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PAMANTASAN NG LUNGSOD

NG MAYNILA

COLLEGE OF MEDICINE

FAMILY AND COMMUNITY MEDICINE SECTION 1-C

Marin, JunieTabobo, Paolo GabrielTabeta ,Cri!tine Jo"Tan, Maria Ala"ana An#reaTanal$o, %ab"l"nTurin$an, Ja&ille'alen(ia, Aeriel Anne)ulueta, A#uen )ion

I* Intro#u(tion to In#e+ Patient

a. Patient Profle

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Name: Josefna Romaldo Antonio Occupation: Library

work (retired 1!"#A$e: !"%irt&day: January 1' 1")*ender: +emale

,arital -tatus: idowed-pouse: Rodol/o Reyes Occupation:

+actory worker0&ildren: 1Address: 2!3421 -an Andres -treet %r$y. '53 ,alate ,anila

b. %rie/ 6istory o/ Present 7llness

,rs. Antonio was confned in P&ilippine *eneral 6ospital at )55'

/or &er $astric ulcer. -&e was t&en /ound out to &a8e &i$& bloodpressure ran$in$ /rom '55 to 1955 s&e also sometimes

complains t&at s&e &as diculties breat&in$ and &as a peculiar

&unc&ed body posture.

c. ;ia$nosis and Present ,ana$ement

,rs. Antonio &as 0ardiome$aly and osteoporosis. -&e mostly

stays at &ome and sits in a w&eelc&air s&e is also under

maintenance dru$s:

-pironolactone )2m$ 1 tabletdayer

w&ene8er s&e &as diculty in breat&in$.

II* Fa&il" Geno$ra&

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III* Fa&il" Lie C"(le Sta$e

Josefna Antonio !" yo as t&e inde? patient belon$s to t&e /amily t&at is

currently at t&e later sta$e o/ t&e /amily li/e cycle. @&e c&ildren o/ Josefna

Antonio &a8e created /amilies o/ t&eir own and are already responsible /or

t&eir own li/e decisions. ;espite t&is ability t&e c&ildren o/ Josefna Antonio

remains to play an acti8e role in t&e /amily circle in w&ic& t&ey $rew up by

contributin$ to t&e monetary reuirements in t&eir s&ared &ouse&old.

7t is e8ident t&at t&e s&i/tin$ o/ $enerational $oals &as occurred

because t&e c&ildren o/ Josefna Antonio participates in t&e decision4makin$

process in t&eir &ouse&old. 6er c&ildren also partake in t&e mana$ement o/

Josefna AntonioBs illness. Rosalinda one o/ Josefna AntonioBs c&ildren still

consider t&e opinion o/ &er mot&er in makin$ decisions. %asically JosefnaBs

c&ildren were able to make room /or t&e wisdom o/ t&eir mot&er t&us

supportin$ Josefna Antonio wit&out o8er4/unctionin$ /or &er.

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I'* Fa&il" APGA

Tungkol sa aking pamilya Palagi

(2)

Paminsan-

Minsan

(1)

Halos

Hindi

(0)

AAko'y nasisiyahan dahil nakakaasa ako ng tulong sa aking

pamilya sa oras ng problema.

*

PAko'y nasisiyahan sa paraang nakikipagtalakayan sa akin

ang aking pamilya tungkol sa aking problema.

*

G

Ako'y nasisiyahan at ang aking pamilya ay tinatanggap at

sinusuportahan ang aking mga nais na gawin patungo sa

mgaa bagong landas para sa aking ikauunlad.

*

AAko'y nasisiyahan sa paraang ipinadadama saakin ng akingpamilya ang kanilang pagmamahal at nauunawaan ang aking

damdamin katulad ng galit, lungkot, at pag-ibig.

*

RAko'y nasisiyahan na ang aking pamilya at ako ay

nagkakaroon ng panahon sa isa't isa.

*

8 -10: Highly Functional

4 - 7 points: Moderately Dysfunctional

0 - 3 points: Severely Dysfunctional

Total: 7 points

Who lives in your home? How do you get along?

Relationship Age Sex Well Fairly Poor

Roberto Reyes 58 Male *

Rosalinda Reyes 59 Female *

Cyrus Andrew Reyes 33 Male *

Ryan Scott Reyes 22 Male *

7nterpretation:

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@&e /amily o/ t&e inde? patient $ets alon$ 8ery well. 7n /act t&e inde?

patient told us t&at alt&ou$& t&ey donCt &a8e enou$& monetary resources to

/ulfll t&eir needs t&eir /amily is still 8ery supporti8e o/ eac& member.

Rosalinda and 0yrus are closer to mommy Josefna due to t&e /act t&at t&ey

are more o/ten at &ome and t&ey &elp mommy Josefna more o/ten. Roberto

and Ryan spend most o/ t&eir time at work. @&eir only main problem can be

attributed to t&e /act t&at t&ey are lackin$ monetary resources. 7t is e8ident

t&at e8en t&ou$& t&ey lack money it is not a &indrance to $ood

relations&ips.

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pa$tutulun$an at

Pa$mamalasakit sa amin$

komunidad ay nakatutulon$

sa amin$ pamilya

R1 An$ amin$

pananampalataya at

reli&iyon ay nakatutulon$

sa amin$ pamilya

?

R) Natutulun$an kami n$

amin$ m$a kasama&an sa

simba&an o m$a $rupon$

reli&iyoso

?

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R I 9< I "< I 3, I "

@otal: )3 (,oderately inadeuate /amily resources#

-ocioeconomic -tatus

7n t&e !o(ialaspect t&e members o/ t&e /amily &elp one anot&er at all

times. 7n t&e community t&ey also &elp eac& ot&erBs /amily especially w&en

someone is sick. @&e /amily participates in acti8ities in t&e community in its

social $roups and c&urc& li/e.

Culturall" t&e /amily does not &a8e a pro8ince. @&ey constantly belon$ed

and belon$ to t&eir present community. @&e culture in t&e community $i8es

t&eir /amily stren$t& and t&eir culture o/ &elp/ulness and concern in t&e

community is &elp/ul to t&e /amily.

@&e reli$iou! acti8ities o/ t&e /amily are a si$nifcant part o/ t&eir li8es. @&ey

are members o/ t&e 7$lesia ni 0risto. @&ey are acti8ely in8ol8ed in t&eir

c&urc&Bs acti8ities. @&e w&ole /amily attend ser8ices re$ularly and are

in8ol8ed in all o/ t&eir reli$ionBs acti8ities. @&eir stron$ &old on t&eir reli$ion

$i8es stren$t& and coura$e to t&e /amily.

E(ono&i(all" t&e /amilyBs earnin$s are able to meet t&e needs o/ t&e

/amily. ,ost o/ t&e members o/ t&e /amily work and contribute to make ends

meet.

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+ood: )554255 day

,edications:255wk

On t&e e#u(ational aspect all members o/ t&e /amily are &i$& sc&ool

$raduates. @&eir knowled$e and education is sucient /or t&em to take care

o/ a sick /amily member.

@&e &e#i(alresources o/ t&e /amily are uite inadeuate. +or t&em medical

resources like medicines and ot&er needs are not readily a8ailable in t&e

community. On t&e ot&er &and t&e doctors nurses and &ealt& workers in

t&e community are &elp/ul to t&e /amily.

'I*Fa&il" Illne!! Tra/e(tor"

KL0

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@&e /amily o/ t&e patient was &a8in$ issues because o/ t&e /ees o/ t&e

&ospital and medicine. @&ere was stress to t&e /amily on &ow to pay /or t&e

/ees and t&e medicine o/ t&e inde? patient. @&e /amily now needs to buy

maintenance medicine /or t&e blood pressure o/ t&e patient. @&e patient /elt

$uilty /ear and restlessness on &ow s&e cannot &elp &er /amily wit& t&e

payments.

STAGE 40 EALY ADJUSTMENT TO OUTCOME 5e(o6er" Pa!e.

@&e patient was able to reco8er /rom &ospitali>ation and was allowed

to $o &ome. @&e patient was not able to completely reco8er to &er pre8ious

&ealt& as now s&e is takin$ maintenance medicine /or &er &i$& blood

pressure.

STAGE 70 ADJUSTMENT TO T3E PEMANENCE OF OUTCOME

@&e /amily o/ t&e patient was able to reco8er /rom t&e crisis t&at

&appened to t&eir /amily. @&ey were able to accept and adMust to t&eir new

routine in t&e /amily.

'II* Mana$e&ent Plan!8e(o&&en#ation! o te Grou9 or te

Fa&il"

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lack money it is not a &indrance to $ood relations&ips. All we can ad8ice is

to sa8e w&ene8er t&ey can.