Transcript Family Group

Family Group
November 2009
Family name
Address and
Telephone
number
Type of
Family
Life cycle
stage
LOMOHAN
Unilaterally
extended
939 Dos
Castillas St.
Sampaloc,
Manila
#0908
5204944
Mini-Nutrirional
Assessment:
malnourished
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
Lourdes
Lomohan (wife)
3. 1˚ Caregiver
Lourdes
Lomohan (wife)
4.MCSI
Madalas- 3
Minsan- 3
Halos hindi- 4
64 y/o
Multivitamins
1 tab OD
Plans
Medical:
1.Update immunization
(pneumococcal, influenza,
tetanus)
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, low salt, high fiber
(green leafy vegetables, citrus
fruits)
2.Strict compliance with
medications
3.Ensure 2 glasses and
encourage 8 glasses of water
a day
Psychosocial:
1.Seek and maintain personal
interests (listening to the
radio, reading the newspaper,
watching TV)
2.Encourage involvement with
friends
Family name
Address and
Telephone
number
LOPEZ
957 Dos
Catillas St.
Sampaloc,
Manila
Type of Family
Life cycle
stage
Unilaterally
extended
Family in later
years
Role and
Functions
1.Breadwinner
Eden Lopez
(wife)
# 7313224
2.Decision
maker
Eden Lopez
(wife)
Mini-Nutrirional
Assessment
malnourished
3. 1˚ Caregiver
Eden Lopez
(wife)
4.MCSI
Madalas- 1
Minsan- 10
Halos hindi- 1
Index Patient
Diagnosis
Dominador
Lopez
Parkinson’s
disease
Male
s/p
tracheostomy
76 y/o
s/p PEG
insertion
Latest Lab
Results and
Medications
Plans
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
4.Continue strict turning
Multivitamins 1
schedule to avoid bed sore
tab OD
formation
5.Perform passive ROM
Acetylcytsteine
exercises
prn
6. Suctioning of secretions
from tracheostomy tube as
needed
7.Asepsis and anti sepsis
technique in handling and
cleaning tracheostomy tube
and PEG
Wellness:
1.Continue vitamin
supplementation
2. Ensure two glasses daily
Psychosocial
1.Sharing of responsibilities in
taking care of patient
Family name
Address and
Telephone
number
SAN PEDRO
Type of Family
Life cycle
stage
Extended
965 Adelina St. Life Cycle
Sampaloc
Stage
Manila
Phone #
735-6775
MiniNutritional
assessment::
not at risk for
malnutrition
GDS - normal
MMSE-
Role and
Functions
1.Breadwinner
Beatriz San
Pedro
2.Decision
maker
Magdalena
Amoranto
(sister)
Index Patient
Diagnosis
Latest Lab
Results and
Medications
Beatriz San
Pedro
Hypertension
Vitamin B
St. I, controlled Complex OD
Female
Bronchial
asthma, NIAE
Nifedipine 20 mg
OD
Osteoarthritis,
both knees
Levothyroxine
100 mg OD
83 y/o
Hypothyroidism Cilostazol 50 mg
s/p total
BID
thyroidectomy
(1988)
Calcium BID
s/p CVA (2004) Simvastatin 40
mg ½ tab OD
Plans
Medical
1. Continue present
medications
2. BP monitoring
3. Follow-up with physician
4. Refer to Rehab
5. Vaccination (Pneumococcal,
Tetanus, Influenza)
Wellness
1. Advice balanced diet, with
low fat, low salt, high fiber diet
(green leafy vegetables and
citrus fruits)
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
4. Multivitamins 1 tab OD
Family name
Address and
Telephone
number
SAN PEDRO
965 Adelina St.
Sampaloc
Manila
# 735-6775
Nutritional
assessment:
not at risk for
malnutrition
GDS- normal
MMSE
Type of Family
Life cycle
stage
Extended
Role and
Functions
1.Breadwinner
self
2.Decision
maker
Self
Index Patient
Magdalena
San PedroAmoranto
female
79 y/o
Diagnosis
St. II,
controlled
Cataract s/p
EOL,OS
Latest Lab
Results and
Medications
Plans
Felodipine
Medical
5mg/tab, 1 tab 1. Continue medications
BID
2. BP monitoring
3. Vaccination (Tetanus, Influenza,
Pneumococcal)
Wellness
1. Advice balanced diet, with low
fat, low salt, high fiber diet (green
leafy vegetables, citrus fruits)
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
Family name
Address and
Telephone
number
Type of Family
Life cycle
stage
ROSALES
Blended
Address
1070 Don
Quijote St.
Sampaloc,
Manila
Life Cycle
Stage
Launching
Family
Phone #
Nutritional
assessment:
At risk of
malnutrition
Role and
Functions
Index Patient
Diagnosis
1.Breadwinn
er
Teresita
Rosales
Jerry Rosales DM type 2
Gender:
Male
SAH Stage 1,
controlled
2.Decision
maker
Genaro
Rosales
Age:
53 y/o
CKD sec to
DM
nephropathy
s/p AKA, L
secondary to
Diabetic foot
3. Caregiver
Lauro
4.MCSI
Latest Lab
Results and
Medications
Amlodipine
5mg/tab OD
Amlodipine
10mg/tab OD
Acarbose
50mg/tab TID
HN 18 ‘u’/SC
pre-BF and 8
‘u’/SC pre
dinner
Plans
Medical
1. Assure of compliance
with medications
2. Assure of compliance
with thrice a week
hemodialysis
3. Regular follow-ups
Wellness
1.Strict compliance to diet
provided by physician/
dietician
2.Suggest improvement of
home ventilation
3.Regular BP monitoring
4.Annual Lipid profile/Renal
profile/Cardiac profile
5.Annual Ophthalmologic
consult
Psychosocial
1.Suggest involvement in
social groups
2.Encourage more outdoor
activities
Family name
Address and
Telephone
number
Cudal
Type of
Family
Life cycle
stage
Communal
Role and
Functions
Index Patient
Mini-Nutritional
Assessment
Score: at risk
of malnutrition
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: cannot
be assessed
3. 1˚ Caregiver:
Cecilia Cabais
MMSE: cannot
be assessed
4.MCSI
Madalas-2
Minsan-5
Halos hindi-4
1016 Eloisa St. Family in
Sampaloc
Later life
Manila
#735-7539
Diagnosis
Dementia
Hearing Loss,
AU
s/p hip
replacement
(2004)
Latest Lab Results
and Medications
Multivitamins, 1
tab OD
Calcium
Carbonate, 1 tab
BID
Plans
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.
Family name
Address and
Telephone
number
Type of
Family
Life cycle
stage
Miguel
Communal
1016 Eloisa
St.Sampaloc
Manila
Family in
Later years
Role and
Functions
Index Patient
1. Breadwinner : Miguel, Lydia
Lydia Miguel
60/F
Diagnosis
SAH Stage II,
poorly
controlled
Latest Lab Results
and Medications
Atenolol
Medical
(Therabloc) 50mg, 1. Continue current
1 tab OD
medications.
2. Decision
maker: Lydia
Miguel
Multivitamins, 1
tab OD
3. Caregiver:
none
Folic Acid, 1 tab
OD
#735-7539
Mini-Nutritional
Assessment
Score: not at
risk
GDS:
MMSE:
*Patient owns
the house and
rents it to
boarders. It is
her source of
income.
Plans
*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.
Family name
Address and
Telephone
number
LANOT
1134
Prudencio St.
Sampaloc
Manila
#0907 162
8213
Mini Nutritional
Assessment
Score:
GDS & MMSE:
cannot be
assessed
Type of
Family
Life cycle
stage
Unilaterally
extended
Family in
Later years
Role and
Functions
Index Patient
Diagnosis
Latest Lab Results
and Medications
1. Breadwinner : Lanot, Anicia
Susan Lanot
(daughter)
Female
Diabetes
Metoprolol
Mellitus type 2, 50mg/tab, 1 tab
uncontrolled
BID
2. Decision
maker: Susan
Lanot –
daughter
SAH stage II,
controlled
3. 1˚Caregiver:
Bella (informal
caregiver)
4.MCSI
Madalas-1
Minsan-1
Halos hindi-9
76 y/o
ASHD, CAD,
LVH, NIF,
Class IIB
Plans
Medical
1. Continue current
medications
2. Daily BP monitoring
Amlodipine
3. Glucose monitoring TID
5mg/tab, 1 tab OD 4. Follow-up referral to ENT
(hearing loss) and
Insulin 26 U am
Ophthalmology (blurring of
and 14 U pm
vision).
s/p UGI
endoscopy
11/3/08
*She is being seen by EndoMed as well, for her DM.
Her caregiver already
consulted the dietary for
nutrition counseling is
following their advice.
s/p AKI
secondary to
Acute Blood
loss, resolving
*Patient had episodes of
epigastric pain and was given
Domperidone which gave
relief.
s/p CVA (2003)
5. Encourage passive ROM
exercises by caregiver
Psychosocial
1. Maintain good interpersonal
relationship with caregivers
Family name
Address and
Telephone
number
LABRADOR
930 Quezon
Blvd St.
Sampaloc
Manila
#09217802097
Mini Nutritional
Assessment
Score: at risk
GDS:
MMSE:
Type of
Family
Life cycle
stage
Unilaterally
extended
Family in
Later life
Role and
Functions
1. Breadwinner:
Virgilio Jacob
(son-in-law)
2. Decision
maker: Angelita
Jacob
(daughter)
3. Primary
Caregiver:
Angelita Jacob
(daughter)
4.MCSI
Madalas-1
Minsan-4
Halos hindi-6
Index Patient
Diagnosis
Labrador,
Luciana
Alzheimer's
disease
Female
Xerosis
76 y/o
Latest Lab Results
and Medications
Multivitamins, 1
tab OD
Plans
1.
2.
3.
4.
Medical
Continue MVP
Update immunizations:
Pneumococcal, Influenza,
Tetanus
Fall precaution
For Osteoporosis
screening
Psychosocial
1. Maintain good interpersonal
relationship with her daughter
and her family.
Family name
Address and
Telephone
number
VICTORIA
Type of
Family
Life cycle
stage
Nuclear
948 Adelina St. Family in
Sampaloc,
Later life
Manila
# 735 1459
Mini Nutritional
Assessment
Score: at risk
GDS: normal
MMSE:
Role and
Functions
1. Breadwinner:
Supina
Victoria
(Daughter in
law)
2. Decision
maker:
Supina
Victoria
3. Primary
Caregiver: none
Index Patient
Victoria,
Beatriz
Female
85 y/o
Diagnosis
SAH stage II,
poorly
controlled
Gouty Arthritis
Latest Lab Results
and Medications
Plans
Amlodipine
Medical
5mg/tab, 1 tab OD 1. Continue current
medications
Metoprolol
2. MVP, 1 tab OD
50mg/tab, 1 tab
3. For Ophthalmology referral
OD
(blurring of vision not fully
corrected by glasses)
Petroleum Jelly,
4. Update immunization
apply TID on
(Pneumococcal, tetanus,
affected areas
Influenza)
*Patient’s
medications are
not being taken
regularly because
of financial
constraints.
Psychosocial
1. Smoking cessation
2. Improve relationship with
her daughter –in-law and
her siblings.
3. Proper budgeting
Family name
Address and
Telephone
number
RALLOS
Type of
Family
Life cycle
stage
Index Patient
#704-5083
1. Breadwinner: Rallos,
Romeo
Romeo
Rallos
Male
2. Decision
maker:
51 y/o
Romeo
Rallos
Mini Nutritional
Assessment
Score:
3. Primary
Caregiver:Madel
ine Rallos (wife)
GDS: 7
(suggests
depression)
MCSI:
MadalasMinsanHalos Hindi-
940 Quezon
Blvd.
Sampaloc
Manila
Nuclear
Role and
Functions
Family with
adolescents
MMSE:
Family gets
monthly
disability
pension.
Diagnosis
DM type 2,
poorly
controlled
Diabetic foot ,
left; s/p AKA
May 2008 in
PGH
Latest Lab Results
and Medications
Metformin
500mg/tab, 1 tab
TID
Plans
1.
2.
3.
Medical
Continue current
medications
MVP, 1 tab OD
For Ophthalmology referral
– baseline evaluation of
Dm complications
Update immunization
(Pneumococcal, tetanus,
Influenza)
Labs: BUN, crea, HBA1C
*Patient’s
medications are
being taken only
4.
BID because of
financial
constraints. There 5.
is no regular CBG
monitoring.
Psychosocial
1. Patient is currently in
constant communication
with their parish priest.
2. Maintain good
interpersonal relationship
with his wife and children.
3. Further exploration of
possible depression
Family name
Address and
Telephone
number
Type of
Family
Life cycle
stage
GRAVANSOS
Extended
1041 Adelina
St. Sampaloc
Manila
Phone #
Life Cycle
Stage
Launching
Family
GDS: normal
MMSE:
cannot be fully
assessed
Role and
Functions
1.Breadwinner
Zaldy, Polly,
Myrna
2.Decision
maker
Zaldy
3. Caregiver
Employed by
patients
daughter
Myrna
MCSI:
Madalas :0
Minsan: 9
Halos hindi 1
Index Patient
Diagnosis
Soledad
Gravansos
Parkinson’s
disease
Female
Psychosocial
problems
79 y/o
Latest Lab Results
and Medications
Biperidine
(Akineton)
2mg/tab BID
Plans
Medical
Continue present medications
Vaccination (Influenza,
Tetanus, Pneumococcal)
Multivitamins 1 tab OD
Refer to neurology
Wellness
Advice balanced diet, with low
fat, low salt, high fiber diet
Encourage to drink 8-10
glasses of water daily
Increase oral fluid intake
Encourage to ambulate
(w/assistance)
Educate patient on benefit of
healthy living and seeking to
improve one’s health
Psychosocial
caregiver-focused social
support
Encourage good and healthy
relationship with family
members and peers
Family name
Address and
Telephone
number
LAGANZUA
1209 A.J.
Barlin St
Sampaloc,
Manila
Phone #
Nutritional
assessment:
GDS-normal
Type of
Family
Life cycle
stage
Role and
Functions
Index Patient
Unilaterally
extended
1.Breadwinner:
patient
Flora
Laganzua
Life Cycle
Stage
Family in
later years
2.Decision
maker:
patient
Female
3. Caregiver:
None
81 y/o
Diagnosis
Latest Lab
Results and
Medications
Osteoporosis
Fracture R hip
Senile Cataract
OU
Dextroscoliosis
Underweight
Psychosocial
problems
Patient currently
has no
caregiver
Medicines:
Multivitamins
Mefenamic Acid
500 mg/tab
Calcium
gluconate 1 tab
OD
Plans
Medical
Multivitamins 1 tab OD
Calcium gluconate 1 tab OD
Mefenamic Acid 500 mg/tab
Refer to Orthopedics
Refer to Rehab
Refer to Ophthalmology
Vaccination – Tetanus,
Pneumococcal, Influenza
For hypertensive work-up
Wellness
Advice balanced diet, with low
fat, low salt, high fiber diet
Encourage to drink 8-10
glasses of water daily
Encourage to ambulate with
assistance
Educate patients on benefit of
healthy living and seeking to
improve one’s health
Psychosocial
Encourage good and healthy
relationship with borders
Encourage borders to spend
quality time with the patient
Family name
Address and
Telephone
number
CAABAY
1029 Adelina
St. Sampaloc
Manila
Phone #
493-7918
Type of
Family
Life cycle
stage
Extended
Life Cycle
Stage:
Launching
Family
Role and
Functions
1.Breadwinner
Marlon Dela
Cruz
Index Patient
Cristy
Caabay
Female
2.Decision
maker
Marlon Dela
Cruz
GDS-normal
3. No Caregiver
66 y/o
Diagnosis
Hypertension
St. 2,
uncontrolled
t/c cataract
Psychosocial
problems
Latest Lab Results
and Medications
Losartan
100mg/tab OD
Amlodipine
5mg/tab OD
Plans
Medical
Continue with present
medications
BP monitoring
CBC with platelet, Urinalysis,
Lipid Profile, 12L-ECG, Chest
X-ray, FBS
Vaccination – Pneumococcal,
Influenza, Tetanus
Ophthalmology referral
Wellness
Advice balanced diet, with low
fat, low salt, high fiber diet
Encourage to drink 8-10
glasses of water daily
Encourage to ambulate
(w/assistance)
Continue vitamins
supplementation
Educate patients on benefit
of healthy living and seeking
to improve one’s health
Psychosocial
Encourage good and healthy
relationship with family
Family name
Address and
Telephone
number
RAGAZA
932 R. Papa
St. Manila
733-1297
Mini
Nutritional
assessment
Total
assessment
16
GDS: normal
Type of
Family
Life cycle
stage
Role and
Functions
Bilaterally
Extended
Crispin
Ragaza
Family in
later life
Male
80 y/o
Index Patient
1. Breadwinner
Marilou
(daughter)
2. Decisionmakers
Crispin and
Marilou
3. No caregiver
Diagnosis
SAH stage 1,
controlled
Malnourished
Latest Lab Results
and Medications
Amlodipine
10mgtab OD
MVP 1 tab OD
Plans
Medical
Daily BP monitoring at health
center
Continue current medications
Referral to dietary for
counseling
Wellness
Ensure 2 glasses/day and low
salt and low fat diet
Immunizations: tetanus,
influenza and pneumococcal
Psychosocial
Encourage family support
and daily hygiene
Family name
Address and
Telephone
number
RAGAZA
932 R. Papa
St. Manila
733-1297
Mini
Nutritional
assessment
Total
assessment:
15
Type of
Family
Life cycle
stage
Bilaterally
Extended
Family in
later life
Role and
Functions
Flaviana
Ragaza
Female
81 y/o
Index Patient
1. Breadwinner
Marilou
(daughter)
2. Decisionmakers
Crispin and
Marilou
3. Caregiver
Crispin and
Marilou
MCSI:
Madalas:4
Minsan: 4
Halos hindi: 3
Diagnosis
Alzheimer’s
disease,
Cataract, OD
Malnourished
Latest Lab Results
and Medications
MVP 1 tab OD
Plans
Medical
Referral to Neurology
Referral to Ophthalmology
Referral to dietary for
counseling
Wellness
Ensure 2 glasses/day
Immunizations: tetanus,
influenza and pneumococcal
Psychosocial
Encourage family support and
daily hygiene
Family name
Address and
Telephone
number
RICARDO
Type of
Family
Life cycle
stage
Unilaterally
extended
1829B Sisa St,
Sampaloc,
Launching
Manila
Family
#09272442408
Family
Wellness Plan
Mini Nutritional
Assessment:
Role and
Functions
Index Patient
Diagnosis
Latest Lab
Results and
Medications
1.Breadwinner
Vivian (patient)
Vivian
Ricardo
SAH St 2,
uncontrolled
Metoprolol
50mg BID
2.Decision
maker
Vivian (patient)
Female
ASHD, CAD,
LVH
ISMN
30mg OD
55 y/o
Plans
Medical:
1.Daily BP monitoring
2.For 12L ECG, lipid profile,
FBS
3.For ophthalmologic
examination
Wellness:
1.Recommend light snacks
every 2 hours for waking hours
2. Recommend DASH diet
3.Strict compliance with
medications
3. Reading daily
t/c
ASA
Musculoskeletal 80mg OD
strain
Simvastatin
t/c Gastritis 2 to 20mg ODHS
chronic ASA use
Losartan 50mg +
Hydrochlorothiazi
de 12.5mg OD
* Patient and her relatives
have been refusing visits due
Omeprazole
to
scheduling
conflicts.
20mg OD
Suggest discharge
Family name
Address and
Telephone
number
RICARDO
Type of
Family
Life cycle
stage
Bilaterally
extended
1722 Ibarra St,
Sampaloc,
Launching
Manila
Family
#09194236146
Family
Wellness Plan
Mini Nutritional
Assessment
Mini Mental
State Exam
Role and
Functions
Index Patient
Diagnosis
Breadwinner
daughter
Concepcion
Ricardo
SAH St 2,
controlled
2.Decision
maker
Daughter
Female
t/c Senile
cataract OD
81 y/o
s/p cataract
surgery OS
Allergic Contact
Dermatitis 2 to
Rubber
Sandals, both
feet
Latest Lab
Results and
Medications
Amlodipine10mg
+ Valsartan
160mg OD
ASA
80mg OD
Petroleum jelly
OD and prn
Plans
Medical:
1.Daily BP monitoring and
recording
2.For ophthalmologic
examination (offered and
refused)
3. Screening for peptic ulcer
disease
Wellness:
1.Recommend light snacks
every 2 hours for waking hours
2. Recommend DASH diet
3.Strict compliance with
medications
4. Increase ADL
Psychosocial:
1.Encourage involvement with
friends
Family name
Address and
Telephone
number
ROFO
1726B Ibarra
St, Sampaloc,
Manila
#7116657
Family
Wellness Plan
Mini Nutritional
Assessment
Mini Mental
State Exam
Type of
Family
Life cycle
stage
Bilaterally
Extended
Role and
Functions
Breadwinner
Son in law
Index Patient
Lydia Rofo
Diagnosis
Latest Lab
Results and
Medications
SAH St 1,
controlled
Amlodipine 5mg
BID
Gouty arthritis
Verapamil 80mg
OD
Female
Family in
Later Life
Decision maker
Son in law
79 y/o
ASIS fracture,
left, s/p skeletal
traction
Plans
Medical:
Daily BP monitoring and
recording
For ophthalmologic
examination
Wellness:
Recommend DASH diet and
avoidance of organ meats,
sardines, mussels
At least 8 glasses of water a
day
Reading daily
Increase activities of daily
living
Psychosocial:
2.Encourage involvement with
friends
Family name
Address and
Telephone
number
SANCHEZ
1855 Sulu St.,
Sampaloc,
Manila
Type of
Family
Life cycle
stage
Role and
Functions
Index Patient
Bilaterally
Extended
Breadwinner
Son
Filemon
Sanchez
Launching
Family
Decision maker
Son
Male
70 y/o
Family
Wellness Plan
Mini Nutritional
Assessment
Geriatric
Depression
Scale
Mini Mental
State Exam
Modified
Caregiver
Index
1˚ Caregiver
Son
Diagnosis
Diabetes
Mellitus type 2,
controlled, s/p
BKA , right
(2008)
Latest Lab
Results and
Medications
Amlodipine 5mg
OD
Plans
Medical:
Daily BP and CBG monitoring
and recording and daily foot
Metformin 500mg examination
OD
Referral to DM center for
glucometer calibration
SAH St. 1,
For yearly ophthalmologic and
controlled
serum creatinine examination
and HbA1c and FLP every 3-6
Tinea versicolor,
months
upper back
Suggest shift to ACE inhibitor
Ketoconazole 2% shampoo as
Venous
a body wash
Insufficiency,
For comprehensive Duplex
Left foot
ultrasound
Smoking cessation counselling
Tobacco
Referral to Rehabilitation
addiction
Medicine
Wellness:
Recommend DASH diet
For daily home exercises
Strict compliance with
medications
Educate patients on benefit of
healthy
Reading daily
Psychosocial:
Encourage involvement with
Family name
Address and
Telephone
number
Type of
Family
Life cycle
stage
SOLIONGCO Unilaterally
extended
1114 Carola
st. Sampaloc, Family in
Manila
later life
Role and
Functions
Index Patient
Aurora
Soliongco
HPN st.II
controlled
Female
Bronchial
Asthma, not in
Acute
Exacerbation
95 y/o
Mini-Nutrirional
Assessment
Geriartric
Depression
Scale
Mini Mental
State Exam
Modified
Caregiver
Strain Index
Diagnosis
Latest Lab
Results and
Medications
Plans
Telmisartan HCl
Medical:
(Pritor Plus)
1. Continue present
500mg/tab ODHS medications
2. BP monitoring
3. Avoid airborne allergens, air
pollutants and irritants, cold air,
streinous exercise
Wellness:
1.Recommend DASH diet
2.Strict compliance with
medications
3.Ensure 2 glasses and
encourage 8 glasses of water
a day
Psychosocial:
1.Encourage involvement with
friends
Family name
Address and
Telephone
number
DELA CRUZ
1035 Miguelin
St. Sampaloc,
Manila
Type of Family
Life cycle
stage
Unilaterally
Extended
Family in later
years
Role and
Functions
1.Breadwinner
Eugenia Dela
Cruz
(daughter-inlaw)
Index Patient
Librada Dela
Cruz
HPN st.II
controlled
Female
ASHD, CAD
NIF, Chronic
Stable Angina
Class IIB
769y/o
Mini-Nutrirional
Assessment
Geriartric
Depression
Scale
Mini Mental
State Exam
Modified
Caregiver
Strain Index
2.Decision
maker
Diagnosis
Osteoarthritis
3. 1˚ Caregiver
Eugenia Dela
Cruz
(daughter-inlaw)
Latest Lab
Results and
Medications
Metoprolol
100mg/tab 1 tab
ODHS
Trimetazidine
35mg/tab 1 tab
BID
Imidapril 5mg/tab
1 tab OD
ISDN 5mg/tab 1
tab prn for chest
pain
Plans
Medical:
1.Continue strict compliance
with medications
2. BP monitoring
3. Follow-up with physicians
Wellness:
1. Recommend DASH diet
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
Clopidogrel
1.Sharing of responsibilities in
75mg/tab 1 tab
taking care of patient
ODHS
2.Encourage good and healthy
relationship with family
Digoxin (Lenoxin) members and peers
250mg/tab 1tab
OD
Celicoxib
200mg/tab 1 tab
prn for pain
Omeprazole
Family name
Address and
Telephone
number
Type of Family
Life cycle
stage
QUEROL
1089 Don
Quijote St.
Sampaloc
Manila
Role and
Functions
1.Breadwinner
Family in later
years
2.Decision
maker
Index Patient
Diagnosis
Latest Lab
Results and
Medications
Remedios
Querol
HPN st.II,
uncontrolled
Amlodipine 10
mg/tab 1 tab OD
Female
DM type II,
controlled
Allopurinol
300mg/tab 1 tab
OD
3. 1˚ Caregiver 85 y/o
Plans
Medical
1. Continue present
medications
2. BP monitoring
3. Continue CBG monitoring
4. Follow-up with physician
Gouty Arthritis
Tel# 731-1328
Malnourished
Mini-Nutritional
Assessment
Geriartric
Depression
Scale
Mini Mental
State Exam
Modified
Caregiver
Strain Index
Amiodarone
200mg/tab 1 tab
OD
Clopidogrel
75mg/tab 1 tab
OD
Wellness
Recommend DASH diet
Ensure two glasses daily
Encourage to drink 8-10
glasses of water daily
Educate patients on benefit of
healthy living and seeking
to improve one’s health