MCN Form 001

Lyceum of the Philippines University

College of Nursing

CLINICAL PORTFOLIO

PATIENT’S PORTFOLIO

Name Patient Y. E
Address Canlubang, Laguna

Age 43 y.o Gender F Phone Number

Religion Roman Catholic Status Birth date 8 – 15 - 1979
Ethnic Place of birth NA
Background
Filipino
Educational Occupation: Primary or Secondary Language
Level Tagalog, Filipino

Support Provider of history

Person: Patient Y. E
Daughter
Hospital No.
Diagnosis Admitting Pain on Posterior Right Lower Quadrant
Diagnosis
Final Diagnosis NA

Physician
Reason for Admission / Seeking Health Care:
Patient had a sudden onset of pain on the posterior right lower quadrant of the
abdomen. Patient prior to admission reported to have indicated a pain scale of 10/10
but has receded to 5/10. Wound now has pus secretion and is foul smelling in odor.
MCN Form 001