) in charge: Dr. J Pfizer Mendiola
Nationality: Filipino
Chief Complaint(s): Progressive OS visual loss over a 9-month period
Date & Time of Admission: October 11, 2021 @ 1805 pm
Diagnosis(es): Brain Tumor
Part II. Functional Health Pattern

USUAL FUNCTIONAL PATTERN INITIAL APPRAISAL ONGOING APPRAISAL

1.Health-perception-Health-
management pattern
● Takes nifedipine XL 60 mg qd
for management of
Hypertension
● takes a conjugated estrogen
(Premarin) 0.625 mg qd for
menopausal symptoms
● Recent Eye Check up

2. Nutritional-metabolic pattern ● Always eat on time. Usual food

intake is fish, egg, and rice.
Does not intake supplements.
● Breakfast
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Lunch
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Dinner
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 Rice is usually 2 to 3 cups with
every meal
● Usual fluid intake is 1L or more
of water.
● Excellent appetite.
● No eating discomfort and no diet
restrictions.
3. Elimination pattern ● Wounds heal well.

● No discomfort in defecation.
Defecates 2 times a day usually
in the morning. Stool is well
formed, brown in color.
● No discomfort in urination.
Urinate more than 3 times a day.
Urine is amber in color.
● No excess perspiration and no
4. Activity-exercise pattern odor problems.

● Had sufficient energy to do

desired activities.
● No exercise since pandemic
started (last year)
● Activities include doing house
chores and watching television
5. Sleep-rest pattern during free time.

● Generally rested after sleep.

Sleep in the morning and stay
awake at night. Number of hours
 of sleep: 8-9 hours
● No sleep interruptions
6. Cognitive-perceptual pattern ● No use of sleeping aids.

● Has sensory perception deficits

(Progressive OS visual loss for
9 months )
● Exhibit frequent memory loss
7. Self-perception- self-concept pattern

● Describes self as “good.” Feels

good about herself.
● Feelings on body since illness
started: regret
● Feels frequently annoyed,
8. Role-relationship pattern angry, (mood swings) and
anxious due to menopausal
symptoms .

● Role- Housewife
● Happily married with grown
children, and 2 new
9. Sexuality-reproductive pattern grandchildren

10. Coping stress tolerance pattern

● Gender: Female
 ● Verbalized sexually active

● Relaxes when doing household

chores
● Playing with grandchildren
11. Value-belief pattern ● Doing favorite hobbies such as
gardening

● Strong believer of Christ, puts

God first before anything else.
She believes that God will help
her heal if she prays everyday.
● She also loves her family so
much, especially her
grandchildren.