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** GORDON’S FUNCTIONAL HEALTTH PATTERN **

** HEALTH PERCEPTION-HEALTH MANAGEMENT PATTERN ** The patient is in good condition, he values his health a lot, and he manages his heath by performing proper hygiene /grooming and eating nutritious food. Because of his disease, he is not aware sometimes in his situation. The patient perceived that he is not healthy because of his condition. **NUTRITIONAL-METABOLIC PATTERN** The patient eats 3x a day; he eats meat, fish and also vegetables. He frequently dinks water and he doesn’t have any allergies on foods and drugs. The patient has loss his appetite and hasn’t eaten a lot. His fluid intake also decreased. He is on a EDCF (Except Dark Colored Foods) The patient does not have any problem on his elimination pattern. He usually urinates 4-5 times a day without any difficulty. He added that the color of his urine is light yellow. He didn’t feel any pain in urination. The patient defecates once a day usually early in the The patient urinates 2-3 times a day. The color of her urine is yellow. The patient defecates once every two days The patient has a close relationship with his family and friends. His relationship to family and friends lessened due to his present condition. The patient normal sleep is 8 hours; he also naps in the afternoon. The patient had a lack of sleep due to his condition and having hard time to sleep. The patient can perform his daily activities without the help of his family/friends. He used to exercise 3x a week. The patient is now dependent to his family, and can’t perform exercise due to his condition. **SELF-PERCEPTION – SELF-CONCEPT PATTERN** The patient sees himself as a person with a good personality. He also trust himself. The patient became lame in trusting himself. The patient had a girlfriend but he is not sexually active. He still have time to talk with his family and open up problems. The patient doesn’t have time to talk and open up problems to his family. **VALUE-BELIEF PATTERN** The patient usually goes to church every Sunday with his family. Believes that God is the answer in all his problem The patient doesn’t have time to pray and seeks guidance to God due to present condition
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 * ELIMINATION PATTERN**
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 * ROLE-RELATIONSHIP PATTERN**
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 * SLEEP-REST PATTERN**
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 * ACTIVITY-EXERCISE PATTERN**
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 * SEXUALITTY & REPRODUCTIVE SYSTEM**
 * COPING-STRESS TOLERANCE PATTERN**
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I. Physical Assessment **General Appearance:** Received lying on bed, restless, pale and has general flushing with rashes, nasal flaring & facial grimace observed. **Initial vital signs**: T=39.8° C, RR=33, BP=110/70, PR=91

**Hair/Scalp**
 * Area assessed || Technique used || Normal Findings || Actual Findings || Rationale ||
 * **Head/Skull**

**Face** **Eyes** Eyebrows Eyelashes Eyelids Pupils **Ears & Nose** **Mouth** Lips Tongue Tonsils || Inspection Palpation Inspection Palpation Inspection Inspection Inspection Inspection Inspection Inspection || Proportion to the body and the skull is rounded and smooth, Symmetrical, gently curved No nits/lice present & hair evenly distributed No inflammation, lumps or masses, covers the whole scalp thick & shiny Light to deep brown Smooth Symmetric facial movement Evenly distributed Evenly distributed, Evenly distributed, pink conjunctiva, Pupils are from pinpoint to almost the size of the iris, round,symmetrical, constricts with increasing light & accommodation; able to move eyes in full range of direction Same as facial color, Symmetrical at the level of the eyes corner, Symmetric to head , No discharges and inflammation

Same as facial color Pink, symmetric, moist Moist, slightly rough on dorsal surface medium or dull red Moist, Pinkish || Proportion to the body and the skull is rounded and smooth, Symmetrical, gently curved No nits/lice present & hair evenly distributed No inflammation, lumps or masses, covers the whole scalp, thick & shiny reddish Symmetric facial Symmetric facial movement Evenly distributed Evenly distributed Evenly distributed, pink conjunctiva, Pupils are from pinpoint to almost the size of the iris, round, symmetrical, constricts with increasing light & accommodation; able to move eyes in full range of direction Same as facial color, Symmetric to head, epistaxis Pale, symmetric, dry Dry, Pale Reddish || Normal Normal Due to fever Normal Due to increased body temperature at decreased platelet count Due to decreased fluid intake & increased body temperature || Lungs Heart Abdomen/Bowel sounds || IPPA Palpation Auscultation Inspection/ Palpation || chest contour is symmetrical, no masses, no tender areas, with clear breath sounds no abnormal pulsations, pulsations are palpable & visible in apical area Skin same color with the rest of the body, Clicks or gurling sounds occur irregularly and range from 5-35 per minute || chest contour is  symmetrical, no masses, no tender areas, with clear breath sounds Tachypnea Pale, dry,Clicks or gurling sounds occur irregularly and range from 5-35 per minute || Normal Due to decreased Oxygen Due to dehydration (decreased fluid intake) || Symmetry Skin color Hair distribution Temperature Presence of Lesion ROM || Inspection, Palpation || Symmetrical Same with the color of other parts of the body Evenly distributed Warm to touch No lesions moves freely, without discomfort || Symmetrical Pale with rashes Flushed skin Evenly distributed Warm to touch No lesions can’t move freely || Normal Due to leaking blood from vessels Due to body weakness || Capillary refill Color & Shape || Inspection Inspection || Returns within 2-3 Seconds Pinkish, convex ||  Returns within 2-3 Seconds Pale,convex || Normal Due to decreased RBC ||
 * Thorax &
 * **Extremities**
 * **Nails**