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    GORDON's

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    Kabang Moa
    Ms. Missy Bonbon was admitted to the hospital due to edema in her lower extremities and difficulty breathing over the past two weeks. She had an unhealthy diet prior to admission consisting of junk food and soft drinks. She experienced edema, ascites, and skin lesions. Her typical activities involved household chores but she was now limited due to her condition. She lived with her family in a rural area and found prayer and family most important.

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    GORDON's

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    Kabang Moa
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    Ms. Missy Bonbon was admitted to the hospital due to edema in her lower extremities and difficulty breathing over the past two weeks. She had an unhealthy diet prior to admission consisting of junk food and soft drinks. She experienced edema, ascites, and skin lesions. Her typical activities involved household chores but she was now limited due to her condition. She lived with her family in a rural area and found prayer and family most important.

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    Ms. Missy Bonbon was admitted to the hospital due to edema in her lower extremities and difficulty breathing over the past two weeks. She had an unhealthy diet prior to admission consisting of junk food and soft drinks. She experienced edema, ascites, and skin lesions. Her typical activities involved household chores but she was now limited due to her condition. She lived with her family in a rural area and found prayer and family most important.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    92 views3 pages

    GORDON's

    Uploaded by

    Kabang Moa
    Ms. Missy Bonbon was admitted to the hospital due to edema in her lower extremities and difficulty breathing over the past two weeks. She had an unhealthy diet prior to admission consisting of junk food and soft drinks. She experienced edema, ascites, and skin lesions. Her typical activities involved household chores but she was now limited due to her condition. She lived with her family in a rural area and found prayer and family most important.

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    of 3

    GORDON’S FUNCTIONAL PATTERN

    Health Perception/ Health Management Pattern


    Ms. Missy Bonbon’s reason for admission was due to edema on lower
    extremities and difficulty of breathing that started two weeks prior to admission.
    According to patient, she seeks medical advice to cure her illness. She expects that the
    health care team will provide efficient and good quality care to her. The patient hasn’t
    hospitalized before, she doesn’t perform self examinations.

    Nutritional Metabolic Pattern


    Before Ms. Missy Bonbon’s hospitalization, during week days, she eats one junk
    food and 12 ounce soft drink for her breakfast, same as through with her lunch. During
    weekends, she eats three meals a day composed of rice and a viand such as fish, egg,
    and a chicken as her favourite, she also likes soup especially for dinner and likes to eat
    fruits such as banana and marang. Being an Islam, she had never eaten pork since it’s
    against their religion. According to the SO, if they have the money, the patient requests
    for chicken as her viand for a week’s consumption. This was her desired food
    preference which started on her high school years. But during her elementary years she
    normally eats 3 meals a day. During her hospitalization she only consumes about ½
    -1/4th from food served on her breakfast and lunch, and doesn’t usually eat her dinner.
    Sometimes she doesn’t even eat her meals and prefers to eat about 1/4th of junk food
    given by her SO, and a Max candy or chewing gum. She doesn’t experience any
    discomfort in swallowing. Her typical fluid intake before hospitalization was 5-7 glasses
    per day but now she could nearly consume 2-4 glasses per day.

    Elimination Pattern
    The patient’s regular bowel movement pattern before hospitalization was once a
    day any time of the day. During our shift, Day 1 she defecated twice with black, slightly
    wet stool, Day 2 she defected once with brownish, slightly wet stool, Day 3 she
    defecated twice with a yellowish, slightly wet to semi formed stool. The patient didn’t
    experience constipation or diarrhea. Her urinary elimination pattern is 3-4 times a day.
    But during our hospitalization, she was on diaper with an output of about 400-500 cc per
    day. According to the patient, she does not experience any problem with regards to
    urination such as incontinence, dysuria, burning sensation, dribbling, nocturia, polyuria
    and urinary retention. The following are records of 24 hour total intake and output from
    our 1st day until 3rd day of duty; 1st day (Intake- 1,400 cc, Output- 480 cc with 2BM), 2nd
    day (Intake- 1,370 cc, Output- 510 cc with 1BM), 3rd day (Intake- 1,620 cc, Output- 450
    cc with 3BM). The patient has Grade III bilateral pitting edema, ascites with an
    abdominal girth of 88cm on Day 1 and Day 2, and 84cm on Day 3, with skin lesion
    approximately 2cm in diameter & reddish in color on the sacral area. She had not also
    experienced excess perspiration and odor problems.

    Exercise and Activity Pattern


    Ms. Missy Bonbon’s typical day’s activity is doing household chores, such as
    cleaning the house, helping in washing clothes and dishes. According to the patient,
    mostly she spends about 2-4 hours watching television and surfing in the internet as her
    leisure time. She does not perform any exercise, she does not engage to any sports
    and claimed that she doesn’t experience any problem with her activity not before she
    experienced ascites and edema because she had difficulty in walking associated with
    fever and cough. The patient doesn’t engage herself to smoking or tobacco use and
    alcohol. During hospitalization, patient couldn’t move freely its lower extremities due to
    grade III bipedal pitting edema. The patient together with the SO was encouraged to
    perform passive ROM on the patient’s both lower extremities.

    Sleep/ Rest Pattern


    Before the patient was hospitalized, she usually sleeps at 10:00 pm and arises at
    5:00 am. She doesn’t take naps at the afternoon or anytime of the day since she has
    classes. Sometimes, when she has school or paper works, she retires at 12:00 am.
    During hospitalization, the patient verbalized that she gets disturbed from sleep when
    hospital staff is doing routines such as monitoring vital signs, and also she has a
    difficulty in sleeping. After sleeping, she feels rested and seems to be in an improved
    condition. The patient did not experience any nightmares and insomnia.

    Cognitive/ Perceptual Pattern


    The patient did not undergo any examinations except for her laboratory tests at
    AMAI Pakpak Medical Center at Cagayan de Oro City under Dr. Ipig and at Northern
    Mindanao Medical Center at Cagayan de Oro City under Dr. Magsayo and Dr. Yusof
    last August 9, 2010. The patient doesn’t wear any eyeglasses or contact lenses. She
    does have blurring of vision as claimed by the patient. Ms. Missy Bonbon has no special
    senses nor feels any problem on ability to feel pain, ability to distinguish object by touch
    and ability to smell object and ability to taste.

    Self Perception Pattern


    “Noon, yung hindi pa ako ngkasakit, malusog na malusog ako, mataba,
    nagagawa ko pa ang gusto kung gawin, pero ngayon nanghihina na ng katawan ko,” as
    verbalized by the patient. When she was asked if there is something she wants to
    change about herself she said, “wala, gusto ko nang gumaling agad”.

    Role Relationship Pattern


    Ms. Missy Bonbon lives at Lombayao Balindong, Lanao del Sur with her family
    and stepmother, since her mother died when she was 6 years old. She has an extended
    family living with them. The relatives and her family managed her illness by supporting
    and caring her. The health status does not affect her relationship with others especially
    with her family.

    Environmental Health Patterns


    In Ms. Missy Bonbon’s hometown, the SO described the place as a rural area.
    They live in a farm with fresh air, fresh water and many fruit bearing trees. Their
    neighbours are their relatives. During her high school years, she studied at Gensan and
    lives with her relatives. According to the SO, there are no industrial buildings near their
    house.

    Value and Belief Pattern


    According to the patient the most important thing or person to her is family. She
    generally did not get what she wants in her life due to financial instability. She fined
    prayers as helpful to cure her illness. According to her, her illness does not affect her
    belief in her religion or Allah.

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