New Health Assesment

You might also like

You are on page 1of 3

INTERVIEW GUIDE

Questions Findings
BIOGRAPHICAL DATA

Name Fredan B. Gascon


Gender Male
Address, Phone Number Pawa Tabaco city. 09299732946
Date and Place of Birth 11/06/00 Tabaco city
Nationality or Ethnicity Filipino
Marital Status Single
Religious or Spiritual Practices Roman Catholic
Primary and Secondary Language, spoken, English,tagalog and bikol
written, and read; birth language

FAMILY HISTORY

• Recall as many genetic relatives as possible (parents, grandparents, siblings) with age,
longevity, chronic illness (ex. Heart disease, stroke, diabetes, cancer, arthritis, Alzheimer’s
 Danilo Belarmino.
 Carmen Belatrmino
 Fortunato Taburnal Gascon Sr.
 Adelina Uy Gascon
 Fortunato Uy Gascon
 Achi Uy Gascon
 James wenconslao Uy Gascon
 Elymarie Uy Gascon
 Federico Uy Gascon
 Elmer Uy Gascon
 Noel Uy Gascon
 Genelyn Belarmino Gascon
 Fredrick Belarmino Gascon
 Marie Adeline Belarmino Gascon

LIFESTYLE AND HEALTH PRACTICES PROFILE

Description of Typical Day

• “Please tell me what an average or typical day is for you. Start with awakening in the morning
and continues until bedtime.”
 Waking up early in the morning to see a sunrise, breakfast with family, going out with the
family, academic doings (if necessary), hanging out with my friends ( if necessary) go to
bed, scanning my phone and sleep.
Nutrition and Weight Management

• “What do you usually eat during a typical day? Please tell me the kinds of food you prefer,
how often you eat throughout the day and how much you eat.
 Basically, for the morning I eat any kind of foods, but eggs are perfect, with fruits and coffee.
• “Do you eat at restaurants frequently?”
 Not much, sometimes. Because I prefer home made food than fast foods and etc.
• “Do you eat only when hungry? Do you think because of boredom, habit, anxiety,
depression?”
 I eat regularly. But sometimes when I think too much, I eat a little bit more.
• “Who buys and prepares the food you eat?”
 In my current age, I mostly prepare the food by me.
• “Where do you eat your meals?”
 In our house, school, sometimes fastfoods.
• “How much and what types of fluids do you drink?”
 I mostly drink water, eventually alcohol beverages and fruit juice. But in the evening I drink
milk before I sleep.

Activity Level and Exercise

• “What is your daily pattern of activity?”


 In weekends I play basketball, I do not havr a daily pattern of activity.
• “Do you follow a regular exercise plan? What types of exercise do you do?”
 I do not have a regular exercise plan.
• “Are there any reasons why you cannot follow a moderately strenuous exercise program?”
 Because of academics, so I don’t have time to make a exercise programs.
• “What do you do for leisure and recreation?”

• “Do your leisure and recreational activities include exercise?”

Sleep and Rest

• “Tell me about your sleeping patterns?”


 Before I sleep, I drink a glass of milk, browse my phone and then sleep.
• “Do you have trouble falling asleep or staying asleep?”
 Usually I can’t fall asleep too soon, I think too much at night.
• “How much sleep do you get at night?”
 I get 7-9 hours of sleep during weekend. 5-6 hours when we have school.
• “Do you feel rested when you awaken?”
 It depends on the duration of my resting time.
• “Do you nap during the day? How often and for how long?”
 Yes I do, after lunch. For about 1-3 hours.
• “What do you do to help you fall asleep?”

Substance Use
• “How much beer, wine, or other alcohol do you drink on the average?”
• “Do you drink coffee or other beverages containing caffeine (e.g. cola)? If so how much and
how often?”
• “Do you now or have you ever smoked cigarettes or used any other form of nicotine? How
long have you been smoking or did you smoke? How many packs per week? Tell me about
any efforts to quit.”
• “Have you ever taken any medication not prescribed by your healthcare provider? If so,
when, what type, how much and why?”
• “Have you ever used, or do non use, recreational drugs? Describe any usage.”
• “Do you take vitamins or herbal supplements. If so, what?”

SELF-CONCEPT AND SELF CARE RESPONSIBILITY

• “What do you see as your talents or abilities?”


• “How do you feel about yourself ? About your appearance?”
• “Can you tell me what activities you do to keep yourself safe, healthy, or to prevent disease?”
• “Do you practice safe sex?”
• “How do you keep your home safe?”
• “Do you drive safely?”
• “How often do you see the dentist or have your eyes (vision) examined?”

You might also like