Gordon’s Functional

Health Pattern
P2LT PETE ANGELO E LOLOR NC
JORENCE QUINTANA RN
EL I GENE ODOÑO VILLANUEVA
 1) Health perception – Health Management
pattern
RM is an occasional alcoholic drinker, but he doesn’t smoke. When sickness comes, doesn’t consult to traditional medicine. He has no

maintenance medications. His daily routine was work and home and a little exercise at weekends.. He usually feels good about his health

and goes on with his daily activities w/o any concern until in the year 2016, RM had 1 episode of blood gushing out while defecating about

1 liter and almost fainted. He was rushed to the hospital and was transfused w/ 2 bags of pack RBC. Endoscopy and colonoscopy was done

and biopsy was taken but the result was benign. They were sent home after HGB and HCT were stabilized. In 2017, they sought again

consultation and found out that the cancer had metastasized. January 2018 they had chemotherapy which lasted only to 6 sessions then

stopped. And went back home. He felt weak and sought again consultation. At present, RM perceived his health condition as something

different from his healthy state but more improved compared to the time when he first deteriorated from his condition. He is abiding to

the care plan set by the doctors and nurses. In their family history, His father had prostate cancer but died due to

complication to hypertension. Pt has no idea on his current status.

2) Nutritional-metabolic pattern
RM stands 5’8. and weighs 85kgs. usually eats everything w/o any regard to his health. He doesn’t like
vegetables, but prefer meat and beef products, He has no known allergies to food. He like spicy foods ,
and during hospitalization he is currently in a low salt, low fat diet, and on a limited water intake up to
1.5 liters. He has a good appetite and eats 3 meals a day with snacks in the morning and afternoon, but
had observed weight loss in the past months. At present His BMI is 22.9 (Weight of 62kgs)
3) Elimination pattern
RM’s has normal bowel movement, 1x a day and urinates 7-8x a day. He had a colostomy since

2016, which drains soft greenish stool, usually 2x a day and had bilateral nephrostomy tube. He

doesn’t use any medication or deodorizer to enhance the odor of the colostomy. The right

nephrotube drains blood, light red in color, while the left nephrotube. Drains urine, yellowish in

color .
4) Activity-exercise pattern

RM’s day to day activity is work and home, he rides on public transportation. He walks a lot

everyday and sometimes do jogging at weekends. During his hospitalization, RMD is on bed

most the time, watches TV and talk to other patients in the room, he does active range of

motion exercises, can turn to different sides on his own while on bed, can arise from lying to

sitting position. He has weakness on his left leg which prevent him from standing and walking.
5) Cognitive Perceptual pattern

RMD was born and raised in Pampanga, he is a pure kapamgpangan, their dialect is pampanggo, but he speaks

Tagalog and English. He is a 5th year under graduate in a course mechanical engineering, he chose to go to work

and didn’t finish his course. RMD understands our instruction and doesn’t have any difficulty understanding our

questions. He is still sensitive to the temperature of the environment, he can differentiate and distinguish blunt

from sharp objects and his sense of taste is still good. He is conscious, coherent, and oriented, he has no

complaints of pain as of the moment. Since the progress of his condition, the decision making was assumed by his

wife in order to free him from stress. His memory serves him right, and he knows and understands his current

health problem and the treatment he is going on.

6) Sleep-rest pattern

RMD usually sleeps at 9pm and wakes up at 6am the next morning. He averages 9hours of

sleep, but sometimes awakened by hunger at dawn. He has no insomnia or difficulty going to

sleep, at daytime he naps whenever he wants. Despite the long hours of sleep, he still verbalized

lack of energy at day time.

7) Self-perception self-concept pattern

During our assessment, RM appeared calm and welcoming. He shows a positive attitude despite

his condition. When asked about his reaction by the time he was diagnosed with cancer, he said

he was never astonish by the disease nor about the prognosis but instead accepted it with

joyfulness and positivity. At present, He was just somehow concerned about the fluctuating

abnormal results and delayed development of his treatment.

 8)Role Relationship pattern

RMD is the bread winner in the family. As a father, he had no problem dealing and handling his

children and wife. During hospitalization, His primary watcher was his wife, at times, his children

and relative visits him at the ward that is why he doesn’t felt being left alone and left behind

with the happenings outside the hospital. Change of roles was adopted by RM after the

limitations that his condition had brought to his life. He said they had a good relation with his

wife and his children.

9) Sexuality-Reproductive Pattern

RMD was circumcised when he was at the age of 10. He has 3 children. 2girls and 1 boy. His wife

was his only partner and he had no sexual intercourse w/ other woman. He had no history of

prostate problems and STD’s. His condition somehow affected and limited their sexual

functioning but his wife always fill it by saying “I love you” as much as possible and took care of

him unconditionally.
10) Coping-stress tolerance Pattern

RM’s primary way in dealing stress is reading daily bread or other religious books. He seldom

request comfort from his parents. His mindset is everything

Happens in God’s plan and control. He regularly go to church on Sundays and any church activities.

He was not saddened about his condition. The presence of his family around him during this trials

helped him stay calm and positive. He doesn’t believe in euthanasia.

11) Value-Belief Pattern

Christianity is the religious affiliation of RM, specifically a Fundamental Baptist.

He values his family and his faith towards Christ. He entrust whatever is happening

to him in Christ. And this beliefs helped him accept his condition easily and quickly.