Gordons Functional Health Pattern

Before Hospitalization

During Hospitalization

Interpretation

Health Perception and Management Patient This is her 2nd confinement in the hospital. According to her daughter she is having a hard time dealing with her illness. The patient feels very week. Nutrition And Metabolism Patient loves to eat pork, fish and often eats vegetables. According to patients daughter, patient is not fond of eating chocolates and drinking carbonated drinks but during the time of stay in here their province the patient loves to eat rice with sugar. Elimination Patient moves her bowel regularly and urinates frequently. In patients five days of hospitalization, during the first 3 days she moved her bowels regularly but for the next day she havent. Patient also find it painful when she urinates. For the bowel movement of the patient, there was a bit changes but for the urination, there was a difference because now theres pain every time she urinates. Patients daughter prefers less rice, soup and fish for her daily meal. Patients diet should be followed as ordered by the attending physician. There is a big transition from the patients health perception now that she has an illness.

Activity and Exercise As a barangay tanod, patient loves to walk as part of her job and also participates in some barangay activities. During hospitalization, according to her daughter, she just walks a little. The patient cant do more of her activities aside from walking because she now also gets tired easily and experience difficulty of breathing.

Sleep and Rest

According to patients daughter, patient gets enough sleep but by the time she had a skin allergy the patient find it hard to get into sleep.

Patient cant totally sleep due to hospital environment and her skin allergy.

Patient cant get enough sleep.

COGNITIVE AND PERCEPTUAL PATTERN Patient went only in to elementary. Patient is oriented. Patient is oriented.

SELF-PERCEPTION AND SELF CONCEPT PATTERN Patient feels good about herself but their life situation makes feel sad. Now, she feels no good about her condition. Patient feels not good about her condition.

ROLE AND RELATIONSHIP PATTERN According to patients daughter, they have a good relationship with their mother. During hospitalization, only 3 of her children was able to visit her. Patient still have a good relationship to her children.

SEXUALITY AND REPRODUCTIVE

Patient was married and had 11 children.

Patients husband has passed on. according to patients daughter, patient did not have any relationship thereafter.

Patient just gave focus to her 11 children.

COPING AND STRESS TOLERANCE PATTERN

Patient doesnt have vices but her way to relieve stress is to eat nga-nga.

Now, the only form of relieving stress is to chat to her daughter.

Patient just verbalizes

VALUE-BELIEF PATTERN Patient is a Catholic. She often go to Sunday mass but they practice praying before meals. There were no changes when it comes to their spiritual activities. The patient just continuous what she does when it comes to spirituality.

NURSING CARE PLAN

ASSESSMENT SUBJECTIVE: madalassyangnakahiga, pagnaglakadsya, magsasabisyananahihirapansyanghuminga as verbalized by the patients daughter. OBJECTIVE: Bodyweakness Restlessness Poor appetite With limited ROM

DIAGNOSIS ActivityIntolerance:Level related todifficultywalkingsecondary tobody weakness.

PLANNING After 4 hours of nursing intervention thepatient willimprove mobility participation inthe activities of daily living.

INTERVENTION . Note presenceof medicalconditions orsituations thatpotentiate fluidexcess. Auscultated breath sounds Advice to restrict sodium and fluidintake, as Indicated. Recorded I and O

EVALUATION

After 4 hours of nursinginterventi thepatient was able toimprove mobilityparticipatio in theactivities of dailyliving

V/S taken asfollows: T 36.4 PR 83 RR 23 BP 140/90

DISCHARGE PLAN MEDICATION - explain all the medication that was prescribed by the physician and emphasize its importance, advice the client not to miss any of her medication and instruct the client to continue with follow up medical. ENVIRONMENT AND EXERCISE- maintains a quiet, pleasant environment to promote relaxation. Provide clean and comfortable environment. Encourage the patient to do some exercise that she can tolerate. Activities that require exertion of too much energy should be avoided. TREATMENT all medication should be taken regularly. Safety precaution should always done. HEALTH TEACHING explain the underlying disorder and treatment plan,lifestyle change (proper food preference), general health measures (adequate sleep, proper diet, and maintaining aclean surrounding.) OUT-PATIENT - will be advised to go back in the hospital in a specific date to have a follow-up check -up after discharge. Consult doctor for are any problems or complications encountered. DIET diet as prescribed by the doctor should be followed. SPIRITUAL encourage the patient to pray for the good prognosis of her illness.