PAST HEALTH HISTORY PROBLEMS AT BIRTH:NONE CHILDHOOD ILLNESSES:Fever,cold and cough IMMUNIZATIONS TO DATE:NOT REMEMBERED ADULT ILLNESSES:Headache,Fever,Cough and

Colds SURGERIES:NONE ACCIDENTS:Once only when she was bumped by a jeepney PROLONGED PAIN OR PAIN PATTERNS:NONE ALLERGIES:NONE FAMILY HEALTH HISTORY AGE OF PARENTS:MOTHER-60 ,FATHER-DECEASED PARENT ILLNESSES:Diabetes,Kidney Problem GRANDPARENTS ILLNESSES:NONE AUNTS AND UNCLES AGE AND ILLNESSES:NONE CHILDRENS AGE AND ILLNESSES OR HANDICAPS: 10-convulsion,8-convulsion,4-lack of weight(malnourished),5 mos.-none

REVIEW OF SYSTEM
GENERAL SKIN HEAD EYES EARS NOSE THROAT RESPIRATORY CARDIOVASCU Weight loss is present,No fever,No chills No rashes,No pruritus,No bruising, Headache is present,No injury,No tenderness No blurring,No pain,No discharges,No inflammation No pain,With slight cerumen,No dizziness No allergies, No polyps,Loss of sense of smell due to colds Loose teeth(with dentures),No bleeding Gums,No mouth sores,No lesions on the tongue,gums and buccal mucosa With cough,with DOB No palpitation,No edema,No chest

LAR GASTROINTES TINAL

pain/pressure/tightness No abdominal pain.No constipation,No diarrhea

GENITOURINAR Normal frequency.No dysuria,No hematuria Y ENDOCRINE Loss of weight,fatigue,No changes in hair distribution MUSCULOSKEL No stiffness,No joint pain,no signs of muscle weakness ETAL PSYCHIATRIC Problems may affect mood,with anxiety sometimes,no suicidal thoughts

LIFESTYLE AND HEALTH PRACTICES The patient used to eat meat, fish and vegetables especially now that she is currently breastfeeding her 5 mos. Old child.She used to drink coffee sometimes.She avoided cold drinks especially softdrinks and juices because of her cough.She do not drink alcoholic beverages and she do not smoke,She do not have time for exercise and she just spend her time at home.Formerly her leisure time was watching tv but now that the television is not available she just rest after all the household chores.Their family sometimes attend Sunday masses but it was very often. DEVELOPMENTAL LEVEL The patient is already 37 years of age.She was a housewife and she is responsible in doing the tasks at home especially taking care of her children.She was in the Generativity vs. Stagnation period.She have no time to work in volunteer activities and her recreational activity was just limited.She do not have difficulty accepting her aging body.Of course she is not contented with her life especially that they have inadequate space at home.She also mentioned that her relationship with her family is mutual.