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Mid-Course Report
December 2009
Family
Family type
Information &
&
Assessment
Life Cycle
Tools
stage
CUDAL
Address:
1016 Eloisa St.
Sampaloc
Manila
Contact No.
735-7539
Mini-Nutritional
Assessment
Score
At risk of
malnutrition
Mini Mental
State Exam
Can not be
assessed
Geriatric
Depression
Scale
Can not be
assessed
Roles and
Functions
Communal
Breadwinner
Dra. Efegenia
Family in Later Soliven
life
(daughter living
abroad)
Index Patient
Dorothea
Cudal
Female
97 y/o
Decision-maker
Dra. Efegenia
Soliven
(daughter living
abroad)
1˚ Caregiver
Cecilia Cabais
(informal
caregiver)
MCSI
Madalas-2
Minsan-5
Halos hindi-4
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
Wellness
1. Dietary advise- eat more
vegatebles, fruits, eggs, drink
milk and other fruit drinks.
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
Family type
Information &
&
Assessment
Life Cycle
Tools
stage
Roles and
Functions
MIGUEL
Communal
Breadwinner
Lydia Miguel
Address:
1016 Eloisa
St.Sampaloc
Manila
Family in Later
years
Decision maker
Lydia Miguel
Contact No.
735-7539
Mini-Nutritional
Assessment
Score
Not at risk
Geriatric
Depression
Scale
Not assessedpatient was in
Ilocos
*Patient owns the
house and rents it
to boarders. It is
her source of
income.
Index Patient
Lydia Miguel
Diagnosis
Latest Lab
Results and
Medications
Plans
SAH Stage II,
Atenolol (Therabloc)
Medical
poorly controlled 50mg, 1 tab OD
1. Continue current medications.
Female
60 y/o
Multivitamins, 1 tab
OD
*Patient is currently in Ilocos for
renovation of their house.
Caregiver said that they talk to
Folic Acid, 1 tab OD 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
Family type
Information &
&
Assessment
Life Cycle
Tools
stage
LANOT
Unilaterally
extended
Roles and
Functions
Breadwinner
Susan Lanot
(daughter)
Address
1134 Prudencio Family in Later
St. Sampaloc
years
Decision maker
Manila
Susan Lanot
(daughter)
Contact No.
09071628213
1˚ Caregiver
Florabel Teodoro
Mini-Nutritional
(neice)
Assessment
MCSI
Score
Madalas-1
Not at risk
Minsan-1
Halos hindi-9
Mini Mental
State Exam
Normal
Geriatric
Depression
Scale
Normal
Index Patient
Anicia Lanot
Diagnosis
DM type 2,
uncontrolled
Female
76 y/o
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
secondary to
gastric ulcer,
resolved (2008)
Latest Lab
Results and
Medications
Plans
Metoprolol
Medical
50mg/tab, 1 tab BID 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 and Ophthalmology (blurring of
14 U pm
vision)
5. Screening for gastritis with
every family visit
6. Encourage passive ROM
exercises by caregiver
*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.
Psychosocial
1. Maintain good interpersonal
relationship with caregivers and
relatives in the household
Family
Family type
Information &
&
Assessment
Life Cycle
Tools
stage
LABRADOR
Address
930 Quezon
Blvd St.
Sampaloc
Manila
Contact No
0921-7802097
Mini Nutritional
Assessment
At risk for
malnutrtion
Geriatric
Depression
Scale
cannot be fully
assessed
Mini Mental
State Exam
cannot be fully
assessed
Unilaterally
extended
Roles and
Functions
Breadwinner
Virgilio Jacob
(son-in-law)
Family in Later
life
Decision maker
Angelita Jacob
(daughter)
1 Caregiver
Angelita Jacob
(daughter)
MCSI
Madalas-1
Minsan-4
Halos hindi-6
Index Patient
Diagnosis
Luciana
Labrador,
Alzheimer's
disease
Female
Xerosis
76 y/o
Latest Lab
Results and
Medications
Multivitamins, 1 tab
OD
Plans
Medical
1. Continue MVP
Wellness
1. Maintain a balance diet
2. Update immunizations:
(Pneumococcal, Influenza,
Tetanus)
3. Fall precaution
4. For Osteoporosis screening
Psychosocial
1. Maintain good interpersonal
relationship with her daughter
and her family.
Family
Family type
Information &
&
Assessment
Life Cycle
Tools
stage
VICTORIA
Address
948 Adelina St.
Sampaloc,
Manila
Contact No
735 1459
Mini Nutritional
Assessment
At risk for
malnutrition
Mini Mental
State Exam
Normal
Geriatric
Depression
Scale
Normal
Nuclear
Roles and
Functions
Breadwinner
Supina Victoria
Family in Later (daughter in law)
life
Decision Maker
Supina Victoria
(daughter in law)
Index Patient
Diagnosis
Beatriz Victoria SAH stage II,
poorly controlled
Female
Gouty Arthritis
85 y/o
Latest Lab
Results and
Medications
Amlodipine
5mg/tab, 1 tab OD
Metoprolol
50mg/tab, 1 tab OD
Petroleum Jelly,
apply TID on
affected areas
Plans
Medical
1. Continue current medications
2. MVP, 1 tab OD
3. For Ophthalmology referral
(blurring of vision not fully
corrected by glasses)
Wellness
1. Maintain balance diet
2. Update immunization
*Patient’s
(Pneumococcal, tetanus,
medications are not
Influenza)
being taken
regularly because of
Psychosocial
financial
1. Smoking cessation
constraints.
2. Improve relationship with her
daughter –in-law and her
siblings.
3. Proper budgeting
Family
Family type
Information &
&
Assessment
Life Cycle
Tools
stage
RALLOS
Nuclear
Address
940 Quezon
Blvd. Sampaloc
Manila
Family with
adolescents
Contact No
704-5083
Mini Nutritional
Assessment
Not at risk
Mini Mental
State Exam
Normal
Geriatric
Depression
Scale
Suggests
depression
Roles and
Functions
Breadwinner
Romeo Rallos
Index Patient
Romeo Rallos
Male
Decision maker
Romeo Rallos
1 Caregiver
Madeline Rallos
(wife)
MCSI
Madalas-1
Minsan-1
Halos Hindi-9
*Family gets
monthly disability
pension.
51 y/o
Diagnosis
Latest Lab
Results and
Medications
DM type 2,
Metformin
poorly controlled 500mg/tab, 1 tab
TID
Diabetic foot ,
left; s/p AKA
May 2008 in
*Patient’s
PGH
medications are
being taken only
BID because of
financial
constraints. There is
no regular CBG
monitoring.
Plans
1.
2.
3.
4.
Medical
Continue current medications
MVP, 1 tab OD
For Ophthalmology referral –
baseline evaluation of Dm
complications
For BUN, serum creatinine,
HBA1C
Wellness
1. Update immunization
(Pneumococcal, tetanus,
Influenza)
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
Family type
Information &
&
Assessment
Life Cycle
Tools
stage
RAGAZA
Address:
932 R. Papa
St. Manila
Contact No:
733-1297
Mini
Nutritional
Assessment
Malnourished
Bilaterally
Extended
Family in later
life
Roles and
Functions
Breadwinner
Marilou Ragaza
(daughter)
Decisionmakers
Marilou Ragaza
(daughter)
Caregiver
Marilou Ragaza
(daughter)
MCSI
Madalas:4
Minsan: 4
Halos hindi: 3
Index Patient
Diagnosis
Flaviana
Ragaza
Alzheimer’s
disease
Female
Senile cataract,
OD
Latest Lab
Results and
Medications
MVP 1 tab OD
Plans
Medical
1. Referral to Neurology
2. Referral to Ophthalmology
3. Referral to dietary for
counseling
81 y/o
Malnourished
Wellness
1. Ensure 2 glasses/day
2. Update immunizations
(tetanus, influenza and
pneumococcal)
3. Encourage proper hygiene
Psychosocial
1. Encourage family support for
cataract surgery
Family
Family type
Information &
&
Assessment
Life Cycle
Tools
stage
RAGAZA
Address:
932 R. Papa
St. Manila
Contact No
733-1297
Mini
Nutritional
Assessment
Malnourished
Geriatric
Depression
Scale
Normal
Bilaterally
Extended
Family in later
life
Roles and
Functions
Breadwinner
Marilou Ragaza
(daughter)
Decisionmakers
Marilou Ragaza
(daughter)
Index Patient
Diagnosis
Latest Lab
Results and
Medications
Crispin
Ragaza
SAH stage 1,
controlled
Amlodipine
10mgtab OD
Male
Malnourished
MVP 1 tab OD
80 y/o
Plans
Medical
1. Daily BP monitoring at health
center
2. Continue current medications
3. Referral to dietary for
counseling
Wellness
1. Ensure 2 glasses/day and low
salt and low fat diet
2. Update Immunizations
(tetanus, influenza and
pneumococcal)
Psychosocial
1. Encourage family support and
daily hygiene
Family
Family type
Information &
&
Assessment
Life Cycle
Tools
stage
LAGANZUA
Address
1209 A.J.
Barlin St
Sampaloc,
Manila
Mini
Nutritional
Assessment
At risk for
malnutrition
Geriatric
Depression
Scale
Normal
Unilaterally
extended
Roles and
Functions
Breadwinner
Flora Laganzua
Index Patient
Flora
Laganzua
Diagnosis
Osteoporosis
Latest Lab
Results and
Medications
Multivitamins 1
tab OD
Fracture R hip
Life Cycle
Stage
Family in later
years
Decision maker
Flora Laganzua
Female
81 y/o
1 Caregiver
None
Senile Cataract
OU
Dextroscoliosis
Underweight
Psychosocial
problems
*Patient currently
has no caregiver
Mefenamic Acid
500 mg/tab
Calcium
gluconate 1 tab
OD
Plans
Medical
1. For hypertensive work-up
2. Refer to Orthopedics
3. Refer to Rehab
4. Refer to Ophthalmology
5. Update vaccination (Tetanus,
Pneumococcal, Influenza)
Wellness
1. Advise balanced diet, with low
fat, low salt, high fiber diet
2. Encourage to drink 8-10
glasses of water daily
3. Encourage to ambulate with
assistance
4. Educate patientson benefit of
healthy living and seeking to
improve one’s health
Psychosocial
1. Encourage good and healthy
relationship with borders
2. Encourage borders to spend
quality time with the patient
Family
Family type
Information &
&
Assessment
Life Cycle
Tools
stage
GRAVANSOS
Extended
Address:
1041 Adelina
St. Sampaloc
Manila
Launching
Family
Mini Mental
State Exam
Can not be
assessed
Geriatric
Depression
Scale
Normal
Roles and
Functions
Breadwinner
Zaldy, Polly,
Myrna
Decision maker
Zaldy
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
1. Continue present medications
2. Update vaccination
(Influenza, Tetanus,
Pneumococcal)
3. Refer to neurology
4. Suggest Multivitamins 1 tab
OD
Wellness
1. Advice balanced diet, with low
fat, low salt, high fiber diet
2. Encourage to drink 8-10
glasses of water daily
Increase oral fluid intake
3. Encourage to ambulate
(w/assistance)
4. Educate patient on benefit of
healthy living and seeking to
improve one’s health
Psychosocial
1. Caregiver-focused social
support
2. Encourage good and healthy
relationship with family members
and peers
3. Encourage each family
member to spend quality time
with the patient
Family
Family type
Information &
&
Assessment
Life Cycle
Tools
stage
CAABAY
Extended
Address
1029 Adelina
St. Sampaloc
Manila
Launching
Family
Contact No
493-7918
Geriatric
Depression
Scale
Normal
Roles and
Functions
Index Patient
Breadwinner
Marlon Dela Cruz
Cristy Caabay
Diagnosis
Latest Lab
Results and
Medications
SAH St. 2,
uncontrolled
Losartan
100mg/tab OD
t/c Senile
Cataract
Amlodipine
5mg/tab OD
Female
Decision maker
Marlon Dela Cruz
66 y/o
Psychosocial
problems
Plans
Medical
1. Continue with present
medications
2. Daily BP monitoring and
recording
3. For: CBC with platelet,
Urinalysis, Lipid Profile, 12LECG, Chest X-ray, FBS
4. Update vaccination
(Pneumococcal, Influenza,
Tetanus)
5. For referral to Ophthalmology
Wellness
1. Advice balanced diet, with low
fat, low salt, high fiber diet
2. Encourage to drink 8-10
glasses of water daily
3. Encourage to ambulate w tih
assistance
4. Continue vitamins
supplementation
5. Educate patients on benefit of
healthy living and seeking to
improve one’s health
Psychosocial
1. Encourage good and healthy
relationship with family members
and peers
Family
Family type
Information &
&
Assessment
Life Cycle
Tools
stage
RICARDO
Address:
1829B Sisa St,
Sampaloc,
Manila
Contact No.
09272442408
Mini Nutritional
Assessment
Not at risk for
malnutrtion
(previous
diagnosis)
Mini Mental
State Exam
Can not be
assessed
Geriatric
Depression
Scale
Can not be
assessed
Roles and
Functions
Index Patient
Diagnosis
Latest Lab
Results and
Medications
Unilaterally
extended
Breadwinner
Vivian (patient)
Vivian
Ricardo
SAH St 2,
uncontrolled
Metoprolol
50mg BID
Launching
Family
Decision maker
Vivian (patient)
Female
ASHD, CAD,
LVH
ISMN
30mg OD
t/c
Musculoskeletal
strain
ASA
80mg OD
55 y/o
t/c Gastritis 2 to
chronic ASA use
Simvastatin
20mg ODHS
Losartan 50mg +
Hydrochlorothiazid
e 12.5mg OD
Omeprazole 20mg
OD
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
* Patient’s relatives have been
refusing visits due to scheduling
conflicts. The patient is only
available at 4am and 10pm due to
her work. Suggest discharge
Family
Family type
Information &
&
Assessment
Life Cycle
Tools
stage
RICARDO
Address
1722 Ibarra St,
Sampaloc,
Manila
Contact No
09194236146
Mini Nutritional
Assessment
Not at risk
(score 12)
Mini Mental
State Exam
Mild Impairment
(score 23)
Geriatric
Depression
Scale
Normal
(score 5)
Bilaterally
extended
Family in later
years
Roles and
Functions
Breadwinner
Rosario Castillo
(Daughter)
Decision maker
Rosario Castillo
(Daughter)
Index Patient
Diagnosis
Latest Lab
Results and
Medications
Concepcion
Ricardo
SAH St 2,
controlled
Female
t/c Senile cataract
OD
ASA
80mg OD
s/p cataract
surgery OS
Petroleum jelly OD
and prn
Allergic Contact
Dermatitis 2 to
Rubber Sandals,
both feet
81 y/o
Amlodipine10mg +
Valsartan 160mg
OD
Plans
Medical:
1.Daily BP monitoring and
recording
2.For ophthalmologic examination
(offered and refused)
3. Screening for gastritis
symptoms with every family visit
Wellness:
1.Recommend light snacks every
2 hours for waking hours
2. Recommend DASH diet
3.Strict compliance with
medications
4. Increase ADL
5. Encourage daily reading of
newspapers
Psychosocial:
1.Encourage more ocial
involvement with neighbors
Family
Family type
Information &
&
Assessment
Life Cycle
Tools
stage
ROFO
Bilaterally
Extended
Roles and
Functions
Breadwinner
Edna Garcia
(daughter)
Address:
1726B Ibarra St, Family in Later
Sampaloc,
Life
Decision maker
Manila
Edna Garcia
(daughter)
Contact No.
7116657
Mini Nutritional
Assessment
Not at risk
(score 14)
Mini Mental
State Exam
Mild impairment
(score 27)
Geriatric
Depression
Scale
Normal
(score 3)
Index Patient
Lydia Rofo
Diagnosis
Latest Lab
Results and
Medications
SAH St 1,
controlled
Amlodipine 5mg
BID
Gouty arthritis
Verapamil 80mg
OD
Female
79 y/o
ASIS fracture,
left, s/p skeletal
traction
Plans
Medical:
1. Daily BP monitoring and
recording
2. For ophthalmologic examination
Wellness:
1. Compliance with medications
2. Recommend DASH diet and
avoidance of organ meats, sardines,
mussels
3. At least 8 glasses of water a day
4. Reading newspaper daily
5. Increase activities of daily living
Psychosocial:
2.Encourage involvement with
neighbors
Family
Family type
Information &
&
Assessment
Life Cycle
Tools
stage
SANCHEZ
Address:
1855 Sulu St.,
Sampaloc,
Manila
Mini Nutritional
Assessment
At risk for
malnutrition
(score 21)
Geriatric
Depression
Scale
Normal
(score 5)
Mini Mental
State Exam
No impairment
(score 27)
Bilaterally
Extended
Launching
Family
Roles and
Functions
Index
Patient
Breadwinner
Filemon
Sanchez, Jr.
(Son)
Filemon
Sanchez
Decision
maker
Filemon
Sanchez, Jr.
(Son)
70 y/o
Male
Diagnosis
Latest Lab
Results and
Medications
DM type 2,
Amlodipine 5mg
controlled, s/p OD
BKA , right
(2008)
Metformin 500mg
OD
SAH St. 1,
controlled
Tinea
versicolor,
upper back
Venous
Insufficiency,
Left foot
Tobacco
addiction
r/o Lung CA
Plans
Medical:
1. Daily BP and CBG monitoring and
recording and daily foot examination
2. Referral to DM center for glucometer
calibration
3. For yearly ophthalmologic and serum
creatinine examination and HbA1c and
FLP every 3-6 months
4. Suggest shift to ACE inhibitor
5. Ketoconazole 2% shampoo as a body
wash
6. For Duplex ultrasound of lower
extremities and pelvis
7. For chest x-ray (PA, L views)
8 Smoking cessation counselling
9. Referral to Rehabilitation Medicine
10. Update immunizations (influenza,
pneumococcus, tetanus)
Wellness:
1. Recommend DASH diet
2. For daily home exercises once with
prescription from Rehabilitation Medicine
3. Strict compliance with medications
4. Reading newspaper daily
5. Wear loose fitting clothing and avoid
sweating
Psychosocial:
1. Encourage involvement with friends
who don’t smoke
Family
Family type
Information &
&
Assessment
Life Cycle
Tools
stage
SOLIONGCO
Unilaterally
extended
Address:
1114 Carola st. Family in later
Sampaloc,
life
Manila
Mini-Nutritional
Assessment
Not at risk for
malnutrition
(score 12)
Geriatric
Depression
Scale
Normal
(score 2)
Mini Mental
State Exam
No impairment
(score 28)
Roles and
Functions
Breadwinner
Juliet Soliongco
(daughter-in-law)
Decision Maker
Juliet Soliongco
(daughter-in-law)
Index Patient
Diagnosis
Aurora
Soliongco
SAH St.II
controlled
Female
Senile cataract,
OU
95 y/o
Bronchial
Asthma, not in
acute
exacerbation
Latest Lab
Results and
Medications
Telmisartan HCl
(Pritor Plus)
500mg/tab ODHS
Plans
Medical:
1. Daily BP monitoring and
recording
2. Referral to Ophthalmology for
baseline eye exam and
evaluation of cataracts
3. Update immunizations
(influenza, pneumococcus,
tetanus)
Wellness:
1.Recommend DASH diet
2.Strict compliance with
medications
3. Education on avoidance of
airborne allergens, air pollutants
and irritants
4. Daily reading of newspaper as
able
Psychosocial:
1.Encourage her current
involvement in social barangay
groups
2. Encourage current level of
ADLs performed because it
enhances her feeling of self worth
Family
Information &
Assessment
Tools
DELA CRUZ
Address:
1035 Miguelin
St. Sampaloc,
Manila
Mini-Nutritional
Assessment
Not at risk for
malnutrition
(score:12)
Geriatric
Depression
Scale:
Normal
(score:2)
Mini Mental
State Exam:
Mild impairment
(score: 23)
Family type
&
Life Cycle
stage
Unilaterally
Extended
Family in later
years
Roles and
Functions
Breadwinner
Eugenia Dela
Cruz (sister-inlaw)
Index Patient
Diagnosis
Librada Dela
Cruz
HPN st.II
controlled
Female
ASHD, CAD
NIF, Chronic
Stable Angina
Class IIB
Decision maker 79y/o
Eugenia Dela
Cruz (sister-inlaw)
Osteoarthritis
Latest Lab
Results and
Medications
Plans
Metoprolol
100mg/tab 1 tab
ODHS
Medical:
1. Daily BP monitoring and
recording
2. Screening for gastritis during
Trimetazidine
family visits
35mg/tab 1 tab BID 3. Update immunization
(influenza, pneumococcal,
Imidapril 5mg/tab 1 tetanus)
tab OD
4. For yearly ophthalmologic
examination
ISDN 5mg/tab 1 tab
prn for chest pain
Wellness:
1.Continue strict compliance with
Clopidogrel
medications
75mg/tab 1 tab
2. Recommend DASH diet
ODHS
3. Encourage to drink 8-10
glasses of water daily
Digoxin (Lenoxin)
3. Educate patient and relatives
250mg/tab 1tab OD on the signs of drug toxicity
4. Encourage daily reading of
Celecoxib
papers
200mg/tab 1 tab
5. Encourage ADL as tolerated
prn for pain
only
Omeprazole
20mg/tab 1tab OD
Psychosocial
1.Sharing of responsibilities in
taking care of patient
2.Encourage good and healthy
relationship with family members
and peers
Family
Information &
Assessment
Tools
Family type
&
Life Cycle
stage
QUEROL
Nuclear Family
Address:
1089 Don
Quijote St.
Sampaloc
Manila
Family in later
years
Contact No.
731-1328
Mini-Nutritional
Assessment:
Malnourished
(previous
diagnosis)
Geriatric
Depression
Scale:
Can not be
assessed
Mini Mental
State Exam:
Can not be
assessed
Roles and
Functions
Breadwinner
Salud Querol
Index Patient
Remedios
Querol
Decision maker Female
Salud Querol
85 y/o
Caregiver
Salud Querol
Diagnosis
Latest Lab
Results and
Medications
SAH St.II,
uncontrolled
Amlodipine 10
mg/tab 1 tab OD
DM type II,
controlled
Allopurinol
300mg/tab 1 tab
OD
Gouty Arthritis
Malnourished
Amiodarone
200mg/tab 1 tab
OD
Clopidogrel
75mg/tab 1 tab OD
Plans
Medical
1. Daily BP and blood glucose
monitoring and recording
2. Suggest serum creatinine
3. Screening for gastritis during
family visits
4. Follow-up with physician
5. Update immunizations
(influenza, pneumococcus,
tetanus)
Wellness
1. Compliance with medications
2. Recommend DASH diet and
diet low in organ meats,
sardines, processed foods
3. Recommend Ensure two
glasses daily and drinking 810 glasses of water daily
5. Educate patients on benefit of
healthy living and seeking to
improve one’s health
*patient’s relatives repeatedly
refuse family visit because
patient is sleeping or because
is tired. Recommend
discharge of patient