FUNCTIONAL HEALTH PATTERN
USUAL FUNCTIONAL HEALTH PATTERNS INITIAL APPRAISAL (NOVEMBER 16, 2022)
1. Health perception - health-management pattern
● Claims to have good overall health. ● Admitted November 16, 2022 at 2:30 AM, due to
● Does not smoke and drink alcoholic beverages. watery discharge.
● Claims to examine breasts rarely if only if she feels ● Delivered successfully with a baby boy on
that there is something wrong November 16, 2022 at 7:24 AM.
● Has no allergy ● Nine (9) hours postpartum).
● Claims to exercise 3 times a week for 30 minutes. ● Today, November 16, 2022 has not yet felt too
● Drinks prescribed medicines and maintenance. much pain because she is taking Mefenamic.
● Rests at least 1 hour in the afternoon. ● G3P2
● Does not take herbal medicines ● No coughs and colds
● Have not been into an accident. ● Drinks the prescribed medicine and finds the doctor
● Has not experienced cough or cold during and nurses order easy to follow.
pregnancy. Vital signs:
● Claims that she follow the doctor’s suggestions. ● T:36.6 BP: 110/70 mmHg PR: 95 bmp RR: 20 Vital signs:
● Claims to have prenatal care according to the SpO2%: 97%
schedule. General Appearance
● Once a month in the 1st trimester, twice a month in ● Alert and oriented
the second trimester and weekly on the third ● Alive and active
trimester. ● Hair is thick and straight
● Skin is normal and intact
● Slightly feeling uneasy
● Clear speech
● Mood is bright which displays in her eyes and how
she answers the questions.
Doctor’s Order:
● Medications:
ONGOING APPRAISAL (NOVEMBER
17,2022)
● First (1) day postpartum. Getting
ready for the newborn’s first bath.
● Waiting for the Attending Physician
to visit for them to be discharged.
● Claims that she is not feeling any pain
and is okay.
● Claims that she and her baby went for
a walk.
● Drinks the prescribed medicine and
finds the doctor and nurses order easy
to follow.
● Discontinued IVF
● T: 36.5 BP: 120/80 mmHg PR: 80
RR: 20 SpO2%: 98%
General Appearance:
● Alert and oriented
● Alive and active
● Hair is thick and straight
● Skin is normal and intact
● Feeling better
● Clear speech
● Mood is bright which displays in her
and how she answers the questions.
 ○ Prenatal Vitamins: 1 tab OD instructed
○ Amlodipine Besilate (NORVASC) 10 Doctor’s order once discharged:
mg 1 tablet Oral O.D. ● Cefuroxime Axetil 500 mg 1 tablet
○ Calcium Sennosides (SENOKOT) 8.77 Oral B.I.D x 7 days
mg 2 tablet Oral O.D h.s. ● Mefenamic Acid 500 mg 1 tablet Oral
○ Cefuroxime Axetil 500 mg 1 tablet Oral Q.8.H. x 3 days then as needed for
B.I.D pain
○ Mefenamic Acid 500 mg 1 tablet Oral ● Amlodipine Besilate (NORVASC) 10
Q.8.H. mg 1 tablet Oral O.D. in A.M.
● Prenatal vitamins daily x 7 mmth
Intravenous Fluid Records: (Postpartum orders)
11/16/2022
● #1 D5LR IL + 20 u oxytocin; 33 gtts/hr
● Oxytocin 10 units IM

2. Nutritional - metabolic pattern

● Claims to eat two (2) times a day only because of ● First meal after delivery was on November 16, 2022 ● Taken Mefenamic Acid at 4:00 A.M.
maintaining weight. at 4:23 PM and first fluid intake (Water) during the ● Claims that she has eaten breakfast.
● Does not have any allergy same time; consumed about 500mL of water ● No loss of appetite.
● Meal consisted of Fried Rice and Siomai ● No problem swallowing.
Breakfast N/A
● Continues taking Calcium, Feros with folic, and ● No nausea after eating.
Lunch 1½ cup of rice and 1 serving of any sodium ascorbate. ● No known allergies to food and
available viand. ● Patient verbalized “dili raman pud ko gutom” medication.
● Had an episiotomy due to delivery and verbalized ● Lochia Rubra; brownish and claims that
Dinner 1½ cup of rice and 1 serving of any “Okay ra” when asked if the wound was healing flow is not the same as yesterday.
available viand. fine ● Claims to have changed the sterile pad
● Verbalized “dili nako kasukaon after nakog kaon” twice since midnight.
Snacks N/A ● Patient claims that she has Lochia, verbalized ● Discontinued IVF
“daghan and pula og color” (Lochia Rubra)
Water 6-7 glasses of water or 800-1000 ml ● No loss of appetite. Medications taken:
● No problem swallowing.
 Softdrink ½ glass of juice or 140-300 ml
● Takes Calcium, Feros with folic, and sodium
ascorbate; drink once a day.
● Claims to have dental problems (molar area).
● Experienced weight gain during pregnancy.
● Verbalized, “gikan kog 100kg dayon ni abot og
105kg anang nabuntis ko and ni maintain ra akong
weight as 105kg throughout the whole pregnancy”
● Verbalized “Tig cravings ko pero dli ko mo kaon
og daghan”
● Wounds heal fast
● No swallowing problems
● Has feelings of nausea after eating
● Verbalized “Tig inom kog sprite pero gamay ra
mga ¼ ra, e half nako sa akong bana. Tig milk ko,
katong Anlene, pero usahay rapud tungods akong
hypertension og dapat low ko in sugar”
● No known allergies to food and medication. ● Mefenamic Acid 500mg 1 tablet
Doctor’s Order: Oral- 4 A.M.
● Medications: ● Amlodipine Besilate (NORVASC) 10
○ Prenatal Vitamins: 1 tab OD instructed mg 1 tablet Oral- 8 A.M.
○ Amlodipine Besilate (NORVASC) 10 ● Cefuroxime Axetil 500 mg 1 tablet
mg 1 tablet Oral O.D. Oral- 8 A.M.
○ Calcium Sennosides (SENOKOT) 8.77
mg 2 tablet Oral O.D h.s.
○ Cefuroxime Axetil 500 mg 1 tablet Oral
B.I.D
○ Mefenamic Acid 500 mg 1 tablet Oral
Q.8.H.
Intravenous Fluid Records: (Postpartum orders)
11/16/2022
● #1 D5LR IL + 20 u oxytocin; 33 gtts/hr
● Oxytocin 10 units IM

3. Elimination pattern
● Cannot recall how many times she has urinated but
claims in doing so multiple times and verbalized
“daghan, samot nas gabie”
● Color of urine in the morning is yellowish and the
following thereafter would be clear
● Defecates 1 to 2 times a day when she wakes up
(usually near lunch time) and sometimes after
eating; color is brown or black because of vitamins;
not too soft and not too hard consistency (Formed)
● Does not feel pain or have trouble
● Patient first urination after delivery was on
November 16, 2022 at 1:30 PM
● Verbalized “Usa ka baso sa sprite (30mL) ka daghan
ata tong akong naihi, yellow rapud ag color”
● Patient has not defecated yet since delivery
● Lochia Rubra; dark red and the amount is like the
first day of menstruation.
● Claims to have changed the sterile pad twice since 9
A.M.
● Patient urinated twice
● Lochia Rubra; brownish and claims
that flow is not the same as yesterday.
● Claims to have changed the sterile
pad twice since midnight.
●
 defecating/urinating
● Experienced mild perspiration; no odor problems
4. Activity - exercise pattern
● Claims to exercise 3 times a week for 30 minutes
and verbalized “Tig walking rako”
● Verbalized “Ako buhaton usual sa adlaw? Matulog,
Work, og walking sometimes”
● Take a nap every afternoon for at least an hour.
● Spends free time watching movies.
● Allot time to rest if felt the need to.
● Has time in taking care of her family
● Claims that feels pain in her leg sometimes when
exercising
● Patient claims to be independent
● The perceived ability for the following:
Feeding 0 ; Grooming 0 ; Bathing 0 ; General
mobility 0 ; Toileting 0 ; Cooking 4 ; Bed mobility
0 ; Home maintenance 0 ; Dressing 0 ; Shopping 0
5. Sleep - rest pattern
● Claims that having 6-8 hours of sleep is a good
sleep.
● Usually sleep at 2-3 am because of work.
● Usually wakes up at 10 am-12 noon
● Take a nap in the afternoon for 1 hour.
● Does snore when very tired.
● Does not experience any nightmares.
● Patient verbalized “kapoy pa ako lawas karon” ● Claims that she and the baby had gone
● Has breastfed the baby 2 times and verbalized walking already.
“dugay-dugay man pud ko magpa breastfeed, Vital signs:
wala lang jud mo gawas na gatas” ● T: 36.5 BP: 120/80 mmHg PR: 80
● Patient claims to having sufficient rest and sleep RR: 20 SpO2%: 98%
● Patient verbalized “Nawala raman pud tong
sakit sa ako tuhod after nakog panganak ● The perceived ability for the following:
intawon” Feeding 0 ; Grooming 0 ; Bathing 0 ;
● Patient claims to be quite independent even after General mobility 2 ; Toileting 0 ;
delivery Cooking 4 ; Bed mobility 2 ; Home
Vital signs: maintenance 0 ; Dressing 0 ; Shopping 0
● T:36.6 BP: 110/70 mmHg PR: 95 bmp RR: 20
SpO2%: 97%
● The perceived ability for the following:
Feeding 0 ; Grooming 0 ; Bathing 0 ; General
mobility 2 ; Toileting 0 ; Cooking 4 ; Bed mobility
2 ; Home maintenance 0 ; Dressing 0 ; Shopping 0
● Sleepless in taking care and trying to meet the ● Claims to have slept late because
needs of the baby. attending to the baby's needs.
● Claims to have no sleep; eyebags are visible
6. Cognitive - perceptual pattern

● Finished a Bachelor’s degree ● No impairment in hearing and memory. ● Follows the doctor’s/nurse’s
● No impairment in hearing and memory. ● Nearsighted instructions and suggestions with no
● Wears glasses; last checkup was last year 2021; difficulties
yearly check-up and verbalized “yearly man ko Examination:
magpa check-up pero nalimot kos grado sa akong ● Alert and oriented to place, time, and date
mata” ● Answers all the questions and speech is clear
● Patient is Nearsighted and has Astigmatism
● No difficulty in learning and claims to follow in
order to learn
● Patient claims to be a visual learner
● Claims to make decisions easily
● Claims to be forgetful when the 3rd trimester was
approaching.
● Speaks English, Filipino, and Cebuano.
● Oriented with time and place.
● Follows the doctor’s suggestions or instructions.
● Does not hear any whispers
● Patient rates a 6-7 score on a Pain Scale of 1-10
with 1 being the least painful and 10 being the
most painful when asked about her knee pain
during pregnancy

7. Self Perception - self-concept pattern

● Claims that she had mixed emotions before giving
birth.
● Patient claims she is self contented and feels good
about herself
● No changes in the body except during pregnancy
and postpartum.
● Claims to be okay and happy that her baby is safe. ● Claims to be okay and happy.
● Remains eye contact during assessment; sitting
comfortably; attention is interrupted when the
husband, relative, and nurse gets inside the room
● Does not have any problems during hospitalization
● Claims to have maintained weight during
pregnancy.
● Does not feel hopeless.
● Claims that she does not like the smell of perfumes
during pregnancy, was sensitive to smells, and
what usually made her anxious was driving.
● Patient Verbalized “murag ag problema ra namo
kai kanang wala kaayo koy gatas and naluoy nakos
akong baby”
● Have not yet checked weight after delivery.

8. Role - relationship pattern

● Lives alone with husband and eldest child. ● Assumes a mothering role through attending the ● Feels secured and less difficult in
● Normal fights or misunderstandings within the needs of the baby, care, and love. taking care of the baby for having a
family but resolved quickly. ● Her husband accompanies her in the hospital. companion in the hospita
● Claims that this is her second born child. ● No recent losses ● Her partner accompanies her in the
● Claims that she does not socialize with other ● Feels safe with her current relationship. hospital
people except her family. ● Interacts well with the ones accompanying her in ● Has enough budget for expenses
● Patient verbalized “ Family Oriented man gud ko the hospital, which is the husband.
sukad pagka bata” ● Patient verbalized “ako eldest kai amo gipa
● Claims to be inactive in the activities in the bantayan sa akong sister-in-law para pud maka
Barangay. skwela ra siya, second grade paman pud gud siya”
● Patient claims that she feels like she belongs with
her current social life and relationships Assessment:
● Claims that the family budget is enough for a Patient and Family interaction is good and strong
household.

9. Sexuality - reproductive pattern

● Claims that first menstruation was at 12 years old, ● G3P2 (2012) ● Claims that she is not stressed.
regularly lasting to about 3 days ● Claims that there are intimate activities with ● Claim that she does not feel any
● Uses 10 menstrual pads during the 3 days of her husband tension..
period. ● Claims that they are doing family planning.
● Breast buds by 12 years old.
● Claims to have not tried having dysmenorrhea
● Last menstrual period of February 20, 2022.
● Does examine breasts rarely if only feel that there is
something wrong.
● Does use contraceptives (condom).
● Claims to have mood swings and cravings when
menstrual period is coming. (PMS)
● Claims that her breast got big while pregnant.
● Patient verbalized “3 man gud unta amo anak pero
ectopic pregnancy akong first pregnancy”
● Verbalized “Bottle fed pud ag first born namo kai
galisud kog produce og gatas”

10. Coping stress tolerance pattern

● Claims that there are no major changes except that ● Eats cravings for her to be comfortable. ● Claims that she is not stressed.
she is easily annoyed by a strong smell and she ● Claims to not think about problems if it does not
chooses what to eat. affect daily living.
● Claims that nothing major happened in her life.
● Claims that she can handle minor problems and
talks to her partner, and makes decisions together.
● Claims that she is not stressed.
● Does not take any medications if she has problems.

11. Value belief pattern

● Plans to buy essentials to get ready for the baby's ● Have plans to buy things for the baby
● Claims that she can get the things she wants. first bath. and relax after.
● Verbalized, “ Yes, makuha ra purya buyag.” ● Claims to have rosary always in her wallet. ● Still has a rosary inside her wallet.
● Roman Catholic ● Claims to do rosary once a day during free time.
● Claims that she follows some superstitious beliefs ● Claims that she follows some superstitious beliefs
because of parents. because of parents.
● Claims that she reads the bible sometimes.
● Verbalized, “Open about binisaya..”