1.

Psychosocial and Psychological Status

In Erik Erikson’s Stages of Psychosocial Development, the patient falls under Generativity vs. Stagnation since this stage
is applicable to middle adults. Patient is a 44-year-old male, a Roman Catholic from Alangan, Notain, Mt. Province.
Patient is known also to be outgoing. In the Nine Developmental Stages, the patient is at the Middle Adulthood stage
which comprises adults aged from the late thirties to sixties. While many people are at the height of their production in
both love and work, aging, which started earlier, also becomes more apparent around this time. As well as being more
realistic about previously assumed life possibilities, it can also be a moment to distinguish between what is likely and
what is possible.

2. Mental and Emotional Status

Patient was seen awake and not in any signs of cardiopulmonary distress. He is conversant, coherent and responds
appropriately to verbal and non-verbal stimuli. He is well oriented to time, place and person. He is able to initiate limited
activity and is able to show response to pain stimuli. During the interview, he is able to express his feelings and uses
clear words.

3. Environmental Status

The patient is originally from Alangan, Notain, Mt. Province, but currently lives in _________. They live in a concrete
house with a yard. Their house is far away from the other houses. The patient is a retired skilled worker. During
hospitalization, the patient was able to minimally sleep well despite the busy surroundings especially when he was calm.
He was admitted to the male ortho surgery ward in a room with a table, away from the window.

4. Sensory Status Visual Status

The patient can see objects around his at a certain distance. According to our assessment, there is no visual deficit like
color blindness, nearsighted, farsighted, or blurred vision, assessed by having the patient read a newspaper at a certain
distance.

Auditory Status

After all the assessments were performed, no abnormal information was noted. He can also distinguish voice even from
a distance, loud or soft. No corrective auditory deficits. And no auditory device noted being used by the patient.

Olfactory Status

No abnormal information noted upon assessment.

Gustatory Status

After all the assessment performed, no change in taste sensation was noted.

Tactile Status

With regards to the patient’s tactile status, he was able to determine that the patient is able to discriminate sharp and
dull, light and firm touch, able to perceive heat, cold, pain in proportion to stimulus, able to differentiate common
objects by touch by doing necessary procedure.

5. Motor Status

Motor strength is assessed. His movements are limited. Patient is on sitting position with
slightlylimited movement. He has muscle strength of 3/5 on both upper and lower extremities, whichmeans that he has l
imited movement against gravity and some resistance. Further, no tremors anddeformities noted on both upper and
lower extremities. No crepitus noted upon flexion of joints.

6. Thermoregulatory Status

7. Respiratory Status

8. Oxygen Saturation Status

 Circulatory Status

Blood Pressure Status

9. Nutritional Status

The patient appetite is good. There is no change in the appetite in eating during the hospitalization and health deviation.
Teeth are complete without dental carries. The skin is pallor. The nails were fine and well-trimmed. There is no culture
or religious dietary restriction reported by the patient. The patient is able to swallow in his food and medications as well.
The patient denied any indigestion, vomiting. The patient is eating orally by himself.

10. Elimination Status