C.

Marjorie Gordon’s 11 Functional Health Pattern

I. Health Perception - Health Management Pattern

Before Hospitalization:

The patient has no vices, such as drinking alcoholic beverages or smoking cigarettes. He

maintains his personal hygiene by taking a bath every day and brushing his teeth at least three

times a day.

During hospitalization:

The patient knew that his condition requires close monitoring and requires lots of rest.

The patient is advised to remain at rest and to not do any unnecessary movements to avoid any

complications. The patient is advised to take celecoxib as needed whenever the pain intensifies.

II. Nutritional – Metabolic Pattern

Before Hospitalization:

The patient weighs 75kg with an average height of 165cm. the client regularly eats 3

meals a day. He eats any type of dish served on the table. The patient doesn’t face any problems

with his nutritional – metabolic pattern. He exhibits good appetite, takes his meals on any time of

the day and always finishes his meals.

During Hospitalization:

The patient limits his food intake. And is only advised to consume foods that are helpful

for his fast recovery. He is advised to eat dairy foods and green leafy vegetables to help his

bones to recover. He is also advised to eat foods that are rich in protein especially fish whose
bones are edible such as sardines and pilchards. He is also advised to eat bread and anything

made with fortified foods.

III. Elimination Pattern

Before Hospitalization:

The patient did not have any problems with defecation as he defecates at least once a day

and his urination were frequent, which was about three to five times a day. His stool is soft in

consistency and brown in color, and his urine is yellow in color and has no odor.

During Hospitalization:

The patient did not have any problems with defecation and has defecated for 2 times in a

day. The patient was able to void once in a day. The patient was able to urinate and have his

bowel movements with no reports of any discomfort eight hours after the procedure. However,

before going to the bathroom, the patient finds it difficult and uneasy to move because of his

traction but aside from that, he doesn’t have any hard time in eliminating.

IV. Activity – Exercise Pattern

Before Hospitalization:

The patient can do household chores and can even go to work to provide for his family.

The patient doesn’t face any difficulties in dealing with tasks for this is his forte, according to

him. The patient is able to move freely and even lift heavy loads twice his weight. The patient

can even walk miles while carrying heavy loads at his job.

During Hospitalization:
 The patient’s mobility is limited. He can’t stand, sit, nor move freely because he had a

traction on his left leg due to his hips being dislocated. He is advised to only seat and stand based

on his limit. The patient is advised to ambulate from time to time to improve slowly his Range of

Motion.

V. Sleep – Rest Pattern

Before Hospitalization:

The patient sleeps well together with his wife and children. He doesn’t face any

difficulties sleeping and doesn’t have any sleeping conditions such as sleep apnea and insomnia.

The patient sleeps peacefully free from any harmful thoughts.

During Hospitalization:

The patient experienced having insomnia especially on the first week of the said incident.

The patient has difficulty falling asleep due to the intense pain of the skeletal traction. The

patient is uncomfortable and isn’t able to move freely because of the 16lbs attached on his left

femur. The patient is often anxious especially on the first week of the incident.

VI. Cognitive – Perceptual Pattern

The patient is oriented to the time, date, and place. He can also follow the instructions

given to him. He can also recall things when he is being asked questions related to his recent

activities. He also does not appear to have sensory deficits and does not use hearing aids or

eyeglasses.

VII. Self – Perception – Self-concept Pattern

groomed. However, during admission, he expresses worry over his condition and is anxious over

his children, who were left at home. He felt like he was unsure of what to do or where to start

again, and that he had lost a huge part of his strength and capabilities being a dad.

VIII. Role – Relationship Pattern

Before Hospitalization:

The patient appears to be in a loving relationship with his wife and children. He is a

dockworker. When it comes to decision-making for their family, the patient stated that both him

and his wife talk about things and make decision together. When conflict arises between him and

his wife, they do their best to resolve it quickly. The patient also stated that he has a good and

close relationship with his parents, siblings, friends and in-laws.

During Hospitalization:

The patient stated that he is grateful to his supportive wife and family, who supported

him and attend to all his needs during this difficult time. He also stated that this circumstance, at

some point, may affect his role as a husband and as a father as he is still under healing and

recovery, that he regrets so bad.

IX. Sexuality – Reproductive Pattern

Before Hospitalization:

The patient is a 33-year-old married man. He is sexually active and is full of sexual

desire. The patient doesn’t experience erectile dysfunction.

During Hospitalization:
 The patient is on bed rest for a month and will remain at bed rest for approximately 2 – 3

months. The patient is advised to rest and don’t do any unnecessary movements that could cause

dislocation or any pain on his fracture.

X. Coping – Stress Pattern

Before Hospitalization:

The patient stated that when problems arise, he opts to talk to his wife and family to seek

advice. He considers his wife and children his sources of emotional support and strength

whenever he is feeling down and is stressed or faces new challenges in his life.

During Hospitalization:

He experienced being depressed and helpless because of what happened to his condition.

He expressed being anxious and worried about his situation on whether he will still be able to

walk and do things he normally does.

XI. Value – Belief Pattern

Before Hospitalization:

The patient and his family are devoted Roman Catholic. He stated that they pray to God

for strength and guidance in their lives and that he will help them throughout this difficult time

for their family. During his admission, he mentioned that his family offered prayers for his fast

and safe recovery.

I. Level of Consciousness

The patient is awake and alert. The patient’s level of Consciousness is active and has a

total score of 15 in a Glasgow Coma Scale. A total of 15 points indicative of complete

orientation and alertness.

II. Vital Signs

Mr. A’s blood pressure is 110/80 mmHg, Pulse rate is 71 bpm, respiratory rate at 20 bpm,

temperature at 36.4 and O2 sat at 97%.

III. Skin Color

The skin of the patient is uniform in color, unblemished and no presence of any foul odor.

He has a good skin turgor and skin’s temperature is within normal limit.

IV. Facial Features/Physical features (Obvious physical deformities/body built/stature)

The patient has a rounded, normocephalic and symmetrical skull. There are no presence

of nodules or masses. The patient’s facial movement is symmetrical, palpebral fissures is equal

in size and the nasolabial folds are symmetrical.

V. Overall (signs of acute distress)

The patient is awake and is responsive. The patient faces reality-based thoughts and is

aware of his surroundings. The patient is not depressed nor suicidal. The patient often feels

anxious about his condition but not to the point he will dwell on that for too long. The patient

doesn’t show any signs of intense fear but often feels helplessness and burden because of his

condition. He doesn’t experience any flashbacks or nightmares of the accident he was involved.
The patient doesn’t feel any numbness or is detachment from his body. If asked about his

condition, the patient doesn’t try to ignore or avoid the situation or any questions related to the

traumatic events. Overall, the patient doesn’t have any alarming or violent reaction.

VI. Mobility (Gait, ROM of Joints/Use of assistive device/involuntary movements)

The patient has a dislocated hip and a fracture on the left distal femur. The patient is

unable to perform Gait normally.

VII. Facial Expression

The patient’s face shape is rounded and is symmetrical. There is no presence of any

involuntary movements. The patient can move facial muscles at will and the cranial nerve V and

VII is intact.

VIII. Mood and Affect

The patient’s immediate reaction upon seeing his nurse is he was delighted and a bit

happy. It seems that the patient is in a good mood to entertain certain questions from his health

care provider and doesn’t seem annoyed and irritable at all.

IX. Speech: articulation, patter, content

The patient can express oneself by speech or sign. The patient is oriented to person,

place, date and time and is able to concentrate as evidenced by answering the questions

appropriately.

X. Personal Hygiene and Grooming

The patient is well-groomed despite his condition. The patient’s body is maintained

clean, neat and presentable.

A. Integumentary

The skin of the patient is uniform in color, unblemished and no presence of any foul

odor. He has a good skin turgor and skin’s temperature is within normal limit. No sigs of edema,

inflammation, infection, lesions and any discharges.

B. Head

The patient’s skull is rounded and measures a 57-centimeter size. It is symmetrical with

smooth skull contour. No presence of nodules or masses palpated, the facial feature is

symmetric.

C. Eyes and Vision

Eyebrows and eyelashes are evenly distributed. Skin intact and has an equal movement.

Lids close symmetrically. Both eyes coordinate, move in unison with parallel alignment. There is

presence of dark circles around the eyes. No inflammations and lesions noted.

D. Ears

The color of the ears is the same as the skin color, symmetrical in size. The auricle is

aligned with the outer canthus of the eyes, firm and non-tender. The pinna of the patient recoils

after it is folded. Was able to hear right away any sounds and no presence of delay.

E. Nose and Sinuses

Patient’s external nose is symmetrical, no lesions found, no inflammation. The patient

breath through the nares. Mucosa appears pink. Nasal septum is in the midline. No irritation

found and deviations from normal.

The patient lips are pallor in color and dry. Patient was able to purse lips. No irritation

found, lesions and cysts. No artificial dentures used. Tongue is in the central position, raised

papillae. Salivary glands are the same color as the floor of the mouth. The oropharynx is pink

and has a smooth posterior wall. The tonsils are in pink color, smooth looking texture, no

discharge and inflammation noted.

G. Thorax and Lungs

The thorax is symmetric, and the spine is vertically aligned. It manifests quiet, rhythmic,

and effortless respiration. No presence of phlegm and shows no difficulty in breathing.

H. Cardiovascular

No chest pain, heart sounds are normal. No presence of bruit sounds.

I. Abdomen

No presence of Inflammation and tenderness. No scars are noted.

J. Musculoskeletal

Muscles are symmetrical. Muscles and tendons are firm. Bones have no deformities,

tenderness or swelling. Joints move smoothly, no inflammation, tenderness noted.