Name: Candy Mae Loriba

Age: 28

Sex: Female

1. ECONOMICS
a. Income More or less 15,000 a month
b. Amount of money for food each week or

month and individual perception of its

adequacy for meeting food needs

2. PHYSICAL ACTIVITY
a. Occupation Online Seller
b. Exercise Before dancing through the use of Tiktok application
but now, don’t do exercise
c. Sleep- hours/day 8 hours a day or sometimes less than 8 hours
3. ETHNIC AND CULTURAL BACKGROUND
a. Influence on eating habits
b. Religion Iglesia Filipinia Independent (IFI)
c. Education College graduate - Bachelor of Science in Business
Administration at year 2016 in Southern Capital
Colleges
4. HOME LIFE AND MEAL PATTERNS
a. Number of household members Six including the baby inside the womb
b. Person who does shopping Husband or sister
c. Person who does cooking and relationship Husband and Mother

with this person

d. Food storage and cooking facilities Kitchen at the outside of the house. Used container as
food storage instead of refrigerator.
e. Type of housing Apartment style
f. Ability to shop and prepare food
5. APPETITE
a. Good, poor, any changes Less consume of rice and anything sweets
b. Factors that affect appetite
c. Taste and smell perception During first trimester hates oily foods like gisado
because of the smell. Now, good and everything’s fine
6. ALLERGIES, INTOLERANCES, AND FOOD AVOIDANCES
a. Foods avoided and reason Salty foods because lately got UTI during the check-up
b. Length of time of avoidance Until give birth
7. DENTAL AND ORAL HEALTH
a. Problems with eating None so far
b. Foods that cannot be eaten Salty foods
c. Problems with swallowing, salivation, and food None so far

sticking
8. GASTROINTESTINAL CONCERNS
a. Problems with hurt burn, bloating, gas, During second trimester, experience diarrhea

diarrhea, constipation, distention

b. Frequency of problems Lasted for 1 day only
c. Home remedies Fresh buko juice
d. Antacid, laxative, and other drugs used OB prescription
9. CHRONIC DISEASES
a. Treatment None
b. Length of time of treatment Not applicable
c. Dietary modification Salt imitation
10. MEDICATION
a. Vitamin and/ or mineral supplement With iron and calcium prescribed by OB and nutri fresh
b. Medications Before, UTI medications but now none so far