Gordons functional health pattern for adult
Health management and perception pattern
Do you understand your medical diagnosis? Yes.
Cause of hospitalization or chief complaint
Has been hospitalized before when and why - “oo kay nagka-sinus ko tung 2003”
How did you have such disease? - “tungod man to sa akong trabaho kay puno
permi sa alikabok”
When did it start? How did it progress? “Nag sugod man katong 2003 di na ko
kahinumdom sa adlaw. Katong nag dugay na ko sa akong trabaho sa paghimog
furniture, didto nagsugod nga ping-ot akong ilong (congested) tapos sige kog
hatsing (sneeze). Gasakit pud akong ulo ato unya gina sip-on ko maong nagpa-
check up na ko.”
how had this affect your normal ADLs? - “maglisod na kog himo sa akong mga
buhatonon labi na sa akong trabaho kay di ko maka-focus unya gasakit pa gyud
akong ulo ato. Naglisod sad ko ato kada matulog ko kay lain akong paminaw.”
Expecting to go home in a day or two? - No.
Other health problems? “Wala”
Family history? “Sa side sa akong mama naay high blood og diabetes”
Has been compliant to the doctors orders? “Oo para maayo og makagawas na ko
sa hospital”
What do you usually do to prevent this disease from occurring? “Wala”
Taking vitamins? “Wala”
Use of herbal plants? “Wala”
Use of tobacco? “Wala”
Use of alcohol? Yes. Type: Beer, Tanduay. Since: 20 yrs old. Amount of intake: 1
bottle. Frequency: 3 x a week
Drugs? No
Allergies: “wala”
Nutritional/Metabolic Pattern
Weight/Height: 64kg, 5’6
24 hour food recall
Time 9 am - tinolang manok, rice, water
11 am - biscuit (sky flakes), juice
9 pm - pinakbet, rice, water
You consider yourself as? Right / (not overweight nor underweight)
Weight Fluctuations: None
Special Diet/ Supplements: None
Eating? How many times?
Before: 4 to 5 times
Today: 3 times
Favorite food: Wala
Foods you don't eat: “Wala, gakaon man ko bisag unsa”
Eating with whom? “Asawa og anak”
Appetite: Normal
Swallowing difficulty: None
Dentures: None
Skin problems: full thickness burn at left and right forearm, left and right foot
Skin turgor: <2s
Temperature: 39 (@4 pm) Warm to touch? Yes
IVF: D5LR 1L x 12 hours (pero naa kay akee ang details about IVF)
Drinking how much? Before: 1440cc; After: 2000cc
What? Milk, Coffee, Juice, Soft drinks
Changes in thirst: Increased
Elimination Pattern
Bowel Habits: BEFORE - 1x a day: WNL - brown with strong odor but not
overwhelmingly foul. AFTER - No stool for 3 days - Assistive device: catheter
Bladder Habits: BEFORE: 6 x a day - WNL - Yellow - aromatic. AFTER: with
catheter: 800 cc of urine output - Yellow color
Activity and Exercise Pattern
Feeling of weakness: yes
Activities carried out during routine day: Eating, drinking, dressing & bed
mobility: assistive from others… Toileting, transferring, toileting, and ambulating:
unable
Tolerance in activities: decreased
Rate self as: dependent
Task is achieved with the help of: wife
Experienced shortness of breath : no
Exercise: (wala sya ga exercise)
Factors affecting mobility : pain, muscle weakness, functional impairment due to
burn injury, psychological factors or unwillingness or ability to move
Musculoskeletal impairment? Yes, due to burn injury.
Daily living before? “Trabaho, tapos mag uli ko sa akong asawag anak. Kung
walay trabaho, galihok pud ko sa balay. Usahay mag inom kauban akong
barkada.”
Cognitive and Perceptual Pattern
Mental status: alert and oriented
Speech: normal
Able to: read and speak
Vision: within normal limits
Pupils reaction: within normal limits
Hearing: within normal limits
Smell and taste: within normal limits
Touch sensation: tingling
Discomfort or pain: acute
Description: described as a pins-and-needles feeling or a prickling sensation.
Onset - "The pain started after the burns and has been constant."
Location - left foot and left forearm
Duration - "since the time of incident."
Severity - 8/10
Pattern - "The pain is intermittent. According to the patient, it lessens with the
administration of pain reliever and worsens in its absence"
Aggravating Factors - "Movement on the affected areas and lack of pain reliever."
Pain management: pain reliever
Responsive to: verbal, physical stimuli
Time, place, and person oriented
Remove or recent memory: OK
Decisions? OK
Roles or relationship pattern
Lives with whom: “asawa, anak”
How those people: “okay”
Works as a furniture maker
Gets along with friends and coworkers
Major roles, relationship and responsibilities at present: Husband, Parent, Provider
of the family
How is it? “Bago pa ko na-hospital, ako naga provide sa akong pamilya. Og way
trabaho, naga alaga pud ko sa akong anak o maghatag og oras kauban akong
asawa.“
How was your illness affected your roles responsibilities? “Nakaapekto gyud
akong sakit karon kay dili naman ko katrabaho maong apektado pud among
pinansyal. Nagasalig nalang ko sa akong asawa og pamilya bisag sa akoang pag
kaon, pag inom og tubig.”
Satisfactions and disturbances, in roles in responsibilities? “Tungod sa akong
sitwasyon ron dili na nako mahimo akong mga responsibilidad sa akong pamilya.”
Support system? “Akong asawa, Nanay og Tatay nako pati mga igsuon nako,
maoy naga suporta sa akoa karon.”
Value and belief pattern
Religion: Roman Catholic
Practicing being in that religion? Yes.
Go to church every: “katong wala pa ko na-admit, nagasimba mi sa akong pamilya
pero karon diri nalang magpa-sounds ra mig worship songs.”
Self-concept or perception pattern
ways you feel different because of illness?
Body posture & movement/Voice & speech pattern:
Eye contact:
Grooming:
Concern about family? Work/school?
Sexuality and Reproduction Pattern
Marital status: Married
Family planning? Yes
Coping/ Stress Tolerance Pattern
Concerns: “Dili na ko makatrabaho og makasuporta sa akong pamilya. Gina
nerbyos ko tungod sa akong operasyon.”
Who's with you? Partner, Relatives and Parents
Major loss/change this year: “kaning pagka-hospital nako, pagtanggal sa akong
tudlo sa akong wala nga kamot unya operahan na pud ko usab.”
How handle: “Gaistorya ko sa akong pamilya og ginapagawas nako akong gibati.
Nagaampo ko sa Ginoo, dawaton nalang gyud nako.”
What do you do to relax: “Mag tan-awg TV or sa cellphone.”
Afraid? “Gina nerbyos ko sa akong operasyon.”
Muscle Trembling? Yes
Support System: Wife, parents, siblings, relatives
Sleep or Rest Pattern
Before admission: 6-7 hours. Sleeps at 10 pm and wakes up at 4 or 5 am
During admission: 8 hours. Sleeps at 11 or 12 am and wakes up at 7 or 8 am
Feels rested after sleep? No
Always feel dizzy? No
Sleep problems: yes, verbalized difficulty falling asleep due to pain
Disturbances: “makamata ko kada gabii labi nag gasakit maayo akong samad.”
Perception of quality or quantity of sleep: “Dili maayo akong tulog kay dugay ko
makatulog unya makamata ko kada gabii.”
