III. Gordons Typology of 11 Functional Health Pattern A.

Health Perception Pattern Prior to admission, the patient rated his health as 5/10 (1 as the lowest, and 10 as the highest) since he really doesnt feel good about himself due to his disease. The patient was already diagnosed with kidney problem on the year 2010 but doesnt really take medications or any treatments. He doesnt take any vitamins as well. The patient neither drinks nor smokes. The patient doesnt perform any self-exams and he only goes to the doctor when hes feeling sick. He stated that he self-medicates, especially when he gets fever. The patient also stated that he believes in faith healers and goes to one when hes not feeling well. The patient sometimes works as a tricycle driver. He usually goes out to drive his tricycle three times a week, from morning until evening. When the patients not out to work, he usually stays at home with his family, or goes out with his friends to play basketball. Playing basketball serves as the clients exercise. During confinement, he stated that hes health rating is still on a 5/10. He still feels bad about his health condition and stated that hes worried that he wont be able to use his left arm well due to his fistula. He doesnt have any difficulties in following the instructions of the nurses/doctor since he is staying there for almost a month. His personal hygiene practices are not changed since he was a right handed person and his fistula is on his left arm. Analysis: These characteristics indicate that health is not something that a person achieves suddenly at a specific time. It is an ongoing process a way of life- through which a person develops and encourages every aspect of the body, mind, and feelings, to interrelate harmoniously as much as possible. Many factors affect individual definitions of health. Definitions may vary according to an individuals previous experiences, expectations of self, age and sociocultural influences. It may influences behavior related to health and illness. (Fundamentals of Nursing by Kozier&Erbs 8th ed. Vol. 2 pp. 295-296) Interpretation: The patient does not have a change of view of his health before and during the admission. There have been changes in his activities but it doesnt affect his perspective about his health. B. Nutritional/Metabolic Pattern Prior to admission, the patient stated that he has a good appetite and that he usually eats for 5x a day (breakfast, lunch, merienda, dinner, and midnight snack). The patient doesnt take any vitamins. His typical fluid intake is about 8-9 glasses of water per day. He stated that he is a picky eater he usually eats fried food such as chicken and pork. He doesnt eat vegetables, and he also loves drinking softdrinks. The patient doesnt have any discomfort in eating, and has no diet restrictions. He has no known allergies to food and medications. The patients skin is dry, but has no lesions. During confinement, the patient is on a calculated renal diet and has a limited fluid intake of up to 1 liter only. The patients appetite decreased since he was hospitalized.

Analysis: Although the nutritional content of food is an important consideration when planning a diet, an individuals food preferences and habits are often a major factor affecting actual food intake. Habits about eating are influenced by developmental considerations where people in rapid periods of growth (i.e., infancy and adolescence) have increased needs for nutrients, by gender wherein nutrient requirements are different for men and women because of body composition and reproductive functions, by ethnicity and culture where ethnicity often determines food preferences and traditional foods (e.g., rice for Asians, pasta for Italians, curry for Indians) are eaten long after other customs are abandoned, by personal preferences which people develop likes and dislikes based on associations with a typical food, by health where an individuals health status greatly affects eating habits and nutritional status. Although some people overeat when stressed, depressed, or lonely, others eat very little under the same conditions. ( Kozier and Erbs Fundamentals of Nursing, Vol. 2 pp. 1237-1238 & 1240) Interpretation: The patient C. Elimination Pattern Prior to admission, the patient did not experience any difficulties in urination or bowel elimination. The patient stated that his usual urine is light yellow in color and that he urinates for about 5-6x a day. The patient also has no difficulty in his bowel movement. He said that he usually defecates once a day, every day. His usual stool is brownish in color, and formed. During confinement, according to the patient, he still doesnt experience any difficulty in passing urine and stool. He still urinates and defecates the same as when he wasnt still confined. Analysis: A persons urinary habits depend on social culture, personal habits, and physical abilities. In North America, most people are accustomed to privacy and clean (even decorative) surroundings while they urinate. Urinary elimination is essential to health, and voiding can be postponed for only so long before the urge normally becomes too great to control. The frequency of defecation is highly individual, varying from several times per day to two or three times per week. The amount defecated also varies from person to person. (Fundamentals of Nursing by Kozier&Erbs 8th ed. Vol. 2 p. 1285 & 1325) Interpretation: D. Activity-Exercise Pattern Prior to admission, the patients usual routine is to drive around his tricycle for a living, play basketball with his friends, and mingle with his family. The patient usually drives his tricycle for three times a week, depending on his willingness to work. He doesnt really help in the household chores, and would just go out with his friends when hes not working. The patient stated that he loves going out with his friends and play basketball and other sports. He said that he doesnt really tire easily and that he always feels energized every day. During confinement, the patient experiences easy fatigability and body weakness. The patient has limited movements due to his condition. His mother usually assists him in moving around.

Analysis: People in their early 20s are their prime physical years. The human body is at its most efficient functioning at about age 25 years. The musculoskeletal system is well developed and coordinated. This is the period when athletic endeavors reach their peak. All other systems of the body (e.g., cardiovascular, auditory and reproductive) are also functioning at peak efficiency. Although physical changes are minimal during this stage, weight and muscle mass may change as a result of diet and exercise. Health outcomes in older adulthood may have their genesis in younger adult behaviors. (Fundamentals of Nursing by Kozier&Erbs 8th ed. Vol. 1 p. 394) Interpretation: E. Sleep-Rest Pattern Prior to admission, the patient usually gets to sleep for 8-10 hours. He usually sleeps around 9 pm and wakes up around 6-8pm. The patient doesnt have any difficulties in falling asleep and it is continuous. He feels refresh when waking up in the morning. During confinement, the patient doesnt have any difficulties in falling asleep but it is not continuous since he was at the hospital his vital signs are always checked by the duty nurse. Analysis: Most healthy adults need 7 to 9 hours of sleep at night (National Sleep Foundation, n.d.b). However, there is individual variation as some adults may be able to function well (e.g., without sleepiness or drowsiness) with 6 hours of sleep and others may need 10 hours to function optimally. Signs that may indicate that a person is not getting enough sleep include falling asleep or becoming drowsy during a task that is not fatiguing (e.g., listening to a boring or monotonous presentation), not being able to concentrate or remember information, and being unreasonably irritable with others. (Kozier and Erbs Fundamentals of Nursing, Vol. 2 page 1168) Interpretation: