GORDON’S 11 FUNCTIONAL PATTERN
1. Health Perception-Health Management pattern
  The patient is a technical specialist and is able to meet and provide
  basic needs. According to the patient generally he has always been
  sickly throughout his years. He has been admitted on the hospital
  countless times before due to chicken pox, typhoid fever, asthma,
  accident and frequent medical check-ups. He once had his dental
  check-up due to toothache. He doesn’t smoke and only drinks alcoholic
  beverages occasionally. He doesn’t have any family health history from
  both of his parents. He had his accident 20 years ago that resulted to
  his current complaint. Before he went to the hospital he took
  Mefanamic acid to relieve the pain but still it didn’t help him. Before he
  took vitamins to keep him healthy and provides vegetables and other
  healthy foods during meals for his family. He also has faith in quack
  doctors
2. Nutritional-Metabolic pattern
  The patient’s typical food intake during breakfast and lunch are 3
  scoops of rice with the viant of either fish tinola or vegetables. During
  dinner the amount of food intake is increased compared to the food
  intake during breakfast and lunch. He also consumes more than 8
  glasses of water and also drinks soft drinks or carbonated drinks, juices
  and alcoholic drinks occasionally. According to the patient he had gain
  weight during his hospital confinement because he has a lot of time to
  eat. His appetite today is the same as before he was confined. He
  doesn’t have skin problems, lesion or dryness. He also doesn’t dental
  problems and his height is appropriate to his weight. He usually prefers
  fish when he eats and doesn’t take any nutrient or vitamin
  supplement.
3. Pattern of Elimination and Urinalysis
  The patient eliminates at least once a day and urines not frequent but
  now that he is confined he frequently urines because of the IV fluids
  and because of increase fluid intake due to medicine intakes. His stools
  looks normal in color has odor and is soft formed. He also doesn’t
  experience any discomfort during bowel elimination. His urine is both
  normal as before he was confined and when he was confined. No
  excess perspiration, no noted odor problems and unusual discharges.
  The patient has normal excretion and elimination.
4. Activity-Exercise pattern
  The patient has sufficient energy to perform daily activities although
  he doesn’t have any exercise pattern the only exercise he gets is daily
  activities performed from work. His leisure activities includes computer
  gaming and watching television. The patient has the full self care
  ability to activities, feeding, bathing, toileting bed mobility, dressing,
  grooming, and general mobility. There are no other factors that
  interfere in performing these activities except when back pain strikes.
  0-Full self-care
  1-Requires use of equipment or device
  2-Requires assistance or supervision from another person
  3-Requires assistance or supervision from another person or device
  4-Is independent and close not participate
              Activity                                   0
              Feeding                                    0
              Bathing                                    0
              Toileting                                  0
            Bed mobility                                 0
              Dressing                                   0
             Grooming                                    0
          General mobility                               0
5. Sleep and rest pattern
  The patient sleeps at least 8 hours a day but stays up late because of
  work. The patient doesn’t have any sleep onset problem and doesn’t
  take any sleep medication.
6. Cognitive-Perceptual pattern
  The patient doesn’t have any hearing, memory, learning difficulties.
  However, the patient noticed some vision disturbances and is starting
  to consider having his eyes check by a doctor. Discomforts are also
  present specifically back pain.
7. Self perception-Self concept pattern
  The patient maintains eye contact, has a moderate voice quality,
  speech is normal which are indications that he is feeling good and has
  a good self perception. He is calm but angry and worried due to no
  final diagnosis.
8. Role-Relationship pattern
  The patient is the head of their nuclear family with 6 members. He has
  4 children and has a good interpersonal relationship with each member
  of the family. Whenever they are having problems they handle it by
  discussing it with each family member. The father is the head of the
  family and also the breadwinner. The patient and his wife don’t have
  any problems with their children. The family members are concerned
  with his current condition and are all supportive to him. Things
  generally go well with the head of the family’s work and the income of
  the family is sufficient for them.
9. Sexual reproductive pattern
  The patient has 4 children and has no problems in sexual relation with
  her wife. However, he and his wife are starting to consider using
  contraceptives due to continues growth of numbers in the family.
10.     Coping stress tolerance pattern
  Whenever crisis arises the family tries to figure out solutions to the
  problems and as much as possible they try to be calm and focus for
  them to be able to think of solutions.
11.     Value-Belief pattern
  The patient considers his family as the most valuable in his life and
  considers religion as important. According to the patient their faith on
  their religion helps when difficulties in life arises and for him
  hospitalization or illness doesn’t interfere with any religious practices
  because even if he is in the hospital he can still perform his religious
  duties and activities.