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Family GroupNovember 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
1.BreadwinnerMary Jane (daughter)
2.Decision makerLourdes Lomohan (wife)
3. 1˚ CaregiverLourdes Lomohan (wife)
4.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
Family nameAddress and Telephone
number
Type of Family Life cycle
stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
LOPEZ
957 Dos Catillas St. Sampaloc, Manila
# 7313224
Mini-Nutrirional Assessmentmalnourished
Unilaterally extended
Family in later years
1.BreadwinnerEden Lopez (wife)
2.Decision makerEden Lopez (wife)
3. 1˚ CaregiverEden Lopez (wife)
4.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
Multivitamins 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
Family nameAddress and Telephone
number
Type of Family Life cycle
stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
SAN PEDRO
965 Adelina St. Sampaloc Manila
Phone # 735-6775
Mini- Nutritional assessment:: not at risk for malnutrition
GDS - normal
MMSE-
Extended
Life Cycle Stage
1.BreadwinnerBeatriz San Pedro
2.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
Family nameAddress and Telephone
number
Type of Family Life cycle
stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
SAN PEDRO
965 Adelina St. Sampaloc Manila
# 735-6775
Nutritional assessment:not at risk for malnutrition
GDS- normal
MMSE
Extended 1.Breadwinnerself
2.Decision makerSelf
Magdalena San Pedro-Amoranto
female
79 y/o
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
Family nameAddress and Telephone
number
Type of Family Life cycle
stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
ROSALES
Address1070 Don Quijote St. Sampaloc, Manila Phone #
Nutritional assessment:At risk of malnutrition
Blended
Life Cycle StageLaunching Family
1.BreadwinnerTeresita Rosales
2.Decision makerGenaro Rosales
3. CaregiverLauro
4.MCSI
Jerry Rosales
Gender:Male
Age: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
Amlodipine 10mg/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 nameAddress and Telephone
number
Type of Family
Life cycle stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
Cudal
1016 Eloisa St. Sampaloc Manila
#735-7539
Mini-Nutritional Assessment Score: at risk of malnutrition
GDS: cannot be assessed
MMSE: cannot be assessed
Communal
Family in Later life
1. Breadwinner: Dra. Efegenia Soliven- daughter who is living in the USA
2. Decision-maker: Dra. Efegenia Soliven- daughter who is living in the USA
3. 1˚ Caregiver: Cecilia Cabais
4.MCSIMadalas-2Minsan-5Halos hindi-4
Cudal, Dorothea
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 Calcium2. 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.
Family nameAddress and Telephone
number
Type of Family
Life cycle stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
Miguel
1016 Eloisa St.Sampaloc Manila
#735-7539
Mini-Nutritional Assessment Score: not at risk
GDS:
MMSE:
Communal
Family in Later years
1. Breadwinner : Lydia Miguel
2. Decision maker: Lydia Miguel
3. Caregiver: none
*Patient owns the house and rents it to boarders. It is her source of income.
Miguel, Lydia60/F
SAH Stage II, poorly controlled
Atenolol (Therabloc) 50mg, 1 tab OD
Multivitamins, 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.
Family nameAddress and Telephone
number
Type of Family
Life cycle stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
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 : Susan Lanot (daughter)
2. Decision maker: Susan Lanot – daughter
3. 1˚Caregiver: Bella (informal caregiver)
4.MCSIMadalas-1Minsan-1Halos hindi-9
Lanot, Anicia
Female
76 y/o
Diabetes Mellitus 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, resolving
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).
*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.
5. Encourage passive ROM exercises by caregiver
Psychosocial1. Maintain good interpersonal relationship with caregivers and relatives in the household
Family nameAddress and Telephone
number
Type of Family
Life cycle stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
LABRADOR
930 Quezon Blvd St. Sampaloc Manila
#0921-7802097
Mini Nutritional Assessment Score: at risk
GDS:
MMSE:
Unilaterally extended
Family in Later life
1. Breadwinner: Virgilio Jacob (son-in-law)2. Decision maker: Angelita Jacob (daughter)
3. Primary Caregiver: Angelita Jacob (daughter)
4.MCSIMadalas-1Minsan-4Halos hindi-6
Labrador, Luciana
Female
76 y/o
Alzheimer's disease
Xerosis
Multivitamins, 1 tab OD
Medical1.Continue MVP2.Update immunizations: Pneumococcal, Influenza, Tetanus3.Fall precaution4.For Osteoporosis screening
Psychosocial1. Maintain good interpersonal relationship with her daughter and her family.
Family nameAddress and Telephone
number
Type of Family
Life cycle stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
VICTORIA
948 Adelina St. Sampaloc, Manila
# 735 1459
Mini Nutritional Assessment Score: at risk
GDS: normal
MMSE:
Nuclear
Family in Later life
1. Breadwinner: Supina Victoria (Daughter in law)
2. Decision maker: Supina Victoria
3. Primary Caregiver: none
Victoria, Beatriz
Female
85 y/o
SAH stage II, poorly controlledGouty 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)4.Update immunization (Pneumococcal, tetanus, Influenza)
Psychosocial1.Smoking cessation2.Improve relationship with her daughter –in-law and her siblings.3.Proper budgeting
Family nameAddress and Telephone
number
Type of Family
Life cycle stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
RALLOS
940 Quezon Blvd. Sampaloc Manila
#704-5083
Mini Nutritional Assessment Score:
GDS: 7 (suggests depression)
MMSE:
Nuclear
Family with adolescents
1. Breadwinner: Romeo Rallos
2. Decision maker: Romeo Rallos
3. Primary Caregiver:Madeline Rallos (wife)
MCSI: Madalas-Minsan-Halos Hindi-
Family gets monthly disability pension.
Rallos, Romeo
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.Update immunization (Pneumococcal, tetanus, Influenza)5.Labs: BUN, crea, HBA1C
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
Family nameAddress and Telephone
number
Type of Family
Life cycle stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
GRAVANSOS
1041 Adelina St. Sampaloc Manila Phone #
GDS: normalMMSE: cannot be fully assessed
Extended
Life Cycle StageLaunching Family
1.BreadwinnerZaldy, Polly, Myrna
2.Decision makerZaldy
3. CaregiverEmployed by patients daughter Myrna
MCSI:Madalas :0Minsan: 9Halos hindi 1
Soledad Gravansos
Female
79 y/o
Parkinson’s disease
Psychosocial problems
Biperidine (Akineton) 2mg/tab BID
MedicalContinue present medicationsVaccination (Influenza, Tetanus, Pneumococcal)Multivitamins 1 tab ODRefer to neurology
WellnessAdvice balanced diet, with low fat, low salt, high fiber diet Encourage to drink 8-10 glasses of water dailyIncrease oral fluid intakeEncourage to ambulate (w/assistance) Educate patient on benefit of healthy living and seeking to improve one’s health
Psychosocialcaregiver-focused social support
Encourage good and healthy relationship with family members and peers
Encourage each family member to spend quality time with the patient
Family nameAddress and Telephone
number
Type of Family
Life cycle stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
LAGANZUA 1209 A.J. Barlin St Sampaloc, Manila Phone #
Nutritional assessment:
GDS-normal
Unilaterally extended
Life Cycle StageFamily in later years
1.Breadwinner:patient
2.Decision maker:patient
3. Caregiver:Meann Laganzua
MCSI:Madalas: 2Minsan: 1Halos Hindi: 8
Flora Laganzua
Female
81 y/o
OsteoporosisFracture R hipSenile Cataract OUDextroscoliosisUnderweightPsychosocial problemsPatient currently has no caregiver
Medicines:MultivitaminsMefenamic Acid 500 mg/tabCalcium gluconate 1 tab OD
MedicalMultivitamins 1 tab ODCalcium gluconate 1 tab ODMefenamic Acid 500 mg/tabRefer to OrthopedicsRefer to RehabRefer to OphthalmologyVaccination – Tetanus, Pneumococcal, InfluenzaFor hypertensive work-up
WellnessAdvice balanced diet, with low fat, low salt, high fiber diet Encourage to drink 8-10 glasses of water dailyEncourage to ambulate with assistance Educate patients on benefit of healthy living and seeking to improve one’s health
PsychosocialEncourage good and healthy relationship with bordersEncourage borders to spend quality time with the patient
Family nameAddress and Telephone
number
Type of Family
Life cycle stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
CAABAY1029 Adelina St. Sampaloc Manila Phone #493-7918
GDS-normal
Extended
Life Cycle Stage:
Launching Family
1.BreadwinnerMarlon Dela Cruz
2.Decision makerMarlon Dela Cruz
3. No Caregiver
Cristy Caabay
Female
66 y/o
Hypertension St. 2, uncontrolledt/c cataractPsychosocial problems
Losartan 100mg/tab ODAmlodipine 5mg/tab OD
MedicalContinue with present medicationsBP monitoringCBC with platelet, Urinalysis, Lipid Profile, 12L-ECG, Chest X-ray, FBSVaccination – Pneumococcal, Influenza, TetanusOphthalmology referral
WellnessAdvice balanced diet, with low fat, low salt, high fiber dietEncourage 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
PsychosocialEncourage good and healthy relationship with family members and peers Encourage each family member to spend quality time with the patient
Family nameAddress and Telephone
number
Type of Family
Life cycle stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
RAGAZA
932 R. Papa St. Manila
733-1297
Mini Nutritional assessment
Total assessment 16
GDS: normal
BilaterallyExtended
Family in later life
Crispin Ragaza
Male
80 y/o
1. BreadwinnerMarilou
(daughter)
2. Decision-makers Crispin and Marilou
3. No caregiver
SAH stage 1, controlledMalnourished
Amlodipine 10mgtab ODMVP 1 tab OD
Medical Daily BP monitoring at health centerContinue current medicationsReferral to dietary for counseling
WellnessEnsure 2 glasses/day and low salt and low fat dietImmunizations: tetanus, influenza and pneumococcal
Psychosocial Encourage family support and daily hygiene
Family nameAddress and Telephone
number
Type of Family
Life cycle stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
RAGAZA
932 R. Papa St. Manila
733-1297
Mini Nutritional assessmentTotal assessment: 15
BilaterallyExtendedFamily in later life
Flaviana RagazaFemale 81 y/o
1. BreadwinnerMarilou
(daughter)2. Decision-makers Crispin and Marilou 3.CaregiverCrispin and Marilou
MCSI: Madalas:4Minsan: 4Halos hindi: 3
Alzheimer’s disease, Cataract, ODMalnourished
MVP 1 tab OD MedicalReferral to Neurology Referral to OphthalmologyReferral to dietary for counseling Wellness Ensure 2 glasses/day Immunizations: tetanus, influenza and pneumococcal
PsychosocialEncourage family support and daily hygiene
Family nameAddress and Telephone
number
Type of Family
Life cycle stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
RICARDO
1829B Sisa St, Sampaloc, Manila
#09272442408
Family Wellness Plan
Mini Nutritional Assessment:
Unilaterally extended
Launching Family
1.BreadwinnerVivian (patient)
2.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 and her relatives have been refusing visits due to scheduling conflicts. Suggest discharge
Family nameAddress and Telephone
number
Type of Family
Life cycle stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
RICARDO
1722 Ibarra St, Sampaloc, Manila
#09194236146
Family Wellness Plan
Mini Nutritional Assessment
Mini Mental State Exam
Bilaterally extended
Launching Family
Breadwinnerdaughter
2.Decision makerDaughter
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 peptic ulcer disease
Wellness:1.Recommend light snacks every 2 hours for waking hours2. Recommend DASH diet3.Strict compliance with medications4. Increase ADL
Psychosocial:1.Encourage involvement with friends
Family nameAddress and Telephone
number
Type of Family
Life cycle stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
ROFO
1726B Ibarra St, Sampaloc, Manila
#7116657
Family Wellness Plan
Mini Nutritional Assessment
Mini Mental State Exam
Bilaterally Extended
Family in Later Life
BreadwinnerSon in law
Decision makerSon in law
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:Daily BP monitoring and recordingFor ophthalmologic examination
Wellness:Recommend DASH diet and avoidance of organ meats, sardines, musselsAt least 8 glasses of water a day Reading dailyIncrease activities of daily living
Psychosocial:2.Encourage involvement with friends
Family nameAddress and Telephone
number
Type of Family
Life cycle stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
SANCHEZ
1855 Sulu St., Sampaloc, Manila
Family Wellness Plan
Mini Nutritional Assessment
Geriatric Depression Scale
Mini Mental State Exam
Modified Caregiver Index
Bilaterally Extended
Launching Family
BreadwinnerSon
Decision makerSon
1˚ CaregiverSon
Filemon Sanchez
Male
70 y/o
Diabetes Mellitus type 2, controlled, s/p BKA , right (2008)
SAH St. 1, controlled
Tinea versicolor, upper back
Venous Insufficiency, Left foot
Tobacco addiction
Amlodipine 5mg OD
Metformin 500mg OD
Medical:Daily BP and CBG monitoring and recording and daily foot examinationReferral to DM center for glucometer calibrationFor yearly ophthalmologic and serum creatinine examination and HbA1c and FLP every 3-6 monthsSuggest shift to ACE inhibitorKetoconazole 2% shampoo as a body washFor comprehensive Duplex ultrasoundSmoking cessation counsellingReferral to Rehabilitation Medicine
Wellness:Recommend DASH dietFor daily home exercisesStrict compliance with medicationsEducate patients on benefit of healthyReading daily
Psychosocial:Encourage involvement with friends who don’t smoke
Family nameAddress and Telephone
number
Type of Family
Life cycle stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
SOLIONGCO
1114 Carola st. Sampaloc, Manila
Mini-Nutrirional Assessment
Geriartric Depression Scale
Mini Mental State Exam
Modified Caregiver Strain Index
Unilaterally extended
Family in later life
Aurora Soliongco
Female
95 y/o
HPN st.II controlled
Bronchial Asthma, not in Acute Exacerbation
Telmisartan HCl (Pritor Plus) 500mg/tab ODHS
Medical:1. Continue present medications2. BP monitoring3. Avoid airborne allergens, air pollutants and irritants, cold air, streinous exercise
Wellness:1.Recommend DASH diet2.Strict compliance with medications3.Ensure 2 glasses and encourage 8 glasses of water a day
Psychosocial:1.Encourage involvement with friends
Family nameAddress and Telephone
number
Type of Family Life cycle
stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
DELA CRUZ
1035 Miguelin St. Sampaloc, Manila
Mini-Nutrirional Assessment
Geriartric Depression Scale
Mini Mental State Exam
Modified Caregiver Strain Index
Unilaterally Extended
Family in later years
1.BreadwinnerEugenia Dela Cruz (daughter-in-law)
2.Decision maker
3. 1˚ CaregiverEugenia Dela Cruz (daughter-in-law)
Librada Dela Cruz
Female
769y/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
Celicoxib 200mg/tab 1 tab prn for pain
Omeprazole 20mg/tab 1tab OD
Medical:1.Continue strict compliance with medications2. BP monitoring3. Follow-up with physicians
Wellness:1. Recommend DASH diet2. Encourage to drink 8-10 glasses of water daily3. Educate patients on benefit of healthy living and seeking to improve one’s health
Psychosocial1.Sharing of responsibilities in taking care of patient2.Encourage good and healthy relationship with family members and peers
Family nameAddress and Telephone
number
Type of Family Life cycle
stage
Role and Functions
Index Patient Diagnosis Latest Lab Results and Medications
Plans
QUEROL
1089 Don Quijote St. Sampaloc Manila
Tel# 731-1328
Mini-Nutritional Assessment
Geriartric Depression Scale
Mini Mental State Exam
Modified Caregiver Strain Index
Family in later years
1.Breadwinner
2.Decision maker
3. 1˚ Caregiver
Remedios Querol
Female
85 y/o
HPN 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. Continue present medications2. BP monitoring3. Continue CBG monitoring4. Follow-up with physician
WellnessRecommend DASH dietEnsure two glasses dailyEncourage to drink 8-10 glasses of water dailyEducate patients on benefit of healthy living and seeking to improve one’s health