Professional Documents
Culture Documents
Name: H. M.
Age: 65 y/o
Gender: Male
Nationality: Filipino
Six day prior to admission, the patient has sudden onset of blurring of vision and
he walked differently. Few hours prior to admission, they consulted at CVMC
with high blood pressure. According to the SO, patient H.M. doesn’t want to
confine at CVMC but the physician insisted that he must be admitted so they
brought him to Saint Paul Hospital.
According to the patient, they have a family history of hypertension. Almost all
her children acquired it.
GORDON’S 11 FUNCTIONAL HEALTH ASSESSMENT PATTERN
The patient perceives health as a wealth and a gift from God that must be used
properly because life is too short. He perceives his health as not in good state
because she still experience sensory dysfunction (blurring of vision). He doesn’t
go for check-up even in their nearest clinic. According to him, he just buy
medicine at the drugstore when his illness is unbearable. At this moment, he
manages his health by taking his meds, undergoing hospitalization and by resting.
Before Hospitalization
He eats three times a day with adequate amount and no food preferences. He is
fond of eating pork. He also eats her snacks at 9 o’clock in the morning and 3
o’clock in the afternoon. He drinks 8-10 glasses of water a day. He consumed 4
cups of coffee per day.
During Hospitalization
His appetite has decreased because of his condition and to the hospital
environment. He eats three times a day but in small amount. He easily gets hungry
and is fund of having meat as his food preference.
3. Elimination Pattern
Before Hospitalization
He urinates 4 to 5 times a day, in moderate amount and has yellow colored urine.
He has no difficulty in urinating. He moves his bowel regularly. He
doesn’t have any blood in the stool. He describe his stool as color light brown and
is semiformed.
During Hospitalization
He has difficulty in defecating but he frequently voids of about 5 to 6 a day.
Before Hospitalization
At this time he doesn’t already but before his work is carpentering. Sometimes he
still apply this in their house by fixing furniture. He is the one who cook for their
meal. He considers walking as his form of exercise.
During Hospitalization
He just stays at his bed. He still needs assistance in walking and even going to CR
to urinate. He can’t perform on his own ADL’s like taking a bath alone and
grooming his self.
Before Hospitalization
He sleeps 8 hours a day. She usually sleeps at 8 pm and wakes up at 6 am. He also
take his every afternoon. He watches television while he is resting.
During Hospitalization
His sleep hour has increased. He sleeps at 8pm and wakes up at 6 am. Every time
he lay down, he easily gets asleep. And he always feel dizzy.
6. Cognitive/ Perceptual Pattern
Before Hospitalization
He can do whatever is instructed to him. He can also hear whisper voice. He
doesn’t use eyeglasses.
During Hospitalization
The patient is oriented to time, place and person. He is responsive but fatigued.
He responds appropriately to verbal and physical stimuli. His recent and remote
memory is not intact. He had understand the health teachings I shared to him.
He views his self as a kind, industrious, patient and peace loving person. He
expresses worry about his condition and concern for his family but states no
difficulty in dealing with his condition.
8. Role-Relationship Pattern
His family is intact and close with each other. Conflicts arise between them but
they manage to resolve them easily. He has a good relationship with his sons and
daughters including his in laws, friends, neighbors and relatives.
9. Sexual-Reproductive Pattern
She lives with his wife only because all his siblings have already their own
family. He has 5 children.
HEMATOLOGY TEST
DIFFERENTIAL
COUNT
Encouraged pt to To enhance
carry out ADLs. motivation
Aging process
Loss of elasticity
Atherosclerosis in intima
Narrowing of blood vessel lumen
Cerebral edema
Retinal hemorrhage, blurred vision, cerebral hemorrhage, CVA Azotemia, Renal failure
Submitted to:
Ms. Gladys Mae
Pagunuran
Clinical Instructor