III.

Gordons Typology of Functional Health Patterns

Date of Interview: August 3, 2016

Domain Analysis Interpretation

1. Health Past six months: Patients perception
Perception/ about her health is that,
Health Patients daughter rated her
everything she is
Management mothers health Fine.
experiencing is just an
Pattern She can perform daily
effect of her asthma, so
activities like household
theres no reason for
chores, but sometimes she
her to visit hospital.
experience asthma attacks
But soon after she
She used nebulization as a
knew her condition she
treatment. She is very
became cautious about
meticulous with her body.
her health. She
At her age, she can
complies with the
independently groom
treatments provided by
herself. Patient is not a
her physician and
picky eater; she eats
became aware of her
vegetables, fruits, and fish
limitations.
but she is fond of oily
foods. She never sought for
medical help until April
this year when she
experienced difficulty in
breathing.

Present:
Soon after patient had her
check up and knew her
condition, patient became
cautious about her health.
She followed the doctors
order, and took all
medications on time. Until
July 30, 2016, she was
hospitalized due to
Difficulty of Breathing.
Her usual activities were
being affected, such as
going to the comfort room.
She was in complete bed
rest and with oxygen.

2. Nutritional Past six months: Alteration in the clients Patient chose to change
Metabolic diet are often needed to her nutritional habits
Pattern Patient implements a diet
treat a disease process... to by following a low salt
equal in fruits like orange
increase or decrease low fat diet. She was
and papaya, vegetables,
weight, restore nutritional experiencing alteration
and fish, but she also likes
deficit, or allow organ to in her eating ability
oily food. She eats three
rest and promote healing. because of having
times a day and drinks at
exhaustion when
least 6 glasses of water. (Kozier & Erbs
eating.
She has no any food Fundamentals of Nursing
allergy. Patient is not
 taking any vitamins or 8th Ed. Vol. I pg. 260)
supplements. She has no
discomfort or any
swallowing problem People who adopt strict diet
despite of her incomplete can significantly reduce
dentures. blood lipids, blood glucose,
body mass index, and blood
Present:
pressure.
Patient maintains a low salt
(Brunner &Suddarths
low fat diet. She avoids
foods reach in sodium and Medical-Surgical Nursing
fats. She typically eats 13th edition Vol.1 pg.233)
papaya, banana and soup
together with rice. She is
experiencing exhaustion
when eating.
3. Elimination Past six months: Patient has no problem
Pattern in her urination and
Patient urinate more than
defecation. She
5x a day with
retained same
approximately 200ml in
elimination pattern
amount and yellowish in
from past six months to
color and bowel movement
present.
once every morning. She
experienced constipation,
and as a treatment she
increases her fluid intake.
She never tried to take
laxatives. Patient reported
that she can tolerate the
urge of urinating and
defecating.
Present
Patient retained the same
urination and defection
pattern. However, patient is
on diaper, and later on
catheterized prior to her
admission in the ICU.
4. Activity- Past six months Limitations to movement From performing
Exercise may be medically normal chores, patient
Pattern Patient considered
prescribed for some health activity became limited
household chores like
problems....Bed Rest may and was instructed to
cooking, washing clothes
be a therapeutic choice for be in a bed rest without
as a form of exercise. She
certain clients bathroom privileges, so
has a history of asthma,
her daughter provides
which usually occur when (Kozier & Erbs
her assistance. She has
she performs exhausting Fundamentals of Nursing
a non productive cough
activities. During her spare 8th Ed. Vol. II pg. 1117)
and irregular heart
time, she stayed in their
beat.
mini sari-sari store and
watched television. Patient
can independently perform
self care activities like
personal grooming. .
 Present
Soon after the patient knew
her condition, she avoided
performing chores. Her
daughter provided
assistance. She has a non
productive cough and
arrhythmias. She is on a
bed rest without bathroom
privileges and under
oxygen treatment.

5. Perception Past six months Individual senses are Patient was well
Cognition essential for growth, oriented and has a
Pattern Patient has a sharp
development, and survival. sharp memory. She can
memory. Despite of her
Sensory stimuli give learn through reading
age, she can still remember
meaning to events in the and demonstration.
the birthdays of her
environments. Any Patient is experiencing
children as well as the
alteration in peoples difficulty in
names of her grand
sensory functions can affect constructing sentences
children. She can easily
their ability to function and gets irritable
communicate and interact
within the environment. easily.
with others. She can
organize her thoughts well (Kozier & Erbs
and clearly. Everytime she Fundamentals of Nursing
makes decision, she 8th Ed. Vol. II pg. 981)
usually consults her live in
partner first. Patient can
easily learn through
reading and demonstration.
Present
Patient was oriented to
person, place and time. She
attentively listens to
instructions but she gets
irritable easily. She is
having a hard time in
expressing herself well
because of her condition.
.
6. Sleep Rest Past six months Patient with inadequate Patient experienced
Pattern amount of sleep tends to changes on her
Patient can sleep 6 to 8 hrs
become emotionally sleeping pattern since
every night. She feels
irritable, have poor the hospital is noisy
rested and relaxed when
concentration. and unfamiliar. From
she wakes up. She
being relaxed and
occasionally take naps at (Kozier & Erbs
rested patient became
noon time, around 2:00 to Fundamentals of Nursing
tired and irritable.
3:00 pm. Sometimes she 8th Ed. Vol. II pg. 1661)
have dreams, but never had
Environment can promote
nightmares. Patient never
or hinder sleep... The
tried to take any sleeping
absence of usual stimuli or
pills.
the presence of unfamiliar
stimuli can prevent from
 Present sleeping
Patient is having difficulty (Kozier & Erbs
in getting sleep. She only Fundamentals of Nursing
take naps, 2 to 3 hours 8th Ed. Vol. II pg. 1170)
everyday. She is easily
distracted to the noises and
unfamiliarity of the
environment. She looks
tired and gets irritable
easily.
7. Self- Past six months
Perception/
Self- Concept She describes herself as Self-concept is a The patient knows
Pattern simple at maalaga. She component of personality herself for she had
accepted the changes in her that can be viewed as an gone through a lot of
body due to aging and it attitude towards self. An experiences in life. She
did not affect her older persons self-concept is aware of her own
confidence. She knows that can be eroded or enhanced persona and priorities
she is old and requires help over time as a result of in life. She is not
from her children. She is circumstance and life affected by the changes
an undergraduate and was experiences. People do not in her body because of
not quite satisfied with her necessarily become aging but is affected by
achievements that is why depressed, isolated, and her current disease. She
she shares her experiences rigid with older age, and complies with the
with her children for them well-adjusted and happy treatments provided by
not to do the same. She individuals are likely to her physician for her to
does not spend much time remain so in late life. feel relieved.
to fix herself because she
(Essentials of
knows that she looks good
Gerontological Nursing by
even if she is old already.
Patricia A. Tabloski, page
Present 194)
She is lonely because of
her present condition but
she knows that her family
is there with her. She gets
reassurance from her
family, nurses and doctors.
She is not as lively as she
is before but still exerts
effort in communicating.
She is aware of her
condition and understands
the purpose of the
treatments she has to
undergo. She does not feel
good because of her
disease but she knows that
she will feel better if she
complies with the therapies
and procedures.

8. Role Past six months

Relationship
Pattern The patient lives with her Family roles are especially The patient was able to
family and feels contented important to people play her role as a
with their support. Her because family mother prior to
family is extended and relationships are confinement. She has
enjoys the company of particularly close. friends and family who
everyone.Her father and Relationships can be supports her whenever
mother is dead and focuses supportive and growth she needs them.
her role as a mother. She producing.
Her husband and
has no problems in
(Kozier & Erbs daughter takes care of
handling problems. As a
Fundamentals of Nursing her and stayed with her
mother, she serves as the
8th Ed. Vol. II pg. 1007) all throughout her stay
light of the family by
in the hospital which
giving advices to her
indicates that she has a
children. She shares her
strong ties with her
stories about life and
family. They care for
inspires them for them not
each other in different
to choose the wrong
ways even with the
decisions in life. She is
presence of her current
also responsible for her
illness.
familys health care
concerns and treat the
family member who is ill.
The father serves as the
breadwinner of the family
while she is responsible for
the budgeting of the
income of the family. She
stays at home as a
housewife and does some
simple chores. She is a
member of El Shaddai
which is a religious
group.Interacting with her
family and friends is her
pastime
Present
The patient cannot play
her expected role as a
mother because of activity
intolerance but she
expresses her care for her
children by asking them if
they are doing fine.She and
her family is feeling
doleful because of her
present condition.Her
daughter took over her
responsibilities for a while.
Her husband and daughter
takes care of her
interchangeably and
manages their expenses.
9. Sexuality- Past six months
Reproductive
Pattern Patient is not sexually As women also produce The patient does not
active since her small amounts of look for sexual
menopausal stage when she testosterone, loss of libido pleasure anymore
was still in the age of 42. in an older woman may be because she is already
She was not having sexual related to a decrease in contented with what
intercourse with her testosterone. Breast tissue she have. She
husband because she said it grows in response to understands the
is already difficult to estrogen. As estrogen essence of sexual
perform it and does not feel levels taper off, the breasts activities and if what
like doing it anymore. becomes firm and should be or should not
According to her, they somewhat pendulous. The be practiced.
were already done with glandular tissue in the
She still tries to show
that stage and they can live breast is gradually replaced
her affection despite
without it because they by fat, and the ligaments
the contraptions and
love each other. They show supporting the breast no
difficulties due to her
their affection by caring for longer maintain the lobular
condition.
ach other. As a woman, shape of the breast.
she understands that the
Older women also
essence of coitus is to
experience changes in their
express their love for each
sexual responses, It takes
other and to have children.
longer for the older woman
Present to become sexually aroused
and produce vaginal
The patient expresses her
lubrication. The labia and
love for her husband by
uterus do not fully elevate,
hugging and kissing. She
making penetration slightly
cannot move freely
more difficult.
because of the contraptions
but still tries to show her (Essentials of
care for her husband and Gerontological Nursing by
daughter even if she cannot Patricia A. Tabloski, page
speak well. 523)

10. Coping/Stress Past six months

Tolerance
Pattern Patient copes with stress by Stress is a universal The patient can cope
diverting her attention in phenomenon that all people with her stress prior to
 selling in their store or by experience in their daily her confinement but
watching the television. lives. Stress is the response not effectively because
When she has major to demand or pressure. she is not expressing
problems, she resolve it by However, excessive and herself which may
praying because it makes persistent stress has been worsen her condition.
her feel better. She is close linked to the development
The noisy environment
with her family but she of illness. Chemically,
and lack of privacyin
choose not to tell them stress mimics the fight-or-
the hospital also adds
when she is in pain because flight response that can
up to the patients
it will tend to worry them. preserve life in short term
stressors. She cannot
but threaten life if followed
cope with all of her
to persist for long periods
stress because she
Present of time. The person may
cannot communicate
feel alarm, and thinking
The patient is nervous effectively when she is
usually becomes narrow
when she is in stress. Her in pain.
and concrete, focusing on
stress came from the pain the threat at hand. Ability
she is experiencing. She to communicate decreases
cannot express herself well as all the emphasis is on
because of her condition mobilization of body
and the pain she is defenses.
experiencing. She is not
comfortable with the Stressors are highly
environment because of individual. Stressors may
lack of privacy and the be physical, emotional,
noise emitted by the biological, or
vehicles. She is also developmental. One older
worried with the family person may dread the
events wherein she cannot thought of moving into an
attend because of her assisted- living facility. He
present illness. She still or she may fear loss of
tends to cope with stress by privacy or independence,
praying even when in pain. loss of cherished
possessions, or even
separation from loving
memories of family events.
(Essentials of
Gerontological Nursing by
Patricia A. Tabloski, page
198)

11. Values belief Past six month

Pattern
According to the patient, Religion is the belief in The patient
religion is very important a divine or superhuman demonstrates a strong
to her. She is a Roman power or powers to be faith in God and her
Catholic who attends the obeyed and worshipped as religion by praying and
mass every Sunday. She is the creator(s) and ruler(s) practicing their
involved in a religious of the universe; and a religious activities.
group which is named El system of beliefs, practices, Belief in God is
Shadddai in which she and ethical values, and is a important in enriching
attends to every Saturday. major reason for the ones spirituality. It
She has a strong faith in development of ethnicity. helps the patient to be
God. She influence her strong and face the
(Essentials of
children to do the same as challenges in life
Gerontological Nursing by
she does to enrich their despite being in such
Patricia A. Tabloski, page
spirituality. condition.
91)
Present
The patient comply with
her religion by always
praying. She never lose
faith in God and does not
blame God for having such
disease. Praying is the only
thing that she can do since
her admission to the
hospital. For her, God is
the only one who can help
her feel better and the one
who can help her solve her
problems.