Gordon's 11 functional Health Patterns

1. Health Perception-Health Function
Before:
-poor health status 

-vulnerable to common colds and fever. 

-monthly check-ups 

-NaHCO3 and Al(OH3) and vitamins (stress tabs) 

-self-medication

   
During:

-very poor, and worse than before

- unable to move and perform ADLs.

2. Nutritional Metabolic Pattern

Before:

-eats 3 to 4 times a day

-usually eats breakfast with rice, egg and noodles

-likes rice, fried fish and anchovies for lunch and for dinner,  

-usually eats rice, vegetables and fried fish. 

-drinks 5-6 glasses of water a day at about 1200-1400cc.  

- fond of eating salty foods and foods high in cholesterol.

During:

-restricted to eat foods high in sodium and cholesterol

-blenderized feeding via nasogastric tube with 1600 kcal in 2000cc volume and 60 grams protein (50% MBV), low purine, high fiber at 170cc every 4 hours

-strict aspiration precaution.

3. Elimination Pattern

Before:

-voided about 5 to 6 times a day with an amount of approximately 500-800 ml/day. 

-assess out stool once every other day.

During:

-In the first week of care, the patient had a urinary catheter and voided about 500-600 ml/day.

-In the second week, the patient was wearing a diaper

-voided about 400cc/shift.

4. Activity Exercise Pattern

Before:
-did not exercise

-worked as a stock keeper at a company. 

-does washing of the clothes, plates and the rest of the household chores. D

-During strenuous activities, the patient experienced fatigue as verbalized by the SO.

During:

-unable to perform any exercises at all

-needs assistance in performing activities of daily living (ADLs) such as eating and moving. 

5. Sleep-Rest Pattern
Before:

-slept for about 5 to 6 hours a day  

-Sometimes patient does not feel rested well after sleeping 

-usually sleeps at around 10 PM and wakes up at 4 AM.

During:

-intermittent sleep and been very lethargic

-usually opens her eyes and closes after a few minutes. 

6. Cognitive-Perceptual Pattern
Before:
-did not have any sensory deficits. 

-College level is her highest educational attainment

-did not use a hearing aid or eye glasses

-sensitive to superficial pain and is able to read and write.

 

During:

-difficulty communicating due to aphasia accompanied by weakness and presence of endotracheal tube.

7. Self-Perception Pattern
-Unavailable

 

8. Role-Relationship Pattern

Before:

-Bisaya as a primary dialect

-knows how to speak in English and Tagalog

-lives with her husband and child.

During:

-unable to perform her role effectively as a wife because of her illness.

-very dependent on her SO and family 

9. Sexuality-Reproductive Pattern

-Unavailable 

10. Coping-Areas Management Pattern

Before:

-when there was a stressful event, the patient took stress tabs

-diverting her attention to watching television.

During:

-stressful and debilitating

11. Value belief system

-Roman Catholic

-went to church regularly