Transcript Family Group

Family Group
November 2009
Family name
Address and
Telephone
number
LOMOHAN
939 Dos
Castillas St.
Sampaloc,
Manila
#73132254
Mini-Nutrirional
Assessment
Type of
Family
Life cycle
stage
Unilaterally
extended
Family in
later life
Role and
Functions
1.Breadwinner
Mary Jane
(daughter)
Index Patient
Fernando
Lomohan
Diagnosis
Latest Lab
Results and
Medications
s/p CVA, R
MCA (June
2008);
Amlodipine
5mg/tab 1 tab
OD
HPN st.II
controlled
Aspirin 80mg/tab
1 tab OD pc
Male
2.Decision
maker
Mary Jane
(daughter)
3. 1˚ Caregiver
Lourdes
Lomohan (wife)
MCSI
4.MCSI
MadalasMinsanHalos hindi-
64 y/o
Multivitamins
1 tab OD
Plans
Medical:
1.Update immunization specify
2.Daily BP monitoring
3.Maintain good personal
hygiene
Rehabilitative:
1.Passive ROM exercises c/o
caretakers
2. Refer to Rehab Med for PT
Wellness:
1.Encourage diet rich in
protein, carbohydrate, low salt,
high fiber specify
2.Strict compliance with
medications
3.Ensure 2 glasses and
encourage 8 glasses of water
a day
Psychosocial:
1.Seek and maintain personal
interests specify
2.Encourage involvement with
friends
3.Encourage good and healthy
relationships with family
members and peers is there a
current problem with their
relationships?
LOPEZ
Nuclear
957 Dos
Catillas St.
Sampaloc,
Manila
Family in later
years
#
Mini-Nutrirional
Assessment
1.Breadwinner
Eden Lopez
(wife)
Male
2.Decision
maker
Eden Lopez
(wife)
3. 1˚ Caregiver
Eden Lopez
(wife)
GDS
MMSE
Dominador
Lopez
4.MCSI
MadalasMinsanHalos hindi-
76 y/o
Parkinson’s
disease
s/p
tracheostomy
s/p PEG
insertion
Biperidine 2mg
OD
Medical:
1.Continue strict compliance
with medications
Levodopa/Carbid 2.Regular follow up
opa 200/50mg/tab 3.Maintain position that
1 tab OD
provides optimum
ventilation
Multivitamins 1
4.Continue strict turning
tab OD
schedule to avoid bed sore
formation
Acetylcytsteine
5.Perform passive ROM
prn
exercises
What about trache and PEG
care?
Wellness:
1.Continue vitamin
supplementation
2. Ensure two glasses daily
Psychosocial
1.Sharing of responsibilities
in taking care of patient
2.Encourage good and
healthy relationship with
family members and peers
San Pedro
Extended
965 Adelina St. Life Cycle
Sampaloc
Stage
Manila
1.Breadwinner
2.Decision
maker
Beatriz San
Pedro
Female
3. 1˚ Caregiver 83 y/o
Phone #
MiniNutritional
assessment:
GDS
MMSE
4.MCSI
MadalasMinsanHalos hindi-
Hypertension
Vitamin B
St. I, controlled Complex OD
Medical
1. Continue present
medications
Bronchial
Nifedipine 20 mg 2. BP monitoring
asthma, NIAE OD
3. Follow-up with physician
4. Multivitamins 1 tab OD
Osteoarthritis, Levothyroxine
5. Refer to Rehab
both knees
100 mg OD
6. Vaccination –
Pneumococcal, Tetanus,
Hypothyroidism Cilostazol 50 mg Influenza
s/p total
BID
Wellness
thyroidectomy
1. Advice balanced diet, with
(1988)
Glucosamine BID low fat, low salt, high fiber diet
specify
s/p CVA (2004) Calcium BID
2. Encourage to drink 8-10
glasses of water daily
Psychosocial
Fe-gluconate OD 3. Educate patients on benefit
problems:
of healthy living and seeking to
Simvastatin 40
improve one’s health
mg ½ tab OD
Psychosocial
Bereavement
1. Allow time for bereavement
(sister’s death
(sister’s death – Sept. 1)
– Sept. 1)
2. Share her feeling of loss
with family members I believe
they’re done with bereavement
na
San Pedro
965 Adelina St.
Sampaloc
Manila
Extended
1.Breadwinner
2.Decision
maker
Magdalena
San PedroAmoranto
St. II,
controlled
female
Cataract s/p
EOL,OS
78 y/o
Allergic cough
3. 1˚ Caregiver
#
Nutritional
assessment:
not at risk for
malnutrition
4.MCSI
MadalasMinsanHalos hindi-
Psychosocial
problems
Bereavement
(sister’s death
– Sept. 1)
Montelukast
10mg/tab OD
Medical
1. Continue medications
2. BP monitoring
Felodipine
3. Increase oral fluid intake
5mg/tab, 1 tab 4. Ascorbic acid 500 mg/tab OD
BID
why?
5. Vaccination – Tetanus,
Influenza, Pneumococcal
Wellness
1. Advice balanced diet, with low
fat, low salt, high fiber diet specify
2. Encourage to drink 8-10
glasses of water daily
3. Educate patients on benefit of
healthy living and seeking to
improve one’s health
Psychosocial
1. Allow time for bereavement
(sister’s death – Sept. 1)
2. Share her feeling of loss with
family members
Cudal
Communal
1016 Eloisa St. Family in
Sampaloc
Later life
Manila
#735-7539
Mini-Nutritional
Assessment
Score:
1. Breadwinner: Cudal,
Dra. Efegenia
Dorothea
Solivendaughter who is Female
living in the USA
97 y/o
2. Decisionmaker: Dra.
Efegenia
Solivendaughter who is
living in the USA
GDS:
MMSE:
3. 1˚ Caregiver:
Cecilia Cabais
4.MCSI
MadalasMinsanHalos hindi-
Dementia
Hearing Loss,
AU
s/p hip
replacement
(2004)
Multivitamins, 1
tab OD
Calcium
Carbonate, 1 tab
BID
Medical
1. Continue Multivitamins and
Calcium
2. Osteoporosis screening
3. Maintain low salt and low fat
diet
4. Encourage passive ROM
exercises
Psychosocial
1. Patient has good personal
relationship with caregivers.
2. She is able to talk to her
daughter who lives in USA by
telephone. She sees her
daughter and family once a
year.
3 . We can encourage the
family to make their visit more
often and call her more often.
Miguel
Communal
1016 Eloisa
St.Sampaloc
Manila
Family in
Later years
1. Breadwinner : Miguel, Lydia
Lydia Miguel
60/F
SAH Stage II,
poorly
controlled
Atenolol
Medical
(Therabloc) 50mg, 1. Continue current
1 tab OD
medications.
2. Decision
maker: Lydia
Miguel
Multivitamins, 1
tab OD
3. Caregiver:
Mely Valdez
Folic Acid, 1 tab
OD
#735-7539
Mini-Nutritional
Assessment
Score:
GDS:
4.MCSI
MadalasMinsanHalos hindi-
MMSE:
*Patient owns
the house and
rents it to
boarders. It is
her source of
income.
*Patient is currently in Ilocos
for renovation of their house.
Caregiver said that they talk to
her often on the phone and
claims that she has good BP
control.
Psychosocial
1. Maintain good relationship
with caregiver.
2. Encourage her to vent
feelings regarding the
unexpected financial burden of
rebuilding her house which
was destructed because of the
typhoon Pepeng.
Lanot
1134
Prudencio St.
Sampaloc
Manila
#0907 162
8213
Mini Nutritional
Assessment
Score:
GDS & MMSE:
cannot be
assessed
Unilaterally
extended
Family in
Later years
1. Breadwinner : Lanot, Anicia
Susan Lanot
(daughter)
Female
2. Decision
maker: Susan
Lanot –
daughter
3. 1˚Caregiver:
Bella (informal
caregiver)
4.MCSI
MadalasMinsanHalos hindi-
76 y/o
Diabetes
Metoprolol
Mellitus type 2, 50mg/tab, 1 tab
uncontrolled
BID
Medical
1. Continue current
medications
2. Daliy BP monitoring
SAH stage II,
Amlodipine
3. Glucose monitoring TID
controlled
5mg/tab, 1 tab OD 4. Follow-up referral to ENT
(hearing loss) and Ophtha
ASHD, CAD,
Insulin 26 U am
(blurring of vision).
LVH, NIF,
and 14 U pm
Class IIB
*Patient is being seen by
Endo-Med as well, for her DM.
s/p CVA (2003)
Patient’s caregiver already
consulted the dietary for
s/p UGI
nutrition counseling for the
endoscopy
patient and is following their
11/3/08
advice.
s/p AKI
secondary to
Acute Blood
loss, resolving
*Patient had episodes of
Epigastric pain and was given
Domperidone which gave
relief.
5. Encourage passive ROM
exercises by caregiver
Psychosocial
1. Maintain good interpersonal
relationship with caregivers
and relatives in the household