Gordons Functional Health Pattern 1. Health Perception-Health Management S h e i s a v e r y a c t i v e a n d p l a yf u l c h i l d . S h e d o e s n t h a v e a n y a l l e r g i e s o n a n y foods. 2.

. N u t r i t i o n a l - M e t a b o l i c She doesnt have any special diet but she is taking Celeen for her vitamin. At home, as verbalized by the mother, she can eat all of the food served. She didnt have difficulty of swallowing, and started solid food as the main composition of the food of the patient. 3. E l i m i n a t i o n P a t t e r n She did not experience any decrease in defecating or difficulty of urinating. Her bowel elimination pattern is once a day even during her stays at the hospital. Her way of breathing is better than she is at home, and she could go to comfort room with assistance of mother (with IV), read books, and eat all food served. 4. A c t i v i t y - E x e r c i s e P a t t e r n Our patient loves to play bahay - bahayan and running. She independently wears h e r d r e s s but with assistance from her mother. She can go to the bathroom, whenever she wants to urinate and defecate but her mother still washes her anus after defecating. She goes schooling in prep -school and playing or socializing, talking, mingling with her classmates. 5. S l e e p - R e s t P a t t e r n She experience difficulty of sleeping while admitt ed in the hospital. Before her admission, she sleeps as early as 10 in the evening and wakes at 8 in the morning. During her hospitalization, she sleeps at 10 and wakes at 8 in the morning. She also sleeps one hour in the afternoon. During night when her asthma attacks, she cant breathe normally usually having a hard time of breathing so her sleep duringnight is disturbed during her hospitalization period. 6. S e x u a l i t y - R e p r o d u c t i v e P a t t e r n She is a girl 7. C o g n i t i v e - P e r c e p t u a l She neither has hearing difficulties nor eye problems. She has a good memory for learning activities in school like problem solving and her mother makes decisionsfor her during medications, treatments, etc. and she also learns easily. 8. S e l f - P e r c e p t i o n S e l f C o n c e p t Shes feeling better every time she is asked how she feels. Her illness makes her feel worthless because she cannot do anything. She is very anxious every time her asthma attacks. 9. R o l e r e l a t i o n s h i p She lives with her family and depends on her parents for her needs. She misses her siblings and likes to talk about them. In their house she can easily express what she wants or needs but during her hospitalization time her parents didnt knew what are the needs that she wanted or needed because of her condition. 10. Coping Stress Tolerance She always wants her mother to be beside her because she provides all that she needs and she cries whenever she cant get something that she wants. She always w a n t e d to go home right away but because of the doctors order they cant go home right away, so the only thing she can do is to cry.

11. Value and Beliefs They are Roman Catholic. She verbalized that she knows God loves her and Hewill wash her illness away so that she can go home. The parents react patiently totheir daughters needs, and they supported all what their child needs.

Peak flow meters used with this test can come in many different styles but each measures air speed. A forced expiratory test is accomplished by asking the patient to take in a deep breath, placing the flow meter into their mouth and forming a tight seal, and then exhaling as fast as possible until all air possible is expelled. The average normal peak expiratory airflow speed is around 450 to 650 LPM, but this average changes based on age, height, and sex. Asthmatics show a reduced airflow compared to the normal expected airflow. Many newer flow meters can produce a readout which shows the flow waveform of the patient's exhalation. Other values can also be obtained with the newer meters that can also be helpful with the diagnosis of asthma. The degree of severity is determined by the forced expiratory volume in the first second of exhalation (FEV1), the forced vital capacity of the lungs (FVC), the forced expiratory flow during the middle portion of the FVC (FEF 2575%), as well as other values. Any values pertaining to capacities or lung volumes are usually normal with asthmatics or can be larger than normal with severe attacks when air is being trapped in the lungs due to constriction of the airways. Any values pertaining to flow and flow rates will be decreased in the asthmatic and the degree of reduction reflects the degree of severity of the attack.

A peak flow (PEF) meter is a pocket-sized machine that measures peak expiratory flow (PEF). A person measures PEF by taking a deep breath and then breathing into a tube on the meter as hard and as fast as possible. PEF results depend on how hard you try. The peak flow meter should be used 3 times and the best result recorded. Peak expiratory flow meter results are not as accurate as spirometry (done in a doctor's office), but both measure lung function. People who use a home peak flow meter need to use the same meter over time because different brands of meters give different values for results. If you change meters, you need to determine your personal best measurement using the new machine. Wash meters in soapy water every 2 weeks to prevent growth of bacteria and fungi. Before testing, make sure you have no food or gum in your mouth. Follow these steps to use a peak flow meter: 1. 2. 3. 4. Put the pointer on the gauge of the peak flow meter to 0. Attach the mouthpiece to the peak flow meter. Stand up and take a deep breath. Put the peak flow meter mouthpiece in your mouth and close your lips tightly around the outside of the mouthpiece. Don't put your tongue inside the mouthpiece. 5. Breathe out as hard and as fast as you can, using a "huff" rather than a full breath out. 6. Record the value on the gauge in your asthma diary. 7. Move the pointer on the gauge back to 0 before you blow again.

8. Blow into the peak flow meter two more times. Record your values each time. If you cough or make a mistake during the testing, do the test over. 9. After you have blown into your peak flow meter three times, record the highest value on your daily record sheet.