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CASTANEDA, Shaina Mae

BSN-1B

FINDINGS IN THE HEALTH HISTORY QUESTIONNAIRE:


BIOGRAPHIC DATA:
Name: Castillo, Veronica B. Sex: Female Age: 36
Birth date: 08/02/1984 Marital status: Married
Current Address: 2/18 Elizabeth Street Rosewater, South Australia
Number of Children: 2 Occupation is/was: Elementary Teacher
Previous Doctor: Dr. Seng Long Ang

PERSONAL PRESENT HEALTH HISTORY:


Childhood Illness: Mumps
Immunization and Dates: None
Test/Screening and Dates: Eye exam, 2016
Surgeries:
Year: 2013 Reason: Caesarian Section/delivery Hospital: Grabiela Silang General
Silang
Year: 2019 Reason Caesarian Section/delivery Hospital: Metro Vigan Hospital
Year: 2021 Reason: Removal of Gallbladder Hospital: Queen Elizabeth Hospital,
South Australia
Blood Transfusion: 2019

PAST HEALTH HISTORY:


Allergies: None
Recent hospitalizations: March 5, 2021
Recent Surgical Procedure: Removal of gall bladder due to gall stones.
Prescribed drugs and over-the-counter drugs, such as vitamins and inhalers: None
Drug/Alcohol Consumption: None
FAMILY MEDICAL HISTORY: Diabetes, High Blood Pressure, High Cholesterol
CASTANEDA, Shaina Mae
BSN-1B

FUNCTIONAL ASSESSMENT:
Activity/exercise: None
Sleep/rest: 8-10 hours
Nutrition/elimination: limits the intake of foods high in cholesterol and fat, elimination of
wastes is normal.
Coping and stress management: Watching Netflix and cooking
Occupation/environmental hazards: none

CULTURAL ASSESSMENT:
Religious affiliation: Protestant
Cultural/health-related beliefs and practices: none
Social and community consideration: None
Spiritual beliefs and/or practices: Going to church every Sunday
Language: Ilocano, Filipino, English
CASTANEDA, Shaina Mae
BSN-1B

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