TOPIC: Gordons 11 Functional Patterns

PATTERN OF HEALTH PERCEPTION &

HEALTHMANAGEMENT
How does the person describe her/ his
current health?
What does the person do to improve or
maintain her/ his health?
What does the person know about links
between lifestyle choices and health?
How big a problem is financing health care
for this person?
Can this person report the names of
current medications s/he is taking and their
purpose?
If this person has allergies, what does s/he
do to prevent problems?
What does this person know about medical
problems in the family?
Have there been any important illnesses or
injuries in this person's life?
NUTRITIONAL - METABOLIC PATTERN
Is the person well nourished?
How do the person's food choices compare
with recommended food intake?
Does the person have any disease that
effects nutritional- metabolic function?
PATTERN OF ELIMINATION
Are the person's excretory functions within
the normal range?
Does the person have any disease of the
digestive system, urinary system or skin?
PATTERN OF ACTIVITY & EXERCISE
How does the person describe her/ his
weekly pattern of activity and leisure,
exercise and recreation?
Does the person have any disease that
effects her/his cardio-respiratory system or
musculoskeletal system?
COGNITIVE - PERCEPTUAL PATTERN
Does the person have any sensory deficits?
Are they corrected?
Can this person express her/ himself clearly
and logically?
How educated is this person?
Does the person have any disease that
effects mental or sensory functions?
If this person has pain, describe it and it's
causes.
PATTERN OF SLEEP & REST
Describe this person's sleep-wake cycle.

Does this person appear physically rested

and relaxed?
PATTERN OF SELF PERCEPTION & SELF
CONCEPT
Is there anything unusual about this
persons appearance?
Does this person seem comfortable with
her/ his appearance?
Describe this person's feeling state?
ROLE - RELATIONSHIP PATTERN
How does this person describe her/ his
various roles in life?
Has, or does this person now have positive
role models for these roles?
Which relationships are most important to
this person at present?
Is this person currently going though any
big changes in role or relationship? What are
they?
SEXUALITY - REPRODUCTIVE PATTERN
Is this person satisfied with her/ his
situation related to sexuality?
How have the person's plans and
experience matched regarding having
children?
Does this person have any disease/
dysfunction of the reproductive system?
PATTERN OF COPING & STRESS
TOLERANCE
How does this person usually cope with
problems?
Do these actions help or make things
worse?
Has this person had any treatment for
emotional distress?
PATTERN OF VALUES & BELIEFS
What principals did this person learn as a
child that are still important to her/ him?
Does this person identify with any cultural,
ethnic, religious, regional, or other groups?
What support systems does this person
currently have?

SAMPLE Gordons Functional Health Pattern

A. Health Perception and Management
Prior to admission:
Can only recall being immunized with BCG
and DPT
Rarely visits a doctor to have a check-up
and seek for medical assistance
Uses herbal medicines such as oregano,
guava, bitter gourd, and ginger
Buys and takes over the counter drugs
such as Solmux, Neozep, Biogesic,
Mefenamic acid, Diatabs, and Loperamide.
Stopped taking multivitamins Enervon
When sick, goes to the manghihilot or just
waits for the sickness to heal
Practices healthy lifestyle and depends on
fruits and vegetables
No vices since young such as drinking
alcoholic beverages and smoking cigarette
After experiencing difficulty in defecating,
she decided to see a physician
During hospitalization:
Oriented
Conscious and coherent
Concerns for her surgical site after incision
and repair
Willing to accept and listen to health
teachings
Shows interest to recover easily and fast
Always prays to God
B. Nutrition/ Metabolism
Prior:
Eats more of fruits and vegetables
Eats her meals 3x a day with snack in
between
Can drink up to 1.5L of water or 4-5
glasses a day
Drinks coffee in the morning and in the
afternoon
Claimed to be allergic on shrimps and
claimed to have good appetite
During:
Weight: 41 kg
Height: 4 ft and 10 in
Normal Body Mass Index; BMI = 18.89
kg/m2
Average Body Temperature is 360 C
Able to fast in preparation for surgical
procedure
Before operation, being infused with an
IVF of D5NM 1L x 160 hooked at her left
cephalic vein

After operation, being infused with an IVF

of PLR 1L x 8 hours as main line hooked at
her left cephalic vein with a side drip of
PNSS 500mL + 2 ampules Voltaren at
20cc/hr and an IVF of PNSS 1L x KVO
hooked at her right cephalic vein with a
side drip of 2units PRBC
On NPO

C. Elimination
Prior:
She voids 4-5 times a day
Her urine color is yellow which is dark
most of the times
There is no burning sensation/ pain felt
during urination
She usually moves her bowel every
morning
With brown and formed stools. But
recently, she is having difficulty in
defecating
The impression to the result of the
ultrasound of her whole abdomen is to
consider ileus; partial obstruction and
fecal stasis
During:
No pain or burning sensation during
urination
Before operation, she experienced
vomiting with yellowish vomitus and
hasnt move her bowel all throughout
the 8 hour shift
After undergoing the surgical
procedure, a nasogastric tube is used
which is attached to a drainage bottle;
a colostomy is present attached to a
colostomy bag
After operation, a foley catheter was
used which is attached to the uro bag
draining well with dark yellow urine
with an output of 175 cc was taken
after the shift
D. Activity/Exercise
Prior:
The patient ambulates within the
house
She does household chores
She takes a walk at their
subdivision to visit the neighbors
and buy at the store
She does simple exercises on the
upper and lower extremities by
means of shaking and stretching
Able to bathe herself
During:
Reaction to stimuli are slower
Decreased strength; becomes weak
in prolonged activities

Decreased speed of movement

Limited range of motion
Radial pulse rate easily palpable
and heard
PR: 70 bpm
RR:18 cpm
BP: 110/80 mmHg
Before operation, patient can turn
to sides with slight discomfort and
can ambulate with assistance
After operation, patient is on bed
rest; flat on bed and shows
evidence of weakness
Steady and in deep sleep for 4
hours

E. Sexuality/ Reproductive
Married
A mother of 4 children
Menarche was on the year 1938 when she
was 11 years old
On her menopausal stage
She has no history of Sexually Transmitted
Disease or any disease affecting her
genitals
F. Cognitive/Perceptual
Prior:
No sensory deficits but functions are
diminished due to age
Oriented to people, time, and place
Responds to stimuli verbally and
physically
Pain felt radiating on the abdomen
During:
Pre-operative Phase
Before operation, she verbalized, Sakit
kaayo akong tiyan tapos butod ko.
Magbalik-balik ang sakit.
She rated pain as 8, from a pain scale of
1-10, 10 as the highest possible pain
perceived
She claimed that pain starts at the right
upper quadrant and radiates all
throughout the abdomen
Claimed pain to be intermittent
In normal thought process
Post-operative Phase
Akong tahi, nagasakit pa., as verbalized
Felt pain around the surgical site
Slight facial grimacing
Can respond to stimuli verbally and
physically with weakness noted
Believes that pain felt is due to postoperative experience
G. Sleep/Rest
Prior:

Can sleep for 7-9 hours per night

Straight hours of sleep
Her earliest time in going to sleep is at
9:30 PM
Latest time in waking up is at 6:30 AM
She sometimes takes a nap at noon for
about 1-3 hours
No difficulties in going to sleep
Doesnt uses any medication to promote
sleep
During:
Sleeps at 8:00 PM
Wakes up at 6:00 AM
Can consume 10 hours of sleep
Sometimes, she is distracted and sleep is
interrupted due to pain, administration of
medication and visitors
With rest intervals, usually naps for 4
hours
H. Roles/Relationship
Prior:
Married
With 4 children
Lives with the youngest child
Close to her grandchildren
Loves her family so much
Well supported and loved by her family
with close relationship
During:
Well supported by the family
Still plays the role of a mother despite
condition by means of reminding
important matters to her children
I. Self-Perception/Self-Concept
Prior:
Manages to practice healthy lifestyle so as
not to seek medical assistance
Recently, she believed that admission will
be helpful to assist her in her needs, to
alleviate the pain she felt, and to correct
her bowel
Hopeful to be relieved and treated
During:
Though weak, she still manages to appear
calm and relaxed
Agreed to be operated and undergo
surgery and gives her trust to the surgical
team
Hopeful and positive to have a successful
operation
Before operation, she prays all the time
She desires that no complications will
arise after the surgery
Major concern is her recovery
J. Coping/Stress

Prior:
Copes up with stress by doing household
chores and by taking a nap or sleep
Copes up with problems by talking about it
with the family and finds ways to resolve it
together
No traumatic events experienced before
Reason for admission is to alleviate the
pain and correct her bowel
Went to hospital and sought for medical
assistance after experiencing inability of
defecating
During:
Takes a nap and rests when tired
Verbalizes desires to recover
Able to accept situation by cooperating
with the medical advices and procedures

K. Value/Belief
Prior:
A Roman Catholic
Have strong faith in God
She always brings with her the rosary and
always prays at night
She goes to the church with her youngest
child and her grandchildren to attend the
mass every Sunday
During:
No restrictions in the procedure brought
by religion
The admission and surgery dont interfere
with spiritual practices