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Family Group November 2009 Family name Address and Telephone number LOMOHAN 939 Dos Castillas St. Sampaloc, Manila #0908 5204944 Mini-Nutrirional Assessment: malnourished Type of Family Life cycle stage Unilaterally extended 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 LOPEZ 957 Dos Catillas St. Sampaloc, Manila Unilaterally extended Family in later years 1.Breadwinner Eden Lopez (wife) Dominador Lopez Male # 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 76 y/o Parkinson’s disease s/p tracheostomy s/p PEG insertion 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 San Pedro Extended 965 Adelina St. Life Cycle Sampaloc Stage Manila Phone # 735-6775 MiniNutritional assessment:: not at risk for malnutrition GDS - normal MMSE- 1.Breadwinner Beatriz San Pedro 2.Decision maker Magdalena Amoranto (sister) 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 Medical 1. Continue present medications 2. BP monitoring 3. Follow-up with physician 4. Multivitamins 1 tab OD 5. Refer to Rehab 6. 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 San Pedro 965 Adelina St. Sampaloc Manila # 735-6775 Nutritional assessment: not at risk for malnutrition GDS- normal MMSE Extended 1.Breadwinner self 2.Decision maker Self Magdalena San PedroAmoranto female St. II, controlled Cataract s/p EOL,OS Felodipine Medical 5mg/tab, 1 tab 1. Continue medications BID 2. BP monitoring 3. Increase oral fluid intake 5. Vaccination – Tetanus, Influenza, Pneumococcal 79 y/o 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 Rosales Blended Address 1070 Don Quijote St. Sampaloc, Manila Life Cycle Stage Launching Family Phone # Nutritional assessment: At risk of malnutrition 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 Psychosocial problems Emotional support Amlodipine 5mg/tab OD Amlodipine 10mg/tab OD Acarbose 50mg/tab TID HN 18 ‘u’/SC pre-BF and 8 ‘u’/SC pre dinner 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.Periodic BP monitoring 4.Annual Lipid profile/Renal profile/Cardiac profile 5.Annual Opthalmologic consult Psychosocial 1.Suggest involvement in social groups 2.Encourage more outdoor activities Cudal Communal 1016 Eloisa St. Family in Sampaloc Later life Manila #735-7539 Mini-Nutritional Assessment Score: 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: MMSE: 3. 1˚ Caregiver: Cecilia Cabais 4.MCSI MadalasMinsanHalos hindi- Dementia Hearing Loss, AU s/p hip replacement (2004) Multivitamins, 1 tab OD Calcium Carbonate, 1 tab BID 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. Miguel Communal 1016 Eloisa St.Sampaloc Manila Family in Later years 1. Breadwinner : Miguel, Lydia Lydia Miguel 60/F SAH Stage II, poorly controlled Atenolol Medical (Therabloc) 50mg, 1. Continue current 1 tab OD medications. 2. Decision maker: Lydia Miguel Multivitamins, 1 tab OD 3. Caregiver: Mely Valdez Folic Acid, 1 tab OD #735-7539 Mini-Nutritional Assessment Score: GDS: 4.MCSI MadalasMinsanHalos hindi- MMSE: *Patient owns the house and rents it to boarders. It is her source of income. *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. 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 : Lanot, Anicia Susan Lanot (daughter) Female 2. Decision maker: Susan Lanot – daughter 3. 1˚Caregiver: Bella (informal caregiver) 4.MCSI MadalasMinsanHalos hindi- 76 y/o Diabetes Metoprolol Mellitus type 2, 50mg/tab, 1 tab uncontrolled BID Medical 1. Continue current medications 2. Daliy BP monitoring SAH stage II, Amlodipine 3. Glucose monitoring TID controlled 5mg/tab, 1 tab OD 4. Follow-up referral to ENT (hearing loss) and Ophtha ASHD, CAD, Insulin 26 U am (blurring of vision). LVH, NIF, and 14 U pm Class IIB *Patient is being seen by Endo-Med as well, for her DM. s/p CVA (2003) Patient’s caregiver already consulted the dietary for s/p UGI nutrition counseling for the endoscopy patient and is following their 11/3/08 advice. s/p AKI secondary to Acute Blood loss, resolving *Patient had episodes of Epigastric pain and was given Domperidone which gave relief. 5. Encourage passive ROM exercises by caregiver Psychosocial 1. Maintain good interpersonal relationship with caregivers and relatives in the household