FATHER SATURNINO URIOS UNIVERSITY

San Francisco St. Butuan City 8600, Region XIII Caraga, Philippines
Nursing Program

URIAN HEALTH CENTER

INDIVIDUAL TREATMENT RECORD

Name of Mother: Bonita San Jose Case No.: 1

Birthdate: January 20, 2001 Age: 20 y/o
Address: P – 2 Bgry. Babag Contact: N/A
Spouse: N/A Civil Status: Single
Educational Attainment: 2nd Year College Occupation: Student
Birthplace: N/A Religion: Roman Catholic
Blood Type: O Pregnancy Status: G 1 P 0 (T 0 P 0 A 0 L 0 M 0)

Date Complaint Treatment Remarks

November 8, For Pre-natal Check-up Vital Signs: - Normal Blood
2021 LMP: September 8, 2021 BP: 120/90mmHg Pressure

EDC: June 15, 2022 Temp: 36.9C - Normal Body

Temperature
AOG in Weeks: 8 weeks and PR: 90 bpm
7 days
RR: 17bpm - Frequent Urination
AOG in Months: 2 months is normal during
Weight: N/A
and 1 week pregnancy.
Height: N/A
Trimester: Approaching to
1st Health Teachings:
1. Advise the pregnant mother to
engage in prenatal care on a regular
basis.

2. Encourage exercise and other

physical activity that may alleviate
pain induced by pregnancy.

3. To properly empty the bladder,

lean forward while urinating.

4. Educate her about the foods and

liquids that can cause frequent
urination.

5. Avoid drinking too much liquid

before bedtime.
 FATHER SATURNINO URIOS UNIVERSITY
San Francisco St. Butuan City 8600, Region XIII Caraga, Philippines
Nursing Program

URIAN HEALTH CENTER

INDIVIDUAL TREATMENT RECORD

Name of Mother: Jessa Cupin Case No.: 2

Birthdate: December 25, 1990 Age: 30 y/o
Address: Langihan Road Butuan City Contact:N/A
Spouse: Jess Cupin Civil Status: Married
Educational Attainment: High School Graduate Occupation: Saleslady
Birthplace: N/A Religion: N/A
Blood Type: AB Pregnancy Status: G 4 P 3 (T 2 P 1 A 0 L 3 M 0 )

Date Complaint Treatment Remarks

November 8, For Pre-natal Check-up Vital Signs: - Blood pressure
2021 LMP: March 12, 2021 BP: 100/60mmhg is low
(Hypotensive),
EDC: December 18, 2021 Temp: 36.6C
which can lead to
AOG in Weeks: 34 weeks PR: 71 bpm other health
and 4 days problems for
RR: 19 bpm
AOG in Months: 8 months both the mother
Weight: 49kgs
and 6 weeks and the kid.
Height: 152cm
Trimester: Second (2nd)
Health Teachings: - Normal
Temperature
1. Limit caffeine intake
and abstain from smoking
and consuming alcoholic
beverages.
2. Avoid eating fatty and
spicy foods.
3. Rather than three
substantial meals, eat
little meals frequently.
4. Drink fluid in between
meals instead of drinking
during mealtime.
5. Educate them
about the dangers
or possible
consequences of
not getting
prenatal care.
 FATHER SATURNINO URIOS UNIVERSITY
San Francisco St. Butuan City 8600, Region XIII Caraga, Philippines
Nursing Program

URIAN HEALTH CENTER

INDIVIDUAL TREATMENT RECORD

Name of Mother: Andrea Dela Torre Case No.: 3

Birthdate: November 5, 1982 Age: 39 y/o
Address: Brgy. Bancasi, Butuan City Contact: N/A
Spouse: Andong Dela Torre Civil Status: Married
Educational Attainment: College Graduate Occupation: College Instructor
Birthplace: N/A Religion: Roman Catholic
Blood Type: A Pregnancy Status: G 6 P 5 (T 4 P 1 A 0 L 5 M 0 )

Date Complaint Treatment Remarks

November 8, For Pre-natal Check-up Vital Signs: - Blood pressure
2021 LMP: May 28, 2021 BP: : 130/100mmhg is high
EDC: March 5, 2022 Temp: 36.9C
- Normal pulse
AOG in Weeks: 23 weeks PR: 81 bpm
rate
and 4 days RR: 18 bpm
AOG in Months: 5 months Weight: 55kgs - normal
and 8 weeks respiratory rate
Height: 155cm
Trimester: Approaching
to Second (2nd) Health Teachings: - Morning
1. Make a list of nausea sickness, often
causes that should be known as nausea
avoided. and vomiting, is a
common
2. Prenatal vitamins
symptom of
should be taken.
pregnancy that
3. Foods that are fatty begins during the
or hot should be sixth week.
avoided. Symptoms
4. Small snacks improve from
should be the thirteenth to
consumed the twenty-
frequently. seventh week.

5. For fast and easy

digestion, choose
foods that are high
in protein and low
in fat.
 FATHER SATURNINO URIOS UNIVERSITY
San Francisco St. Butuan City 8600, Region XIII Caraga, Philippines
Nursing Program

URIAN HEALTH CENTER

INDIVIDUAL TREATMENT RECORD

Name of Mother: : Joy Uy Case No.: 4

Birthdate: Age:
Address: T.Calo Ext, Butuan City Contact:
Spouse: John Uy Civil Status: Married
Educational Attainment: Occupation: Chef
Birthplace: Butuan City Religion: Roman Catholic
Blood Type: B Pregnancy Status: G 3 P 2 (T 0 P 0 A 2 L 0 M 0 )

Date Complaint Treatment Remarks

November 8, For Pre-natal Check-up Vital Signs: - normal blood
2021 LMP: August 16, 2021 BP: 100/60mmhg pressure, pulse
EDC: May 23, 2022 Temp: 37C
and respiratory
rate.
AOG in Weeks: 12 weeks PR: 85bpm
AOG in Months: 3 months RR: 18 bpm
st
Trimester: First (1 ) Weight: 60kgs
Height: 150cm
Health Teachings:
1. Prenatal vitamins
should be taken or an iron
supplement but consult to
your physician first.
2 Calcium supplements
that interfere with iron
absorption should be
avoided.
3. Prepare a nutritious
meal plan that includes
foods high in iron, folic
acid, and vitamin C.
4. Determine the
causes of anemia,
as well as the risk
factors.

5. Keep an eye out

for the intensity of
symptoms to help
you figure out
what's wrong.
 FATHER SATURNINO URIOS UNIVERSITY
San Francisco St. Butuan City 8600, Region XIII Caraga, Philippines
Nursing Program

URIAN HEALTH CENTER

INDIVIDUAL TREATMENT RECORD

Name of Mother: Rochel Mendoza Case No.: 5

Birthdate: April 12, 1987
Address: Guingona Subdivision
Spouse: Rod Mendoza
Educational Attainment:
Birthplace:
Blood Type: O
Age: 34 y/o
Contact:
Civil Status: Married
Occupation: Housewife
Religion: Roman Catholic
Pregnancy Status: G 8 P 5 (T 3 P 2 A 1 L 5 M 0 )

Date Complaint Treatment Remarks

November 8, For Pre-natal Check-up Vital Signs: - For a specific
2021 LMP: February 28, 2021 BP: 110/70mmhg diet plan,
EDC: December 4, 2021
consult a
Temp: 37.2C
dietary
AOG in Weeks: 36 weeks PR: 80 bpm physician.
and 1 day
RR: 16 bpm
AOG in Months: 9months
Weight: 56kgs
Trimester: Third (3rd )
Height: 156cm
Health Teachings:
1. Suggest a healthy diet
plan that the patient can
use as a guide when
preparing her meals.
2. Create a nutritious meal
plan that includes foods
high in iron, folic acid, and
vitamin C.
3. Prenatal vitamins
should be taken or an iron
supplement but consult to
your physician first.
4. Talk about how
important nutrition
is throughout
pregnancy.

5. Recognize the
health
consequences of
inadequate
nutritional intake.