Functional Health Patterns

1 Health Perception-Health Management Pattern:

On 2011, he had his first stroke in which there is a report of his

hand bending, he can still manage to speak but can no longer move his
hands. His 2nd episode of stroke was when he was swimming in the nearby
river and he suddenly stopped moving, he drowned for a minute until
somebody saved him. It was said that it was a very hot day when that
occurred. On his 3rd stroke, that is when they noticed that he can no
longer walk, he reports that when he tries to lift his legs, it feel
so heavy. On January 30, 2017 the significant others reported that he
is always sleeping and doesnt wake up. On February 17, 2017 that is
when the patient can no longer speak and was vomiting. He was admitted
in Bayawan District Hospital and was referred at the same day to
Negros Oriental Provincial Hospital.

In his teenage years, he likes to drink tuba together with his

peers after a tiring day at work. He seldom smokes only when he is
stressed. He is not compliant with his medications although it is
already provided by his family and dislikes to take his maintenance
for his blood pressure. He gets his daily exercise in doing his work
as a farmer, he has to walk his carabaos and cows every day early in
the morning.

His drinking of tuba and frequent smoking have added to the

factors why CVA occurred. His non-compliance with his medication is
also a big part of why his condition had a relapse.

2 Nutritional-Metabolic Pattern:
Patient eats 3 times a day. He likes eating vegetables and
fishes. His favorite fruit is banana, hence his love for sweets.
They got their source of water through a nearby well. He doesnt
feel any difficulty in swallowing. There were instances that he
felt pain on his teeth because when he was given his medications
 he would chew it vigorously, resulting in the damage of his set
of teeth.

During his admission, he is still on NPO status and depends on

his intravenous fluid for nutrition and hydration. The significant
others observed that the patient has become thinner when he was
admitted.

A Examination
Has no change in colour before and during hospitalization as
stated by the S.O . Visible bony prominence, skin is dry. Oral
mucous membrane is moist and pinkish in colour with no
lesions.

3 Elimination Pattern:

He doesnt defecate everyday but rather two to three times

each week. He reports that he has difficulty in defecating at times.
He has no difficulty in passing urine.

During his stay at the hospital, he hasnt defecated yet since

the day of his admission and is inserted with a foley bag catheter.

4 Activity-Exercise Pattern:

He has sufficient energy for his daily activities because he

doesnt get tired easily when doing his daily routines when he
farming. He is used in many works most especially in the farm which
is also slightly near their house. But since his episodes of re-
stroke, there has been a decrease in his mobility which enables him
to perform his daily activities.

During his hospitalization, he is being positioned every 2 hours

to prevent ulceration since he is incapable of fully moving his
extremities due to his condition. He can just move his left arm and
can move his legs from side to side but with observed weakness in
every exertion.
5 Sleep-Rest Pattern:

When he rises up in the morning, he perceived having a just

enough sleep and is ready for his daily activities. He also has no
problem sleeping. He usually sleeps at around 8pm before but changes
after he was hospitalized and wakes up at 4 in the morning.

During his admission, he just stays in bed, lying down. Since

he is incapable of moving freely. He gets more sleep during his
admission rather when he wasnt admitted.

6 Cognitive-Perceptual Pattern:

When he was still at home, he has no memory change and his

hearing and vision is still intact. He had a check-up with his
ophthalmologist when he noticed that his vision is getting slightly
blurry. But even after the check-up he didnt get any corrective
lenses.

During his stay at the hospital, he is unable to move his

extremities fully, cannot speak directly.

7 Self-Perception Pattern:

(N/A- He cannot speak)

8 Roles-Relationships Pattern:

Our client has a nuclear family-structure, he lives with one

of his children. He said that they dont have family problems where
he has difficulty handling. His own family depends on him in terms
of financial needs, decision making, and discipline. He is still
rather close with his children despite the fact that each one of
them already has a family. He is also close with his granddaughter
and grandsons. He has a good relationship with his neighbours and
feels belongingness with them.

During his admission, he is being visited frequently by his

daughters and granddaughters. He is well taken care of in times when
he needs assistance.

9 Sexuality-Reproductive Pattern:

His wife died back in 2012, but they had a total of 10

children. All of them has their own family now and they are still in
touch with everyone.

10 Coping and stress tolerance

When he is stressed about something, he doesnt let anyone of his
family know. He just performs his everyday routine in farming. He
hates it when he is working and someone disturbs him, according
to his significant others.

11 Values-Beliefs Pattern:

He doesnt like to go to church together with his children

rather he likes to spend his time to work in his farm land. He
doesnt like to be admitted in a hospital when he was edematous all
over his body, but was later on convinced by his children.