Professional Documents
Culture Documents
ANAMNESIS
Patient PJ plays both toys for girls and boys. She used to play with her
brothers but can also play with other girls of her age. As verbalized by her
brother, pag makig dula na sya sa amo sauna, pirmi gyud mi ana mag lalis
kay di gyud na magpaalas. At the age of 10, she lied low playing that much
because she was given responsibility in their business, as her mother said
bilib pud ko anang bataa na kay kaya gyud niya ang mga trabaho na akong
ginahatag sa iyakanang siya ang mag asekaso sa palit sa humay, kanang
mg budget sa kwarta kaya gyud na niyapag mag kinwintahay, tama man
pud, mabalanse man pud gyudmahadlok lang pud ko usahay kay basin
makaaway, grabe pud biya na siya ug baba.
School History
Patient JP started schooling at the age of 7 and was enrolled as grade 1
student, she hasnt attended kindergarten nor did nursery level and she left
school at the age of 17.
She completed her elementary level at Tubod Elementary School and
finished high school at Maryknoll. Patient JP has not graduated with a degree
because she stopped when she was second Year College at North Davao
State College taking up Fisheries.
Patient JP is a very diligent student. She excels in class especially
during high school years. She is actually loved by her teachers because of
her assertiveness. Though bullied by her classmates in high school due to
their economic status and her looks, she still managed to graduate High
school with flying colors. Naa gani kaisa nga napatawag gyud mi sa
Guidance kay nangawat daw na siya sa canteen sa school ug burger, kay
nagpalibri daw na sa iya iyang mga classmates, unya nakulang daw to iyang
kwarta, nangawat nalang daw siya kay di daw siya amiguhon ug di daw siya
manglibre as verbalized by mother XYZ.
Religious and Social Adaptability
Patient JP is Catholic by faith, they dont go to church on a regular basis
but verbalized that she really does believe in God and has strong faith to
Him. She never forgets to pray before meals and every time she receives
blessing and even in a not so good situations.
According to her brother, she is a kind and a generous friend. She can
easily adopt to any kind of people. She is fun to be with because of her over
flowing confidence. But despite these positive traits that patient PJ has, she
also has this impulsive behavior, every time she sees people not acting
according to what she expect, she tend to confront and sometimes, bad
words just come out of her mouth and becomes physical and violent. As she
said pag maglagot ko sa tao, labi nag awayun ko, dili jud ko mosugot nga
wala koy Makita nga dugo, di jud ko magpalabotmag supok jud akong ulo
ug makakita kog bata or anak nako nga dili magpatuo, mahapakan gyud
nako ug taman-tamannaa gani kaisa nga nasagpaan gyud nako akong
mama atubangan sa mga doctor diri sa SPMC kay naglagot ko, gigamit niya
akong pangalan para makahiram ang ug kwarta.
Occupational
Patient have lots of experience working. She once worked as an
Insurance agent, and worked part-time dealing or selling avon products.
Lately, she worked as Utility in Panabo City Hall. She does a lot of work, she
even experienced selling barbeques and bananaques. Shes good in personal
relation and she is good in convincing people. She became an area
supervisor in the said insurance company. Nahimo na siya ug area
supervisor ba, wala gani ko katuo sa sugod hangtod ako na mismong mga
kaila ang nag ingon nga kuyaw jud daw kayo mag explain akong anak kay
makumbinse gyud daw lagi sila mother XYZ said so.
Marital History
Patient PJ had a lot of relationships after 2002. She had her first serious
relationship by year 2005 with a Muslim. They were blessed with a child. But
their relationship did not last long, according to father ABC, nagbulag to sila
sa iyang bana nga Muslim kay iyang ginakulata kay gamay ra daw ug
sweldo, mao tong pagkabalo sa pamilya sa lalaki nga ginakulata siya sa
akong anak, gikuha siya sa iyang mga igsuon ug giuli sa Cotabato, inlove
biya kaayo to sa akong anakmao tong didto sa Cotabato, nag guol intawon
ug mayo ang lalaki, nag sige nalang dawug inum, nadepress, hangtod sa
namatay to tungod sa sakit sa liver. Now, their child is left under the care of
her father and mother.
By year 2006, she had another relationship with a security guard, and
eventually got married, they were blessed with two children. They separated
from the roof of their parents and started their own in Rollys subdivision
owned by their family. Even against her will, her husband decided to move
her parents with them. Problems arise, such as conflict between her in-laws
and her, unemployment, scarcity in terms of finances, and she was abused
physically by her husband. Until one day of 2009, she commited suicide by
stabbing her abdomen with a lagaraw but did not succeed. She was then
admitted to IPBM-SPMC and underwent psychiatric evaluation and made her
qualify to be admitted to mental hospital.
After 2009 when she was discharged from the mental hospital, she
worked in an insurance company where she met another man, 68 years old,
widowed, and financially capable. hangtod sa nakaila nako ang akong
honey bunch, tiguwang na pero palangg kaayo ko mam, iya kong ginabsita
diri sa hospital tapos magdala ug mga grasyadi ko madawat sa iyang
pamilya sauna pero kadugayan nadawat raman pud ko mam, okaw man
iyang mga anak patient JP said with her proud voice.
ONSET OF ILLNESS
Patient JP was 17 years old when one of the most traumatic event
happened to her. She was trying to apply as a cashier in a mall in Davao City,
Mag aplly man unta kog cashier or sales lady ato diri maam. Unya pag uli
nako kay niuban ko sa akoang bagong kaila nga amiga unya mao to maam
gibaligya ko niya. Na rape ko, as verbalize by Patient JP.
Since then, changes in Patient JPs personality and behavior was
observed. Dili naman siya muistorya sa amoa, unya natingala mi nganong
mahadlok na siya ug tao ato kung pangutan-on sad namo siya unsay
problema dili pud siya musulti. Mao to giingnan ko sa akoang kumare nga
ipadala didto sa Hospital kay dili man daw tanan ipa admit didto kay buang
mas maayo daw nga ipa check sa daan para makahibalo g naunsa siya. Isa
ra sad mi kaadlaw ato nakagawas dayun mi pagka ugma, gihatagan mi ug
mga tambal, as verbalized by Mother XYZ.
On the year 2005, Patient JP had a relationship with a Muslim and they
were blessed with a baby boy. Her violence worsen at this time, Ginakulata
man to niya ang Muslim kay gamay raman gud to ug sweldo unya
pagkahibalo sa mga igsoon atong muslim nga mangulata akoang anak gidala
nila didto sa Cotabato, mao to na depress unya sigeg inom namatay, as
verbalize by Father ABC. She successfully delivered their baby even if his live
in partner died.
A year after she met a man who became her husband, Naminyo jud
siya unya nagka anak sila ug 2, babae ug lalake, as verbalized by Mother
XYZ. Patient JPs husband is a member of Iglesia ni Cristo and she decided to
convert also her religion. Patient JP strive hard to earn a living for her family
and her husband also works as a security guard in a certain institution until
he stop working and only Patient JP was the one to look for money for her
children and her husband and her mother in-law and her 2 nephew. The first
12 months of their relationship went well until another problem arise,
Padunggan man gud ko sa akong Ugangan maam nga kung dili na kaya
magbalot nalang, as verbalized by Patient JP. Dili man gud na siya gusto
nga musagol didto sa ilaha ang iyahang ugangan maam, as verbalized by
Mother XYZ.
Because of too much stress and conflict with her mother in-law Patient
JP committed suicide inside the comfort room using a lagaraw, Nangihi man
daw to siya maam unya dugay daw kayo nigawas sa CR mao to natingala
iyahang ugangan gisulod unya mao to nakita nga nag dunggab siya gidagan
dayon sa Regional sa Tagum, as stated by Mother XYZ. Because of too much
humiliation and shame Patient JPs husband left her together with her 2 kids,
this event added more stress and this deeply affected her. Permi nalang ko
mag suroy sa dalan maam mamunit ug basura ilahi nako ang malata ug dili
malata, as verbalized by Patient JP. Patient JP become more irritable than
usual and was becoming more hostile.
Patient JP was always wandering. She walks with no sense of direction.
Magsuroy ko maam akoang tapukon ang mga bata sa plaza manghatag ko
ug lollipop, maingnan ko ug milyonaryong mini, as stated by Patient JP.
Since then admission and discharge became a regular basis. Dili man
gud na siya naga inom ug tambal maam ginalabay niya didto sa bintana, as
stated by Mother XYZ.
After election when she saw Duterte leads the presidential race.
According to Patient JP she decided to roam around with a motorcycle
because she is too happy to announce that Duterte might win as the
President. Her workmates noticed that she is too happy and decided to admit
her since they knew the mental problem that Patient JP has. Gipaadmit ko
nila maam kay nag drive man ko ug motor, natingala gani ko maam kay wala
man koy sala. Nag drive raman ko ug motor tingala ko naa na dayon pulis sa
akoang likod.
On May 11, 2016 the social worker decide to bring Patient JP to the
hospital for the reason that her euphoria was out of control. She was
admitted at eaxactly 12:15 in the afternoon. Patient JP was admitted in the
SPMC-IPBM FemaleWard with the diagnosis of Bipolar 1 Disorder, Most
Recent Episode of Manic with Psychotic Features.