Professional Documents
Culture Documents
City of Olongapo
GORDON COLLEGE
College of Allied Health Studies
www.gordoncollege.edu.ph
I. Assessment Phase
A. MEDICAL HISTORY
c. Physical state of health: height & weight, BMI, appetite, digestion, elimination, etc.
Height: 163 cm
Weight: 55 kg
BMI: 20.7 - normal
Appetite: Normal
Digestion: Normal
Frequency of elimination: four times a week
Hours of sleep: 7-8 hours
Diet: No diet
Exercise: Yes
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Republic of the Philippines
City of Olongapo
GORDON COLLEGE
College of Allied Health Studies
www.gordoncollege.edu.ph
B. SOCIO-ECONOMIC BACKGROUND
c. Occupation: None
C. Dietary History
c. Cooking Facilities
- Gas stove
- At home
- Sink
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Republic of the Philippines
City of Olongapo
GORDON COLLEGE
College of Allied Health Studies
www.gordoncollege.edu.ph
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Republic of the Philippines
City of Olongapo
GORDON COLLEGE
College of Allied Health Studies
www.gordoncollege.edu.ph
DAY 1
BREAKFAST AM SNACK LUNCH PM SNACK DINNER
FOOD PREPARATION QUALITY/ FOOD PREPARATION QUALITY/ FOOD PREPARATION QUALITY/ FOOD PREPARATION QUALITY/ FOOD PREPARATION QUALITY/
AMOUNT/ AMOUNT/ AMOUNT/ AMOUNT/ AMOUNT/
CALORIES CALORIES CALORIES CALORIES CALORIES
Coffee 1 cup Carbs – 11 x 4 Banana 1 small-size Carbs – 23.07 x Chicken 2 cups Carbs – 15.94 x Water 2 cups Fish 1 fried fish Carbs – 7 x 4 =
= 44 cal. 4 = 92.28 cal. adobo 4 = 63.76 cal. (Bangus) 28 cal.
Protein - .4 x 4 Protein – 1.1 x Protein – 76.3 Protein – 16 x 4
= 9.6 cal. 4 = 4.4 cal. x 4 = 305.2 cal. = 64 cal.
Fats – 1.2 x 9 Fats – 0.33 x 9 Fats – 31.64 x 9 Fats – 12 x 9 =
= 10.8 cal. = 2.97 cal. = 284.76 cal. 108 cal.
Water
2 cups
Water
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Republic of the Philippines
City of Olongapo
GORDON COLLEGE
College of Allied Health Studies
www.gordoncollege.edu.ph
2 cups
Carbohydrates – 428.64 cal. Carbohydrates – 92.28 cal. Carbohydrates – 224.34 cal. Carbohydrates – 0 Carbohydrates – 420.64 cal.
Protein – 107.2 cal. Protein – 4.4 cal. Protein – 339.68 cal. Protein – 0 Protein – 105.6 cal.
Fats – 198.72 cal. Fats – 2.97 cal. Fats – 293.22 cal. Fats – 0 Fats – 142.9 cal.
Calories – 734.56 cal. Calories – 99.65 cal. Calories – 857.24 cal. Calories - 0 Calories – 669.16 cal.
DAY 2
BREAKFAST AM SNACK LUNCH PM SNACK DINNER
FOOD PREPARATION QUALITY/ FOOD PREPARATION QUALITY/ FOOD PREPARATION QUALITY/ FOOD PREPARATION QUALITY/ FOOD PREPARATION QUALITY/
AMOUNT/ AMOUNT/ AMOUNT/ AMOUNT/ AMOUNT/
CALORIES CALORIES CALORIES CALORIES CALORIES
Hotdogs 2 steamed regular size Carbs – 8 x 4 Baked mac Serving (200g) Carbs – 108 x 4 Chicken 1 fried Carbs – 31.67 x Baked mac Serving (200g) Carbs – 108 x 4 Fish 1 fried fish Carbs – 7 x 4 =
= 32 cal. = 432 cal. 4 = 126.8 cal. = 432 cal. 28 cal.
Protein – 16 x Protein – 20 x Protein – 35.4 Protein – 20 x 4 Protein – 16 x 4
4 = 64 cal. 4 = 80 cal. x 4 = 141.6 cal. = 80 cal. = 64 cal.
Fats – 20 x 9 = Fats – 4 x 9 = Fats – 25.7 x 9 Fats – 4 x 9 = Fats – 12 x 9 =
180 cal. 36 cal. = 231.3 cal. 36 cal. 108 cal.
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Republic of the Philippines
City of Olongapo
GORDON COLLEGE
College of Allied Health Studies
www.gordoncollege.edu.ph
White 2 cups
rice
Water Water
Water
500ml
Carbohydrates – 41.2 cal. Carbohydrates – 432 cal. Carbohydrates – 76.47 cal. Carbohydrates – 432 cal. Carbohydrates – 507.44 cal.
Protein – 118.48 cal. Protein – 80 cal. Protein – 158.4 cal. Protein – 80 cal. Protein – 239.2 cal.
Fats – 308.52 cal. Fats – 36 cal. Fats – 235.26 cal. Fats – 36 cal. Fats – 347.22 cal.
Calories – 468.2 cal. Calories – 548 cal. Calories – 470.13 cal. Calories – 548 cal. Calories – 1093.86 cal.
DAY 3
BREAKFAST AM SNACK LUNCH PM SNACK DINNER
FOOD PREPARATION QUALITY/ FOOD PREPARATION QUALITY/ FOOD PREPARATION QUALITY/ FOOD PREPARATION QUALITY/ FOOD PREPARATION QUALITY/
AMOUNT/ AMOUNT/ AMOUNT/ AMOUNT/ AMOUNT/
CALORIES CALORIES CALORIES CALORIES CALORIES
Coffee 1 cup Carbs – 11 x 4 No snack Chicken 1pc. fried Carbs – 31.67 x No snack Fish 1 paksiw bowl Carbs – 53.7 x
= 44 cal. 4 = 126.8 cal. 4 = 214.8 cal.
Protein - .4 x 4 Protein - 35.4 x Protein – 18.2 x
= 9.6 cal. 4 = 141.6 cal. 4 = 72.83 cal.
Fats – 1.2 x 9 Fats – 25.7 x 9 Fats – 10.1 x 9
= 10.8 cal. = 231.3 cal. = 90.9 cal.
Carbs – 8 x 4 Carbs – 25 x 4
= 32 cal. = 100 cal.
Fats - 5 x 9 =
Protein - 2 x 4 Protein - 10 x 4
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Republic of the Philippines
City of Olongapo
GORDON COLLEGE
College of Allied Health Studies
www.gordoncollege.edu.ph
Water 500ml.
Carbohydrates – 252.32 cal. Carbohydrates – 0 Carbohydrates – 479.44 cal. Carbohydrates – 0 Carbohydrates – 491.12 cal.
Protein – 34.4 cal. Protein – 0 Protein – 175.2 cal. Protein – 0 Protein – 129.63 cal.
Fats – 140.76 cal. Fats – 0 Fats – 284.22 cal. Fats – 0 Fats – 175.86 cal.
Calories – 427.48 cal. Calories - 0 Calories – 938.86 cal. Calories - 0 Calories – 796.61 cal.
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Republic of the Philippines
City of Olongapo
GORDON COLLEGE
College of Allied Health Studies
www.gordoncollege.edu.ph
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Republic of the Philippines
City of Olongapo
GORDON COLLEGE
College of Allied Health Studies
www.gordoncollege.edu.ph
c. How often do you eat foods such as macaroni, spaghetti, noodles, and the
like? _______Occasionally/ twice and thrice a week_______
9. How many teaspoon of sugar do you use per day? _______1 tsp._______
How much would you say you drink each day? _____8-1 glasses a day______
G. Dietary History
1. Economics
Amount of money for food each week or month and individual perception of its
adequacy for meeting food needs.
___1050/week – it’s enough for myself but somehow tight to eat or buy the
foods I really want and nutritious. __
2. Physical Activity
a. Occupation - None
b. Exercise
Walking - 8-15 minutes walking before going to school
- 8-15 minutes walking going home
c. Sleep – hours per day _____7-8 hours per day_______
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Republic of the Philippines
City of Olongapo
GORDON COLLEGE
College of Allied Health Studies
www.gordoncollege.edu.ph
b. Religion
____I do not eat bloody food/food containing blood or meat from animals
that was killed by hanging or suppressed. ____
c. Education
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
5. Appetite
a. good, poor, any changes
_____My appetite is good however it changes for some times. _____
b. Factors that affect appetite
_______When I’m sad and stress_________
c. Taste & smell perception
________I prefer salty and sour foods instead of sweets and I love baby
scents and mild scents instead of sweet/fruity smell. ____________
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Republic of the Philippines
City of Olongapo
GORDON COLLEGE
College of Allied Health Studies
www.gordoncollege.edu.ph
8. Gastrointestinal Concerns
a. Problems with heartburn, bloating, gas, diarrhea, constipation, distention
___ _I used to be bloated for a day after consuming a lot of foods especially
snacks. There are times as well that I don’t defecate within the day. _
c. Home remedies
_________Drink a lot of water__________
d. Drugs used
_____None____
10. Medications
a. Vitamins or minerals supplement
_____Spring valley Vit. C supplement daily_____
b. Other medications
_____None_____
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Republic of the Philippines
City of Olongapo
GORDON COLLEGE
College of Allied Health Studies
www.gordoncollege.edu.ph
b. Nervous
c. Cardiac
d. Urinary
I. Biochemical Assessment
BUN
CREA
ALT (SGPT)
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Republic of the Philippines
City of Olongapo
GORDON COLLEGE
College of Allied Health Studies
www.gordoncollege.edu.ph
SGOT
FBS
HbA1C
Triglycerides
HDL
LDL
VLDL
Total Cholesterol
Sodium
Potassium
Albumin
Others (specify)
2. Urinalysis
3. Others (please indicate results).
J. Anthropometric Measurements
1. Skinfold Thickness
Measurement Findings: 19 mm.
Analysis & Interpretation:
Skinfold thickness measurements mistakenly assume that subcutaneous fat,
measured at one or more selected sites, measures total body fat stores. Therefore, our
client’s skinfold thickness is normal based on her age.
2. Body Circumferences
a. Head/ Chest Circumference Findings:
Head circumference: 54 cm.
Chest circumference: 85 cm.
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Republic of the Philippines
City of Olongapo
GORDON COLLEGE
College of Allied Health Studies
www.gordoncollege.edu.ph
30 cm. Therefore, our client’s upper arm circumference is normal because our
patient is not that fat to reach 30 cm.
1. Problem No. 1
Imbalance diet
Justification:
An imbalanced diet consists of either an excess or inadequate intake of any dietary
component. Our client is picky in vegetables and dos not eating some of them. Also,
our clint always eat meats instead of vegetables and fruits.
2. Problem No. 2
Breakfast skipping/avoidance
Justification:
The client states that she is skipping breakfast in school days to avoid being late in
school. She also wants to eat foods being sold in the canteen because it includes her
favorite foods such as burger, hotdog sandwiches and other street foods.
3. Problem No. 3
Deficient knowledge
Justification:
Our client verbalized “Mahilig po ako sa street foods at kung ano po yung maganda
sa paningin ko, bibilin ko tulad na lamang po ng milktea, softdrinks at iba’t ibang
palamig o juices” So she stated that she dos not care about what she eat, and stated
that some of her favorite foods are street foods and junk foods.
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Republic of the Philippines
City of Olongapo
GORDON COLLEGE
College of Allied Health Studies
www.gordoncollege.edu.ph
a. Procedures
Activity Increment
Men Women
Sedentary or Light 225 225
Moderate Work 750 500
Heavy Work 1,500 1,000
Very Heavy Work 2,500
5. Add values from 3 and 4 to get DER = SDA=173+ 500kcal +1231= 1904kcal
6. Distribute the total energy allowance among carbohydrates, proteins and fats.
7. For a normal diet, allow 65% of the total energy allowance for carbohydrates,
15% proteins and 20% fats. Thus, the corresponding energy contributors of
the three nutrients are as follows:
2. Fruits
3. Milk
4. Rice
5. Meat
6. Sugar
7. Fat
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Republic of the Philippines
City of Olongapo
GORDON COLLEGE
College of Allied Health Studies
www.gordoncollege.edu.ph
TOTAL
Snacks
(Indicate House Hold Measures)
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Republic of the Philippines
City of Olongapo
GORDON COLLEGE
College of Allied Health Studies
www.gordoncollege.edu.ph
18
Republic of the Philippines
City of Olongapo
GORDON COLLEGE
College of Allied Health Studies
www.gordoncollege.edu.ph
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Republic of the Philippines
City of Olongapo
GORDON COLLEGE
College of Allied Health Studies
www.gordoncollege.edu.ph
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