Gordons 11 functional pattern (seizure disorder)
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The document describes a patient's activities of daily living before and during hospitalization. It discusses the patient's health perceptions, nutritional patterns, elimination patterns, activity levels, sleep patterns, cognitive functioning, self-concept, family roles, stress coping mechanisms, sexual history, and religious beliefs. The patient viewed himself as healthy but able to work, but now in the hospital feels less healthy. His routines have changed in the hospital, including following the hospital diet and engaging in limited physical activity. He is oriented but experiences confusion during seizure attacks. He views hospitalization positively and is well-supported by his family.
Gordons 11 functional pattern (seizure disorder)
- 1. ACTIVITIES OF DAILY LIVING Before Hospitalization During Hospitalization HEALTH PERCEPTION Patient JEG Viwed health as a state in which he can perform his work daily and with the absence of illness and disease, he considered himself as a healthy human being, if he experience fever, cough and colds he take a Otc drugs such as (neozep, paracetamol and solmux) he rarely visits a doctor to have a check up and seek for medical assistance, he also uses a herbal medicine such as oregano and guava. Patient JEG cannot recall if he is fully immunized. The patient stated that he feels that he is not healthy anymore due to his condition. He is not able to adjust immediately with the changing environment from his usual life. He is willing to accept and listen to health teaching and shows interest to recover easily, he comply with all his medication and orders from the health care team. NUTRITIONAL-METABOLIC PATTERN The patient has no allergies to foods and drugs, he eat meals 3 times a day with snack in between, he drinks 7-8 glasess(1680-1920ml) of water, he also drinks coffee in the morning and in the afternoon. At the age of 18 years old patient JEG starts to drinks alcohol and stated that he drinks 2 times a week, he take centrum as his vitamins. The patient is under DAT (Diet as tolerated). He eat the food served in the hospital. He drinks 3 or more glasses a day, patient JEG also drinks coffee 2 or more glasses a day.
- 2. ELIMINATION PATTERN The patient usually voids 3-4 times a day, he defacates once a day daily, he doesn’t experience any problem in voiding and defecating. He never used any chemical laxatives and stool softeners. The patient usually voids 3-4 times a day, he defacates once a day daliy. The patient doesn’t have a problem regarding voiding and defecating. ACTIVITY AND EXERCISE PATTERN He states that he does some household chores at home such as cleaning their backyard and gardening, as a soldier he also attends physical exercise such as jogging , he also loves to play basketball. The patients stated that he becomes weak in prolonged activities. He can only perform limited activities due to his condition. The doctors says he should avoid to get tired. His exercise is walking around the hospital vacinity. SLEEP-REST PATTERN The patient usually sleeps 7-8 hours, his earliest time in going to sleep is at 8:00 pm and he wakes up at 4:00 am, sometimes he takes a nap at noon for about 30 minutes. He don’t have any difficulties going to sleep and doesn’t uses any medication to promote sleep. The patient sleeps at 9:00 pm and wakes up at 5:00 am , he can consumed 7-8 hours of sleep, he takes a nap at noon for about 1-2 hours. Sometimes he is distracted and his sleep is interrupted due to visitors and other health care team.
- 3. COGNITIVE AND PERCEPTUAL PATTERN The patient is oriented to people, time and place, responses to stimuli verbally and physically. He can speak and understand ybanag, ilocano and tagalog. His edacational attainment is highschool graduate and he is able to read and write. The patient is oriented to time and place if there is no attack, but when the seizure attack the patient cannot remember what happen to him for a short time but he is aware on his condition. SELF PERCEPTION/ SELF CONCEPT The patient is able to express his feelings about his condition,he feels annoyed about his condition but he also wants to feel better, he is contented seeing his family, their support, love and care, the things that made him stressed were problems that caused by pressured to works and sometimes by his family. The patients state that he believed that admission will be helpful to adjust him in his needs and will alleviate the occurance of his condition. ROLE RELATIONSHIP PATTERN The patient plays the role of a father to his child and a husband to his wife, the patient stated that he only spent a short time with his family due to his work but they maintain a good comunication, there are no conflicts among them and shares his ideas when it come to decision making. The patient is well-supported by his family. He receives a positive reinforcement and provided him comfort and reassurance.
- 4. COPING STRESS The patient copes up with stress by watching tv, cleaning backyard and gardening.when they have a problem in family they resolved it by means of talking to each other. The patient has a traumatic events before the what we called “encountered” and he witness the death of his co-soldier. The patients take a nap and rest when tired. He verbalizes desires to recover,able to accept situation by cooperating with the medical advices. SEXUAL REPRODUCTIVE PATTERN The patient was circumsized when he was 10 years old, got married at the age of 24 years old. they have a 1 year old baby girl. The wife of the patient claimed that they are sexually inactive due to his health condition. VALUES-BELIEF PATTERN The patients religious affiliation is roman catholic, he seldom go to church due to his job but he never forgot to pray. When he go to church he bring his wife and his child. He also belives in Quack doctors. The patient never blame GOD for his condition, the patient’s relationship with God remained unchanged.