FAMILY MEDICINE

Mid-Course ReportDecember 2009

Family nameAddress and Telephone

number

Type of Family

Life cycle stage

Role and Functions

Index Patient Diagnosis Latest Lab Results and Medications

Plans

LOMOHAN

939 Dos Castillas St. Sampaloc, Manila

#0908 5204944

Mini-Nutrirional Assessment: malnourished

Unilaterally extended

Family in later life

BreadwinnerMary Jane (daughter)

Decision makerLourdes Lomohan (wife)

1˚ CaregiverLourdes Lomohan (wife)

MCSIMadalas- 3Minsan- 3Halos hindi- 4

Fernando Lomohan

Male

64 y/o

s/p CVA, R MCA (June 2008)

HPN st.II controlled

Amlodipine 5mg/tab 1 tab OD

Aspirin 80mg/tab 1 tab OD pc

Multivitamins 1 tab OD

Medical:1.Update immunization (pneumococcal, influenza, tetanus) 2.Daily BP monitoring 3.Maintain good personal hygiene

Rehabilitative:1.Passive ROM exercises c/o caretakers2. 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 medications3.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


number

Type of Family

Life cycle stage

Role and Functions


Plans

LOPEZ

957 Dos Catillas St. Sampaloc, Manila

# 7313224

Mini-Nutrirional Assessmentmalnourished


Family in later years

BreadwinnerEden Lopez (wife)

Decision makerEden Lopez (wife)

1˚ CaregiverEden Lopez (wife)

MCSIMadalas- 1Minsan- 10Halos hindi- 1

Dominador Lopez

Male

76 y/o

Parkinson’s disease

s/p tracheostomy

s/p PEG insertion

Biperidine 2mg OD

Levodopa/Carbidopa 200/50mg/tab 1 tab OD


Acetylcytsteine prn

Medical:1.Continue strict compliance with medications2.Regular follow up3.Maintain position that provides optimum ventilation4.Continue strict turning schedule to avoid bed sore formation5.Perform passive ROM exercises6. 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 supplementation2. Ensure two glasses daily

Psychosocial1.Sharing of responsibilities in taking care of patient


number

Type of Family

Life cycle stage

Role and Functions


Plans

SAN PEDRO

965 Adelina St. Sampaloc Manila

Phone # 735-6775

Mini- Nutritional assessment:: not at risk for malnutrition

GDS - normal

MMSE- normal

Extended

Life Cycle Stage

BreadwinnerBeatriz San Pedro

Decision makerMagdalena Amoranto (sister)

Beatriz San Pedro

Female

83 y/o

Hypertension St. I, controlled

Bronchial asthma, NIAE

Osteoarthritis, both knees

Hypothyroidism s/p total thyroidectomy (1988)

s/p CVA (2004)

Vitamin B Complex OD

Nifedipine 20 mg OD

Levothyroxine 100 mg OD

Cilostazol 50 mg BID

Calcium BID

Simvastatin 40 mg ½ tab OD

Medical1. Continue present medications2. BP monitoring3. Follow-up with physician4. Refer to Rehab5. Vaccination (Pneumococcal, Tetanus, Influenza)

Wellness1. 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 daily3. Educate patients on benefit of healthy living and seeking to improve one’s health4. Multivitamins 1 tab OD


number

Type of Family

Life cycle stage

Role and Functions


Plans

SAN PEDRO

965 Adelina St. Sampaloc Manila

# 735-6775

Mini- Nutritional assessment score:not at risk for malnutrition

GDS- normal

MMSE- normal

Extended Breadwinnerself

Decision makerSelf

Magdalena San Pedro-Amoranto

female

79 y/o

HPN St. II, controlled

Cataract s/p EOL,OS

Felodipine 5mg/tab, 1 tab BID

Medical1. Continue medications2. BP monitoring3. Vaccination (Tetanus, Influenza, Pneumococcal)

Wellness1. 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 daily3. Educate patients on benefit of healthy living and seeking to improve one’s health


number

Type of Family

Life cycle stage

Role and Functions


Plans

ROSALES

Address1070 Don Quijote St. Sampaloc, Manila

Mini-Nutritional assessment:At risk of malnutrition

Blended

Life Cycle StageLaunching Family

BreadwinnerTeresita Rosales

Decision makerGenaro Rosales

1° CaregiverLauro

MCSI

Jerry Rosales

Male

53 y/o

DM type 2

SAH Stage 1, controlled

CKD sec to DM nephropathys/p AKA, L secondary to Diabetic foot

Amlodipine 5mg/tab OD


Acarbose 50mg/tab TID

HN 18 ‘u’/SC pre-BF and 8 ‘u’/SC pre dinner

Medical1. Assure of compliance with medications 2. Assure of compliance with thrice a week hemodialysis3. Regular follow-ups

Wellness1.Strict compliance to diet provided by physician/ dietician2.Suggest improvement of home ventilation3.Regular BP monitoring4.Annual Lipid profile/Renal profile/Cardiac profile5.Annual Ophthalmologic consult

Psychosocial1.Suggest involvement in social groups2.Encourage more outdoor activities

Family Information & Assessment

Tools

Family type &

Life Cycle stage

Roles and Functions


Plans

CUDAL

Address: 1016 Eloisa St. Sampaloc Manila

Contact No.735-7539

Mini-Nutritional Assessment ScoreAt risk of malnutrition

Mini Mental State ExamCan not be assessed

Geriatric Depression ScaleCan not be assessed

Communal

Family in Later life

Breadwinner Dra. Efegenia Soliven(daughter living abroad)

Decision-makerDra. Efegenia Soliven(daughter living abroad)

1˚ Caregiver Cecilia Cabais (informal caregiver) MCSI Madalas-2 Minsan-5 Halos hindi-4

Dorothea Cudal

Female

97 y/o

Dementia

Hearing Loss, AU

s/p hip replacement (2004)

Multivitamins, 1 tab OD

Calcium Carbonate, 1 tab BID

Medical1. Continue Multivitamins and Calcium

Wellness1. Dietary advise- eat more vegatebles, fruits, eggs, drink milk and other fruit drinks. 2. Osteoporosis screening3. Maintain low salt and low fat diet4. Encourage passive ROM exercises

Psychosocial1. 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.


Tools

Family type &

Life Cycle stage

Roles and Functions


Plans

MIGUEL

Address:1016 Eloisa St.Sampaloc Manila

Contact No.735-7539

Mini-Nutritional Assessment ScoreNot at risk

Geriatric Depression ScaleNot assessed-patient was in Ilocos

Communal

Family in Later years

Breadwinner Lydia Miguel

Decision maker Lydia Miguel

*Patient owns the house and rents it to boarders. It is her source of income.

Lydia Miguel

Female

60 y/o

SAH Stage II, poorly controlled

Atenolol (Therabloc) 50mg, 1 tab OD


Folic Acid, 1 tab OD

Medical1. Continue current medications.

*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.

Psychosocial1. 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.


Tools

Family type &

Life Cycle stage

Roles and Functions


Plans

LANOT

Address1134 Prudencio St. Sampaloc Manila

Contact No.09071628213

Mini-Nutritional Assessment ScoreNot at risk

Mini Mental State ExamNormal

Geriatric Depression ScaleNormal


Family in Later years

Breadwinner Susan Lanot (daughter)

Decision maker Susan Lanot (daughter)

1˚ Caregiver Florabel Teodoro (neice) MCSI Madalas-1 Minsan-1 Halos hindi-9

Anicia Lanot

Female

76 y/o

DM type 2, uncontrolled

SAH stage II, controlled

ASHD, CAD, LVH, NIF, Class IIB

s/p CVA (2003)

s/p UGI endoscopy 11/3/08

s/p AKI secondary to Acute Blood loss secondary to gastric ulcer, resolved (2008)

Metoprolol 50mg/tab, 1 tab BID

Amlodipine 5mg/tab, 1 tab OD

Insulin 26 U am and 14 U pm

Medical1. Continue current medications2. Daily BP monitoring 3. Glucose monitoring TID4. Follow-up referral to ENT (hearing loss) and Ophthalmology (blurring of vision)5. Screening for gastritis with every family visit6. Encourage passive ROM exercises by caregiver

*She is being seen by Endo-Med as well, for her DM.Her caregiver already consulted the dietary for nutrition counseling is following their advice. *Patient had episodes of epigastric pain and was given Domperidone which gave relief.

Psychosocial1. Maintain good interpersonal relationship with caregivers and relatives in the household


Tools

Family type &

Life Cycle stage

Roles and Functions


Plans

LABRADOR

Address930 Quezon Blvd St. Sampaloc Manila

Contact No0921-7802097

Mini Nutritional AssessmentAt risk for malnutrtion

Geriatric Depression Scalecannot be fully assessed

Mini Mental State Examcannot be fully assessed



Breadwinner Virgilio Jacob (son-in-law)

Decision maker Angelita Jacob (daughter)

1 Caregiver Angelita Jacob (daughter) MCSI Madalas-1 Minsan-4 Halos hindi-6

Luciana Labrador,

Female

76 y/o

Alzheimer's disease

Xerosis


Medical1.Continue MVP

Wellness1. Maintain a balance diet2. Update immunizations: (Pneumococcal, Influenza, Tetanus)3. Fall precaution4. For Osteoporosis screening

Psychosocial1. Maintain good interpersonal relationship with her daughter and her family.


Tools

Family type &

Life Cycle stage

Roles and Functions


Plans

VICTORIA

Address948 Adelina St. Sampaloc, Manila

Contact No735 1459

Mini Nutritional AssessmentAt risk for malnutrition



Nuclear


BreadwinnerSupina Victoria (daughter in law)

Decision MakerSupina Victoria (daughter in law)

Beatriz Victoria

Female

85 y/o

SAH stage II, poorly controlled

Gouty Arthritis

Amlodipine 5mg/tab, 1 tab OD

Metoprolol 50mg/tab, 1 tab OD

Petroleum Jelly, apply TID on affected areas

*Patient’s medications are not being taken regularly because of financial constraints.

Medical1.Continue current medications2.MVP, 1 tab OD3.For Ophthalmology referral (blurring of vision not fully corrected by glasses)

Wellness1. Maintain balance diet2. Update immunization (Pneumococcal, tetanus, Influenza)

Psychosocial1.Smoking cessation2.Improve relationship with her daughter –in-law and her siblings.3.Proper budgeting


Tools

Family type &

Life Cycle stage

Roles and Functions


Plans

RALLOS

Address940 Quezon Blvd. Sampaloc Manila

Contact No704-5083

Mini Nutritional AssessmentNot at risk


Geriatric Depression ScaleSuggests depression

Nuclear

Family with adolescents

BreadwinnerRomeo Rallos

Decision makerRomeo Rallos

1 CaregiverMadeline Rallos

(wife) MCSI Madalas-1 Minsan-1 Halos Hindi-9

*Family getsmonthly disabilitypension.

Romeo Rallos

Male

51 y/o

DM type 2, poorly controlled

Diabetic foot , left; s/p AKA May 2008 in PGH

Metformin 500mg/tab, 1 tab TID

*Patient’s medications are being taken only BID because of financial constraints. There is no regular CBG monitoring.

Medical1.Continue current medications2.MVP, 1 tab OD3.For Ophthalmology referral – baseline evaluation of Dm complications4.For BUN, serum creatinine, HBA1C

Wellness1.Update immunization (Pneumococcal, tetanus, Influenza)

Psychosocial1.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


Tools

Family type &

Life Cycle stage

Roles and Functions


Plans

RAGAZA

Address: 932 R. Papa St. Manila

Contact No:733-1297

Mini Nutritional AssessmentMalnourished

BilaterallyExtended


BreadwinnerMarilou Ragaza(daughter)

DecisionmakersMarilou Ragaza(daughter)

CaregiverMarilou Ragaza(daughter) MCSI Madalas:4 Minsan: 4 Halos hindi: 3

Flaviana Ragaza

Female

81 y/o

Alzheimer’s disease

Senile cataract, OD

Malnourished

MVP 1 tab OD Medical1. Referral to Neurology 2. Referral to Ophthalmology3. Referral to dietary for counseling

Wellness1. Ensure 2 glasses/day 2. Update immunizations (tetanus, influenza and pneumococcal)3. Encourage proper hygiene

Psychosocial1. Encourage family support for cataract surgery


Tools

Family type &

Life Cycle stage

Roles and Functions


Plans

RAGAZA

Address:932 R. Papa St. Manila

Contact No733-1297

Mini Nutritional AssessmentMalnourished


BilaterallyExtended


BreadwinnerMarilou Ragaza(daughter)

DecisionmakersMarilou Ragaza(daughter)

Crispin Ragaza

Male

80 y/o

SAH stage 1, controlled

Malnourished

Amlodipine 10mgtab OD

MVP 1 tab OD

Medical 1. Daily BP monitoring at health center2. Continue current medications3. Referral to dietary for counseling

Wellness1. Ensure 2 glasses/day and low salt and low fat diet2. Update Immunizations (tetanus, influenza and pneumococcal)

Psychosocial1. Encourage family support and daily hygiene


Tools

Family type &

Life Cycle stage

Roles and Functions


Plans

LAGANZUA Address1209 A.J. Barlin St Sampaloc, Manila

Mini Nutritional AssessmentAt risk for malnutrition



Life Cycle StageFamily in later years

BreadwinnerFlora Laganzua

Decision makerFlora Laganzua

1 CaregiverNone

Flora Laganzua

Female

81 y/o

Osteoporosis

Fracture R hip

Senile Cataract OU

Dextroscoliosis

Underweight

Psychosocial problems*Patient currently has no caregiver


Mefenamic Acid 500 mg/tab

Calcium gluconate 1 tab OD

Medical1. For hypertensive work-up2. Refer to Orthopedics3. Refer to Rehab4. Refer to Ophthalmology5. Update vaccination (Tetanus, Pneumococcal, Influenza)

Wellness1. Advise balanced diet, with low fat, low salt, high fiber diet 2. Encourage to drink 8-10 glasses of water daily3. Encourage to ambulate with assistance 4. Educate patientson benefit of healthy living and seeking to improve one’s health

Psychosocial1. Encourage good and healthy relationship with borders2. Encourage borders to spend quality time with the patient


Tools

Family type &

Life Cycle stage

Roles and Functions


Plans

GRAVANSOS

Address:1041 Adelina St. Sampaloc Manila



Extended

Launching Family

BreadwinnerZaldy, Polly, Myrna

Decision makerZaldy

CaregiverEmployed by patients daughter Myrna MCSI Madalas :0 Minsan: 9 Halos hindi 1

Soledad Gravansos

Female

79 y/o

Parkinson’s disease

Psychosocial problems

Biperidine (Akineton) 2mg/tab BID

Medical1. Continue present medications2. Update vaccination (Influenza, Tetanus, Pneumococcal)3. Refer to neurology4. Suggest Multivitamins 1 tab OD

Wellness1. Advice balanced diet, with low fat, low salt, high fiber diet 2. Encourage to drink 8-10 glasses of water dailyIncrease oral fluid intake3. Encourage to ambulate (w/assistance) 4. Educate patient on benefit of healthy living and seeking to improve one’s health

Psychosocial1. Caregiver-focused social support2. Encourage good and healthy relationship with family members and peers3. Encourage each family member to spend quality time with the patient


Tools

Family type &

Life Cycle stage

Roles and Functions


Plans

CAABAY

Address1029 Adelina St. Sampaloc Manila

Contact No493-7918


Extended

Launching Family

BreadwinnerMarlon Dela Cruz

Decision makerMarlon Dela Cruz

Cristy Caabay

Female

66 y/o

SAH St. 2, uncontrolled

t/c Senile Cataract

Psychosocial problems

Losartan 100mg/tab OD


Medical1. Continue with present medications2. Daily BP monitoring and recording3. For: CBC with platelet, Urinalysis, Lipid Profile, 12L-ECG, Chest X-ray, FBS4. Update vaccination (Pneumococcal, Influenza, Tetanus)5. For referral to Ophthalmology

Wellness1. Advice balanced diet, with low fat, low salt, high fiber diet2. Encourage to drink 8-10 glasses of water daily 3. Encourage to ambulate w tih assistance4. Continue vitamins supplementation5. Educate patients on benefit of healthy living and seeking to improve one’s health

Psychosocial1. Encourage good and healthy relationship with family members and peers2. Encourage each family member to spend quality time with the patient


Tools

Family type &

Life Cycle stage

Roles and Functions


Plans

RICARDO

Address:1829B Sisa St, Sampaloc, Manila

Contact No.09272442408

Mini Nutritional AssessmentNot at risk for malnutrtion (previous diagnosis)


Geriatric Depression ScaleCan not be assessed


Launching Family

BreadwinnerVivian (patient)

Decision makerVivian (patient)

Vivian Ricardo

Female

55 y/o

SAH St 2, uncontrolled

ASHD, CAD, LVH

t/c Musculoskeletal strain

t/c Gastritis 2 to chronic ASA use

Metoprolol 50mg BID

ISMN 30mg OD

ASA 80mg OD

Simvastatin 20mg ODHS

Losartan 50mg + Hydrochlorothiazide 12.5mg OD

Omeprazole 20mg OD

Medical:1.Daily BP monitoring2.For 12L ECG, lipid profile, FBS3.For ophthalmologic examination

Wellness:1.Recommend light snacks every 2 hours for waking hours2. Recommend DASH diet3.Strict compliance with medications3. Reading daily

* Patient’s relatives have been refusing visits due to scheduling conflicts. The patient is only available at 4am and 10pm due to her work. Suggest discharge


Tools

Family type &

Life Cycle stage

Roles and Functions


Plans

RICARDO

Address1722 Ibarra St, Sampaloc, Manila

Contact No09194236146

Mini Nutritional AssessmentNot at risk (score 12)

Mini Mental State ExamMild Impairment(score 23)

Geriatric Depression ScaleNormal (score 5)

Bilaterally extended


BreadwinnerRosario Castillo (Daughter)

Decision makerRosario Castillo (Daughter)

Concepcion Ricardo

Female

81 y/o

SAH St 2, controlled

t/c Senile cataract OD

s/p cataract surgery OS

Allergic Contact Dermatitis 2 to Rubber Sandals, both feet

Amlodipine10mg + Valsartan 160mg OD

ASA 80mg OD

Petroleum jelly OD and prn

Medical:1.Daily BP monitoring and recording2.For ophthalmologic examination (offered and refused)3. Screening for gastritis symptoms with every family visit

Wellness:1.Recommend light snacks every 2 hours for waking hours2. Recommend DASH diet3.Strict compliance with medications4. Increase ADL5. Encourage daily reading of newspapers

Psychosocial:1.Encourage more ocial involvement with neighbors


Tools

Family type &

Life Cycle stage

Roles and Functions


Plans

ROFO

Address:1726B Ibarra St, Sampaloc, Manila

Contact No.7116657

Mini Nutritional AssessmentNot at risk (score 14)

Mini Mental State ExamMild impairment (score 27)


Bilaterally Extended

Family in Later Life

BreadwinnerEdna Garcia (daughter)

Decision makerEdna Garcia (daughter)

Lydia Rofo

Female

79 y/o

SAH St 1, controlled

Gouty arthritis

ASIS fracture, left, s/p skeletal traction

Amlodipine 5mg BID

Verapamil 80mg OD

Medical:1. Daily BP monitoring and recording2. For ophthalmologic examination

Wellness:1. Compliance with medications2. Recommend DASH diet and avoidance of organ meats, sardines, mussels3. At least 8 glasses of water a day 4. Reading newspaper daily5. Increase activities of daily living

Psychosocial:2.Encourage involvement with neighbors


Tools

Family type &

Life Cycle stage

Roles and Functions

Index Patient

Diagnosis Latest Lab Results and Medications

Plans

SANCHEZ

Address: 1855 Sulu St., Sampaloc, Manila

Mini Nutritional AssessmentAt risk for malnutrition (score 21)


Mini Mental State ExamNo impairment (score 27)

Bilaterally Extended

Launching Family

BreadwinnerFilemon Sanchez, Jr. (Son)

Decision makerFilemon Sanchez, Jr. (Son)

Filemon Sanchez

Male

70 y/o

DM type 2, controlled, s/p BKA , right (2008)

SAH St. 1, controlled

Tinea versicolor, upper back

Venous Insufficiency, Left foot

Tobacco addiction

r/o Lung CA

Amlodipine 5mg OD

Metformin 500mg OD

Medical:1. Daily BP and CBG monitoring and recording and daily foot examination2. Referral to DM center for glucometer calibration3. For yearly ophthalmologic and serum creatinine examination and HbA1c and FLP every 3-6 months4. Suggest shift to ACE inhibitor5. Ketoconazole 2% shampoo as a body wash6. For Duplex ultrasound of lower extremities and pelvis7. For chest x-ray (PA, L views)8 Smoking cessation counselling9. Referral to Rehabilitation Medicine 10. Update immunizations (influenza, pneumococcus, tetanus)

Wellness:1. Recommend DASH diet2. For daily home exercises once with prescription from Rehabilitation Medicine3. Strict compliance with medications4. Reading newspaper daily5. Wear loose fitting clothing and avoid sweating

Psychosocial:1. Encourage involvement with friends who don’t smoke


Tools

Family type &

Life Cycle stage

Roles and Functions


Plans

SOLIONGCO

Address:1114 Carola st. Sampaloc, Manila

Mini-Nutritional AssessmentNot at risk for malnutrition (score 12)

Geriatric Depression Scale Normal (score 2)

Mini Mental State ExamNo impairment (score 28)



BreadwinnerJuliet Soliongco (daughter-in-law)

Decision MakerJuliet Soliongco (daughter-in-law)

Aurora Soliongco

Female

95 y/o

SAH St.II controlled

Senile cataract, OU

Bronchial Asthma, not in acute exacerbation

Telmisartan HCl (Pritor Plus) 500mg/tab ODHS

Medical:1. Daily BP monitoring and recording2. Referral to Ophthalmology for baseline eye exam and evaluation of cataracts3. Update immunizations (influenza, pneumococcus, tetanus)

Wellness:1.Recommend DASH diet2.Strict compliance with medications3. Education on avoidance of airborne allergens, air pollutants and irritants4. Daily reading of newspaper as able

Psychosocial:1.Encourage her current involvement in social barangay groups2. Encourage current level of ADLs performed because it enhances her feeling of self worth


Tools

Family type &

Life Cycle stage

Roles and Functions


Plans

DELA CRUZ

Address:1035 Miguelin St. Sampaloc, Manila

Mini-Nutritional AssessmentNot at risk for malnutrition (score:12)

Geriatric Depression Scale: Normal (score:2)

Mini Mental State Exam:Mild impairment(score: 23)

Unilaterally Extended


BreadwinnerEugenia Dela Cruz (sister-in-law)

Decision makerEugenia Dela Cruz (sister-in-law)

Librada Dela Cruz

Female

79y/o

HPN st.II controlled

ASHD, CAD NIF, Chronic Stable Angina Class IIB

Osteoarthritis

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

Clopidogrel 75mg/tab 1 tab ODHS

Digoxin (Lenoxin) 250mg/tab 1tab OD

Celecoxib 200mg/tab 1 tab prn for pain

Omeprazole 20mg/tab 1tab OD

Medical:1. Daily BP monitoring and recording2. Screening for gastritis during family visits3. Update immunization (influenza, pneumococcal, tetanus)4. For yearly ophthalmologic examination

Wellness:1.Continue strict compliance with medications2. Recommend DASH diet3. Encourage to drink 8-10 glasses of water daily3. Educate patient and relatives on the signs of drug toxicity4. Encourage daily reading of papers5. Encourage ADL as tolerated only

Psychosocial1.Sharing of responsibilities in taking care of patient2.Encourage good and healthy relationship with family members and peers


Tools

Family type &

Life Cycle stage

Roles and Functions


Plans

QUEROL

Address:1089 Don Quijote St. Sampaloc Manila

Contact No.731-1328

Mini-Nutritional Assessment: Malnourished (previous diagnosis)

Geriatric Depression Scale: Can not be assessed

Mini Mental State Exam:Can not be assessed

Nuclear Family


BreadwinnerSalud Querol

Decision makerSalud Querol

Caregiver Salud Querol

Remedios Querol

Female

85 y/o

SAH St.II, uncontrolled

DM type II, controlled

Gouty Arthritis

Malnourished

Amlodipine 10 mg/tab 1 tab OD

Allopurinol 300mg/tab 1 tab OD

Amiodarone 200mg/tab 1 tab OD

Clopidogrel 75mg/tab 1 tab OD

Medical1. Daily BP and blood glucose monitoring and recording2. Suggest serum creatinine 3. Screening for gastritis during family visits4. Follow-up with physician5. Update immunizations (influenza, pneumococcus, tetanus)

Wellness1. Compliance with medications2. Recommend DASH diet and diet low in organ meats, sardines, processed foods3. Recommend Ensure two glasses daily and drinking 8-10 glasses of water daily5. Educate patients on benefit of healthy living and seeking to improve one’s health

*patient’s relatives repeatedly refuse family visit because patient is sleeping or because is tired. Recommend discharge of patient

FAMILY MEDICINE

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