1.

IDENTIFICATION DATA

Name of the patient : Kumari Hemwati

Age : 18 years
Sex : Female
Bed No. /Ward : Female Ward
Hosp. Regd. No. :
Education : 12th std
Occupation : Student
Marital Status : Single
Religion : Hindu
Language : Hindi
Nationality : Indian
Address : Raisen, M.P
Date of Admission : 10.04.2013
Date of Discharge : 14.04.2013
Duration of Nursing care: 05 days
Final Diagnosis : Chronic Schizophrenia

 Informant: Mrs Sheila (Mother)

Reliability of Informant: Reliable

2. Presenting Complaints/Problem
 According to the patient: According to the patient she is admitted here because she is
mentally ill.
 According to the informant: From past 15 days, patient is showing
 inappropriate behaviour
 sleep disturbance
 angry, irrelevant talk
 She is overtalkative also.
 She mutters to herself, laughs and cries alone without any apparent reason.
 She feels like everyone is talking about her.
 She fears that someone will kill her.
 She says she is the reincarnation of a devi.
 Sings and dances alone.

3. History of presenting complaints/ illness

 According to the informant, patient was well before 15 day until she started showing the
above mentioned symptoms. She was taken to some local faith healers but when symptom
deteriorated she was referred to Indore Mental Hospital

4. Past history of illness

 Medical/ Surgical: Patient do not have any past medical illness or past surgical history.
 Psychiatric Illness: Patient suffered from similar problems one year ago. She was under
treatment from Neuropsychiatrist of General Hospital of indore
 5. Family History
 Family Characteristics

S. Member Name Relation Age/Sex Education Occupation Health Age &

N of Patient Status Status Mode of
Death
1. Shri Kamlesh Father 40 Illiterate Farmer Healthy
Yadav years
2. Mrs Sheila Mother 38 yrs Illiterate Student Healthy
Yadav
3. Hitesh Son 16 yrs 9th standard Student Healthy

 Genogram

Father Mother
40 38

Hitesh Patient
16 yrs

6. Socio Economic History

Patient lives in a nuclear family with her father, mother, younger brother. Father is the bread
earner of the family. He is a farmer. They live in a kuccha house without basic amenities. The
monthly income of the family is approximately Rs 8000/- per month.

7. Treatment History
Patient suffered from similar problems one year ago. She was under treatment from
Neuropsychiatrist og general Hospital of Indore.

8. Personal History
 Perinatal History: Normal vaginal delivery, no birth defects observed.
 Childhood History: Patient had normal childhood. Weaned at 6 months, patient achieved
normal milestones, no emotional or behavioural problems observed. She had a cooperative
relationship with other family members and peers. No history of any illness recorded during
childhood.
 Educational History: According to informant patient is illiterate.
 Play History: Patient used to actively participate in any activities and had a cooperative
relationship with other playmates.
 Emotional Problem during childbirth: There were no problems during childhood
 Menstrual History: Patient attained menarche at the age of 13, menstrual cycle is normal.
 Occupational History: She is a student.
 Sexual & Marital History: Patient is single.

9. Premorbid Personality
 Interpersonal Relationship: Patient shares a good rapport with her fellow inmates.
 Use of leisure time: She spends her time talking to her fellow inmates and their relatives.
 Attitude towards self and others; She is cooperative towards others.
 Attitude to work: She actively participates in all activities assigned to her.
 Religious beliefs and moral attitude: She do not believe in God.
 Habits: Cooking and drawing.