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Family Group November 2009 Family name Address and Telephone number Type of Family Life cycle stage LOMOHAN Unilaterally extended 939 Dos Castillas St. Sampaloc, Manila #0908 5204944 Mini-Nutrirional Assessment: malnourished 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 Family name Address and Telephone number LOPEZ 957 Dos Catillas St. Sampaloc, Manila Type of Family Life cycle stage Unilaterally extended Family in later years Role and Functions 1.Breadwinner Eden Lopez (wife) # 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 Index Patient Diagnosis Dominador Lopez Parkinson’s disease Male s/p tracheostomy 76 y/o s/p PEG insertion Latest Lab Results and Medications Plans 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 Family name Address and Telephone number SAN PEDRO Type of Family Life cycle stage Extended 965 Adelina St. Life Cycle Sampaloc Stage Manila Phone # 735-6775 MiniNutritional assessment:: not at risk for malnutrition GDS - normal MMSE- Role and Functions 1.Breadwinner Beatriz San Pedro 2.Decision maker Magdalena Amoranto (sister) Index Patient Diagnosis Latest Lab Results and Medications 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 Plans Medical 1. Continue present medications 2. BP monitoring 3. Follow-up with physician 4. Refer to Rehab 5. 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 4. Multivitamins 1 tab OD Family name Address and Telephone number SAN PEDRO 965 Adelina St. Sampaloc Manila # 735-6775 Nutritional assessment: not at risk for malnutrition GDS- normal MMSE Type of Family Life cycle stage Extended Role and Functions 1.Breadwinner self 2.Decision maker Self Index Patient Magdalena San PedroAmoranto female 79 y/o Diagnosis St. II, controlled Cataract s/p EOL,OS Latest Lab Results and Medications Plans Felodipine Medical 5mg/tab, 1 tab 1. Continue medications BID 2. BP monitoring 3. Vaccination (Tetanus, Influenza, Pneumococcal) 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 Family name Address and Telephone number Type of Family Life cycle stage ROSALES Blended Address 1070 Don Quijote St. Sampaloc, Manila Life Cycle Stage Launching Family Phone # Nutritional assessment: At risk of malnutrition Role and Functions Index Patient Diagnosis 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 Latest Lab Results and Medications Amlodipine 5mg/tab OD Amlodipine 10mg/tab OD Acarbose 50mg/tab TID HN 18 ‘u’/SC pre-BF and 8 ‘u’/SC pre dinner Plans 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.Regular BP monitoring 4.Annual Lipid profile/Renal profile/Cardiac profile 5.Annual Ophthalmologic consult Psychosocial 1.Suggest involvement in social groups 2.Encourage more outdoor activities Family name Address and Telephone number Cudal Type of Family Life cycle stage Communal Role and Functions Index Patient Mini-Nutritional Assessment Score: at risk of malnutrition 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: cannot be assessed 3. 1˚ Caregiver: Cecilia Cabais MMSE: cannot be assessed 4.MCSI Madalas-2 Minsan-5 Halos hindi-4 1016 Eloisa St. Family in Sampaloc Later life Manila #735-7539 Diagnosis Dementia Hearing Loss, AU s/p hip replacement (2004) Latest Lab Results and Medications Multivitamins, 1 tab OD Calcium Carbonate, 1 tab BID Plans 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. Family name Address and Telephone number Type of Family Life cycle stage Miguel Communal 1016 Eloisa St.Sampaloc Manila Family in Later years Role and Functions Index Patient 1. Breadwinner : Miguel, Lydia Lydia Miguel 60/F Diagnosis SAH Stage II, poorly controlled Latest Lab Results and Medications Atenolol Medical (Therabloc) 50mg, 1. Continue current 1 tab OD medications. 2. Decision maker: Lydia Miguel Multivitamins, 1 tab OD 3. Caregiver: none Folic Acid, 1 tab OD #735-7539 Mini-Nutritional Assessment Score: not at risk GDS: MMSE: *Patient owns the house and rents it to boarders. It is her source of income. Plans *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. Family name Address and Telephone number LANOT 1134 Prudencio St. Sampaloc Manila #0907 162 8213 Mini Nutritional Assessment Score: GDS & MMSE: cannot be assessed Type of Family Life cycle stage Unilaterally extended Family in Later years Role and Functions Index Patient Diagnosis Latest Lab Results and Medications 1. Breadwinner : Lanot, Anicia Susan Lanot (daughter) Female Diabetes Metoprolol Mellitus type 2, 50mg/tab, 1 tab uncontrolled BID 2. Decision maker: Susan Lanot – daughter SAH stage II, controlled 3. 1˚Caregiver: Bella (informal caregiver) 4.MCSI Madalas-1 Minsan-1 Halos hindi-9 76 y/o ASHD, CAD, LVH, NIF, Class IIB Plans Medical 1. Continue current medications 2. Daily BP monitoring Amlodipine 3. Glucose monitoring TID 5mg/tab, 1 tab OD 4. Follow-up referral to ENT (hearing loss) and Insulin 26 U am Ophthalmology (blurring of and 14 U pm vision). s/p UGI endoscopy 11/3/08 *She is being seen by EndoMed as well, for her DM. Her caregiver already consulted the dietary for nutrition counseling is following their advice. s/p AKI secondary to Acute Blood loss, resolving *Patient had episodes of epigastric pain and was given Domperidone which gave relief. s/p CVA (2003) 5. Encourage passive ROM exercises by caregiver Psychosocial 1. Maintain good interpersonal relationship with caregivers Family name Address and Telephone number LABRADOR 930 Quezon Blvd St. Sampaloc Manila #09217802097 Mini Nutritional Assessment Score: at risk GDS: MMSE: Type of Family Life cycle stage Unilaterally extended Family in Later life Role and Functions 1. Breadwinner: Virgilio Jacob (son-in-law) 2. Decision maker: Angelita Jacob (daughter) 3. Primary Caregiver: Angelita Jacob (daughter) 4.MCSI Madalas-1 Minsan-4 Halos hindi-6 Index Patient Diagnosis Labrador, Luciana Alzheimer's disease Female Xerosis 76 y/o Latest Lab Results and Medications Multivitamins, 1 tab OD Plans 1. 2. 3. 4. Medical Continue MVP Update immunizations: Pneumococcal, Influenza, Tetanus Fall precaution For Osteoporosis screening Psychosocial 1. Maintain good interpersonal relationship with her daughter and her family. Family name Address and Telephone number VICTORIA Type of Family Life cycle stage Nuclear 948 Adelina St. Family in Sampaloc, Later life Manila # 735 1459 Mini Nutritional Assessment Score: at risk GDS: normal MMSE: Role and Functions 1. Breadwinner: Supina Victoria (Daughter in law) 2. Decision maker: Supina Victoria 3. Primary Caregiver: none Index Patient Victoria, Beatriz Female 85 y/o Diagnosis SAH stage II, poorly controlled Gouty Arthritis Latest Lab Results and Medications Plans Amlodipine Medical 5mg/tab, 1 tab OD 1. Continue current medications Metoprolol 2. MVP, 1 tab OD 50mg/tab, 1 tab 3. For Ophthalmology referral OD (blurring of vision not fully corrected by glasses) Petroleum Jelly, 4. Update immunization apply TID on (Pneumococcal, tetanus, affected areas Influenza) *Patient’s medications are not being taken regularly because of financial constraints. Psychosocial 1. Smoking cessation 2. Improve relationship with her daughter –in-law and her siblings. 3. Proper budgeting Family name Address and Telephone number RALLOS Type of Family Life cycle stage Index Patient #704-5083 1. Breadwinner: Rallos, Romeo Romeo Rallos Male 2. Decision maker: 51 y/o Romeo Rallos Mini Nutritional Assessment Score: 3. Primary Caregiver:Madel ine Rallos (wife) GDS: 7 (suggests depression) MCSI: MadalasMinsanHalos Hindi- 940 Quezon Blvd. Sampaloc Manila Nuclear Role and Functions Family with adolescents MMSE: Family gets monthly disability pension. Diagnosis DM type 2, poorly controlled Diabetic foot , left; s/p AKA May 2008 in PGH Latest Lab Results and Medications Metformin 500mg/tab, 1 tab TID Plans 1. 2. 3. Medical Continue current medications MVP, 1 tab OD For Ophthalmology referral – baseline evaluation of Dm complications Update immunization (Pneumococcal, tetanus, Influenza) Labs: BUN, crea, HBA1C *Patient’s medications are being taken only 4. BID because of financial constraints. There 5. is no regular CBG monitoring. Psychosocial 1. 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 name Address and Telephone number Type of Family Life cycle stage GRAVANSOS Extended 1041 Adelina St. Sampaloc Manila Phone # Life Cycle Stage Launching Family GDS: normal MMSE: cannot be fully assessed Role and Functions 1.Breadwinner Zaldy, Polly, Myrna 2.Decision maker Zaldy 3. Caregiver Employed by patients daughter Myrna MCSI: Madalas :0 Minsan: 9 Halos hindi 1 Index Patient Diagnosis Soledad Gravansos Parkinson’s disease Female Psychosocial problems 79 y/o Latest Lab Results and Medications Biperidine (Akineton) 2mg/tab BID Plans Medical Continue present medications Vaccination (Influenza, Tetanus, Pneumococcal) Multivitamins 1 tab OD Refer to neurology Wellness Advice balanced diet, with low fat, low salt, high fiber diet Encourage to drink 8-10 glasses of water daily Increase oral fluid intake Encourage to ambulate (w/assistance) Educate patient on benefit of healthy living and seeking to improve one’s health Psychosocial caregiver-focused social support Encourage good and healthy relationship with family members and peers Family name Address and Telephone number LAGANZUA 1209 A.J. Barlin St Sampaloc, Manila Phone # Nutritional assessment: GDS-normal Type of Family Life cycle stage Role and Functions Index Patient Unilaterally extended 1.Breadwinner: patient Flora Laganzua Life Cycle Stage Family in later years 2.Decision maker: patient Female 3. Caregiver: None 81 y/o Diagnosis Latest Lab Results and Medications Osteoporosis Fracture R hip Senile Cataract OU Dextroscoliosis Underweight Psychosocial problems Patient currently has no caregiver Medicines: Multivitamins Mefenamic Acid 500 mg/tab Calcium gluconate 1 tab OD Plans Medical Multivitamins 1 tab OD Calcium gluconate 1 tab OD Mefenamic Acid 500 mg/tab Refer to Orthopedics Refer to Rehab Refer to Ophthalmology Vaccination – Tetanus, Pneumococcal, Influenza For hypertensive work-up Wellness Advice balanced diet, with low fat, low salt, high fiber diet Encourage to drink 8-10 glasses of water daily Encourage to ambulate with assistance Educate patients on benefit of healthy living and seeking to improve one’s health Psychosocial Encourage good and healthy relationship with borders Encourage borders to spend quality time with the patient Family name Address and Telephone number CAABAY 1029 Adelina St. Sampaloc Manila Phone # 493-7918 Type of Family Life cycle stage Extended Life Cycle Stage: Launching Family Role and Functions 1.Breadwinner Marlon Dela Cruz Index Patient Cristy Caabay Female 2.Decision maker Marlon Dela Cruz GDS-normal 3. No Caregiver 66 y/o Diagnosis Hypertension St. 2, uncontrolled t/c cataract Psychosocial problems Latest Lab Results and Medications Losartan 100mg/tab OD Amlodipine 5mg/tab OD Plans Medical Continue with present medications BP monitoring CBC with platelet, Urinalysis, Lipid Profile, 12L-ECG, Chest X-ray, FBS Vaccination – Pneumococcal, Influenza, Tetanus Ophthalmology referral Wellness Advice balanced diet, with low fat, low salt, high fiber diet Encourage 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 Psychosocial Encourage good and healthy relationship with family Family name Address and Telephone number RAGAZA 932 R. Papa St. Manila 733-1297 Mini Nutritional assessment Total assessment 16 GDS: normal Type of Family Life cycle stage Role and Functions Bilaterally Extended Crispin Ragaza Family in later life Male 80 y/o Index Patient 1. Breadwinner Marilou (daughter) 2. Decisionmakers Crispin and Marilou 3. No caregiver Diagnosis SAH stage 1, controlled Malnourished Latest Lab Results and Medications Amlodipine 10mgtab OD MVP 1 tab OD Plans Medical Daily BP monitoring at health center Continue current medications Referral to dietary for counseling Wellness Ensure 2 glasses/day and low salt and low fat diet Immunizations: tetanus, influenza and pneumococcal Psychosocial Encourage family support and daily hygiene Family name Address and Telephone number RAGAZA 932 R. Papa St. Manila 733-1297 Mini Nutritional assessment Total assessment: 15 Type of Family Life cycle stage Bilaterally Extended Family in later life Role and Functions Flaviana Ragaza Female 81 y/o Index Patient 1. Breadwinner Marilou (daughter) 2. Decisionmakers Crispin and Marilou 3. Caregiver Crispin and Marilou MCSI: Madalas:4 Minsan: 4 Halos hindi: 3 Diagnosis Alzheimer’s disease, Cataract, OD Malnourished Latest Lab Results and Medications MVP 1 tab OD Plans Medical Referral to Neurology Referral to Ophthalmology Referral to dietary for counseling Wellness Ensure 2 glasses/day Immunizations: tetanus, influenza and pneumococcal Psychosocial Encourage family support and daily hygiene Family name Address and Telephone number RICARDO Type of Family Life cycle stage Unilaterally extended 1829B Sisa St, Sampaloc, Launching Manila Family #09272442408 Family Wellness Plan Mini Nutritional Assessment: Role and Functions Index Patient Diagnosis Latest Lab Results and Medications 1.Breadwinner Vivian (patient) Vivian Ricardo SAH St 2, uncontrolled Metoprolol 50mg BID 2.Decision maker Vivian (patient) Female ASHD, CAD, LVH ISMN 30mg OD 55 y/o Plans Medical: 1.Daily BP monitoring 2.For 12L ECG, lipid profile, FBS 3.For ophthalmologic examination Wellness: 1.Recommend light snacks every 2 hours for waking hours 2. Recommend DASH diet 3.Strict compliance with medications 3. Reading daily t/c ASA Musculoskeletal 80mg OD strain Simvastatin t/c Gastritis 2 to 20mg ODHS chronic ASA use Losartan 50mg + Hydrochlorothiazi de 12.5mg OD * Patient and her relatives have been refusing visits due Omeprazole to scheduling conflicts. 20mg OD Suggest discharge Family name Address and Telephone number RICARDO Type of Family Life cycle stage Bilaterally extended 1722 Ibarra St, Sampaloc, Launching Manila Family #09194236146 Family Wellness Plan Mini Nutritional Assessment Mini Mental State Exam Role and Functions Index Patient Diagnosis Breadwinner daughter Concepcion Ricardo SAH St 2, controlled 2.Decision maker Daughter Female t/c Senile cataract OD 81 y/o s/p cataract surgery OS Allergic Contact Dermatitis 2 to Rubber Sandals, both feet Latest Lab Results and Medications Amlodipine10mg + Valsartan 160mg OD ASA 80mg OD Petroleum jelly OD and prn Plans Medical: 1.Daily BP monitoring and recording 2.For ophthalmologic examination (offered and refused) 3. Screening for peptic ulcer disease Wellness: 1.Recommend light snacks every 2 hours for waking hours 2. Recommend DASH diet 3.Strict compliance with medications 4. Increase ADL Psychosocial: 1.Encourage involvement with friends Family name Address and Telephone number ROFO 1726B Ibarra St, Sampaloc, Manila #7116657 Family Wellness Plan Mini Nutritional Assessment Mini Mental State Exam Type of Family Life cycle stage Bilaterally Extended Role and Functions Breadwinner Son in law Index Patient Lydia Rofo Diagnosis Latest Lab Results and Medications SAH St 1, controlled Amlodipine 5mg BID Gouty arthritis Verapamil 80mg OD Female Family in Later Life Decision maker Son in law 79 y/o ASIS fracture, left, s/p skeletal traction Plans Medical: Daily BP monitoring and recording For ophthalmologic examination Wellness: Recommend DASH diet and avoidance of organ meats, sardines, mussels At least 8 glasses of water a day Reading daily Increase activities of daily living Psychosocial: 2.Encourage involvement with friends Family name Address and Telephone number SANCHEZ 1855 Sulu St., Sampaloc, Manila Type of Family Life cycle stage Role and Functions Index Patient Bilaterally Extended Breadwinner Son Filemon Sanchez Launching Family Decision maker Son Male 70 y/o Family Wellness Plan Mini Nutritional Assessment Geriatric Depression Scale Mini Mental State Exam Modified Caregiver Index 1˚ Caregiver Son Diagnosis Diabetes Mellitus type 2, controlled, s/p BKA , right (2008) Latest Lab Results and Medications Amlodipine 5mg OD Plans Medical: Daily BP and CBG monitoring and recording and daily foot Metformin 500mg examination OD Referral to DM center for glucometer calibration SAH St. 1, For yearly ophthalmologic and controlled serum creatinine examination and HbA1c and FLP every 3-6 Tinea versicolor, months upper back Suggest shift to ACE inhibitor Ketoconazole 2% shampoo as Venous a body wash Insufficiency, For comprehensive Duplex Left foot ultrasound Smoking cessation counselling Tobacco Referral to Rehabilitation addiction Medicine Wellness: Recommend DASH diet For daily home exercises Strict compliance with medications Educate patients on benefit of healthy Reading daily Psychosocial: Encourage involvement with Family name Address and Telephone number Type of Family Life cycle stage SOLIONGCO Unilaterally extended 1114 Carola st. Sampaloc, Family in Manila later life Role and Functions Index Patient Aurora Soliongco HPN st.II controlled Female Bronchial Asthma, not in Acute Exacerbation 95 y/o Mini-Nutrirional Assessment Geriartric Depression Scale Mini Mental State Exam Modified Caregiver Strain Index Diagnosis Latest Lab Results and Medications Plans Telmisartan HCl Medical: (Pritor Plus) 1. Continue present 500mg/tab ODHS medications 2. BP monitoring 3. Avoid airborne allergens, air pollutants and irritants, cold air, streinous exercise Wellness: 1.Recommend DASH diet 2.Strict compliance with medications 3.Ensure 2 glasses and encourage 8 glasses of water a day Psychosocial: 1.Encourage involvement with friends Family name Address and Telephone number DELA CRUZ 1035 Miguelin St. Sampaloc, Manila Type of Family Life cycle stage Unilaterally Extended Family in later years Role and Functions 1.Breadwinner Eugenia Dela Cruz (daughter-inlaw) Index Patient Librada Dela Cruz HPN st.II controlled Female ASHD, CAD NIF, Chronic Stable Angina Class IIB 769y/o Mini-Nutrirional Assessment Geriartric Depression Scale Mini Mental State Exam Modified Caregiver Strain Index 2.Decision maker Diagnosis Osteoarthritis 3. 1˚ Caregiver Eugenia Dela Cruz (daughter-inlaw) Latest Lab Results and Medications 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 Plans Medical: 1.Continue strict compliance with medications 2. BP monitoring 3. Follow-up with physicians Wellness: 1. Recommend DASH diet 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 Psychosocial Clopidogrel 1.Sharing of responsibilities in 75mg/tab 1 tab taking care of patient ODHS 2.Encourage good and healthy relationship with family Digoxin (Lenoxin) members and peers 250mg/tab 1tab OD Celicoxib 200mg/tab 1 tab prn for pain Omeprazole Family name Address and Telephone number Type of Family Life cycle stage QUEROL 1089 Don Quijote St. Sampaloc Manila Role and Functions 1.Breadwinner Family in later years 2.Decision maker Index Patient Diagnosis Latest Lab Results and Medications Remedios Querol HPN st.II, uncontrolled Amlodipine 10 mg/tab 1 tab OD Female DM type II, controlled Allopurinol 300mg/tab 1 tab OD 3. 1˚ Caregiver 85 y/o Plans Medical 1. Continue present medications 2. BP monitoring 3. Continue CBG monitoring 4. Follow-up with physician Gouty Arthritis Tel# 731-1328 Malnourished Mini-Nutritional Assessment Geriartric Depression Scale Mini Mental State Exam Modified Caregiver Strain Index Amiodarone 200mg/tab 1 tab OD Clopidogrel 75mg/tab 1 tab OD Wellness Recommend DASH diet Ensure two glasses daily Encourage to drink 8-10 glasses of water daily Educate patients on benefit of healthy living and seeking to improve one’s health