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  • Comprehensive Health History

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    Sofia Shane Lañas
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    Maria Ruth Y. Bajenting, a 38-year-old Filipino female librarian and business owner, has a history of asthma, allergies to seafood and medications, childhood illnesses including asthma, and previous illnesses such as chickenpox, UTIs, acute bronchitis, dengue, and lung infections. She has also had radiation treatment and experiences stress, anxiety, and depression. Her current medications include paracetamol, cetirizine, cefuroxime axetil, acetaminophen, methemidazole, and levothyroxine. Her family history notable for goiter in her mother and asthma/chronic respiratory disease in an aunt.

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    Comprehensive-Health-History

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    Maria Ruth Y. Bajenting, a 38-year-old Filipino female librarian and business owner, has a history of asthma, allergies to seafood and medications, childhood illnesses including asthma, and previous illnesses such as chickenpox, UTIs, acute bronchitis, dengue, and lung infections. She has also had radiation treatment and experiences stress, anxiety, and depression. Her current medications include paracetamol, cetirizine, cefuroxime axetil, acetaminophen, methemidazole, and levothyroxine. Her family history notable for goiter in her mother and asthma/chronic respiratory disease in an aunt.

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    © All Rights Reserved
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    16 views3 pages

    Comprehensive Health History

    Uploaded by

    Sofia Shane Lañas
    Maria Ruth Y. Bajenting, a 38-year-old Filipino female librarian and business owner, has a history of asthma, allergies to seafood and medications, childhood illnesses including asthma, and previous illnesses such as chickenpox, UTIs, acute bronchitis, dengue, and lung infections. She has also had radiation treatment and experiences stress, anxiety, and depression. Her current medications include paracetamol, cetirizine, cefuroxime axetil, acetaminophen, methemidazole, and levothyroxine. Her family history notable for goiter in her mother and asthma/chronic respiratory disease in an aunt.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 3

    Name: Section

    COMPREHENSIVE HEALTH HISTORY

    DEMOGRAPHIC
    Name: Maria Ruth Y. Bajenting Age: 38 yrs. Old Gender: Female
    Nationality: Filipino
    Marital Status: Living together Language spoken: Bisaya/Filipino
    Occupation: Librarian & Business owner

    HEALTH HISTORY
    Problems at birth: Asthma
    Allergies (Food or Medications) State reactions: Seafood & Cetirizine
    Childhood Illnesses: Asthmatic
    Immunizations: BCG, Pollio, Hepa-b, DPT, COVID vaccine, flu vaccine
    Previous Illnesses: Chicken fox, UTI, Asthma, Acute Bronchitis, Dengue, Lung Infection,
    Hyperthyroidism

    Previous Surgeries: Radiation


    Implanted medical devices (e.g. Pacemaker, Titanium implants): N/A
    Pregnancies: Total Birth: 0 Miscarriage:1 Abortions: 0 Stillbirths: 1
    Accidents or Injuries: Sprained ankle
    Disability / Mobility problems: Impaired breathing
    Assistive devices needed: Crutches, Nebulizer, Inhaler
    Mental health concerns (e.g. stress, depression): Stress. Anxiety, Depression

    Medications
    Generic (Brand Dosage and Route Late dose taken
    Name) Frequency
    paracetamol tab. 500mg q.6h PO
    (Biogesic)

    Aero-vent sol’n 2.5mg 4x a day Nebulizer

    saphzine tab. 10mg q.d.p.m PO 2 days


    (Cetirizine)

    cefuroxime axetil 500mg 2x a day for PO


    (Zoltax tab.) 7 days

    acetaminophen tab.
    (Tylenol) 650mg q4hr PRN PO
    methemidazole
    (Tapdin) 10mg q8hr PO

    levothyroxine
    (Levoxyl) 10mg (week days) PO
    20mg (week ends)

    FAMILY HEALTH HISTORY


    Hereditary disorders Relationship to the patient
    Goiter Mother
    Asthma or chronic respiratory disease Aunt
    (CRDs)
    HTPN Parents & grandparents

    SPECIFIC HEALTH HISTORY:


    SUBSTANCE USE
    Substance Quantity
    Stimulants
    1. Coffee (specify brand)  Nescafe 1 to 2 cups a day am and pm
    2. Energy drink (specify  Sting, Lipovitan, Gatorade, 2x a week
    brand)
     Alcohol 
     Wine (specify brand)  Maria Clara 2x a month
     Beer (specify brand)  Red Horse 5x a month
     Hard Liquor (specify  Tanduay 2x a month
    brand)
    Cigarette Smoking  N/A
    Vape  N/A
    Recreational drugs /  N/A
    Prohibited drugs

    SOCIAL, EDUCATION, RELIGION AND RECREATIONAL

    Religion and Religious  Catholic


    practices
     Educational  College Graduate
    Attainment
    Living accommodation
    (House, Apartment,  Apartment
    Condominium)
    Living arrangement
    (With partner, family, alone,  Living with partner
    friends)

    HEALTH PROMOTION PRACTICES

    Sleep (On the average number of hours of  4-5hrs.


    sleep)
    Diet (Rate: Good, Fair, Poor)  Fair
    Activities: Sports and exercise (specify  Yoga
    specific activity and duration)

    USE OF MEDICAL RESOURCES

    Services Frequency utilized


    Doctor Dr. Ceryl Cindy Tan (endocrinologist) visit q month
    Dentists Tootsie Dental Clinic 2x a year
    Other health professionals (specify if any and how frequent do you visit
    them):________________________________________________________________________

    DIAGNOSTIC AND LABORATORY TEST

    Diagnostic and Laboratory Test done within the last 1 year.


    Test Normal / Abnormal Findings
    results
    Urinalysis abnormal UTI
    Immunology
    Serology

    SOURCES OF HEALTH INFORMATION

    Where do you get your Health formation (Select all that apply)?
    ( ) Allied Health Professional (e.g. Physician, Nurse) Please
    specify:_____________________________
    ( ) Website, Please specify:________________________________
    ( ) TV Shows, Please specify:______________________________
    ( ) Others (e.g Folk leaders, Social media), Please specify:_________________________

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