genogram

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Genogram

Transcript of genogram

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DATA BASE

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PATIENT’S PROFILE

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PATIENT’S PROFILE

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MEDICAL DATAFiscal Year: 2014

File and Record no.:117924

Admitting Physician: Dr. Victor Mateo

Hospital: Rizal Provincial Hospital

Ward: Medical ward

Bed no: 20

Date of admission: September 12, 2014

Time of admission: 11:45 am Chief complaint: Left Breast pain

Diagnosis: Mastitis Breast feeding

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GORDON’S FUNCTINAL HEALTH PATTERN

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1. Health Perception and management

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2. Nutritional/Metabolic

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3. Elimination

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4. Activity and Exercise

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5. Cognitive/ Perceptual

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6. Sleep and Rest

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7. Self Perception/Self Concept

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8. Roles and Relationship

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9.Sexual Reproductive menarche at 14 years old

GTPAL score 1001

via NSD delivery

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10. coping/Stress Tolerance

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11.Value/Belief

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HISTORY PAST ILLNESS

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HISTORY PRESENT ILLNESS

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GENOGRAM

GrandfatherGrand mother

Mother

Brother Brother

Mother

GrandfatherGrand mother

Father

Brother

Brother

Sister

Sister Sister

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GENOGRAMMother Father

Brother

BrotherMiss I

Sister Sister

FemaleBrother Disease

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