Bio Data:

Name Sajjad Hussain

Father Name Muhammad Hussain

Occupation Shop

Age 11 year

Birth Order 1st

Education 7

Religion Islam

Socio-economic-status Middle
Source and Reason of Referral:

This patient was admit in dawood surgical hospital chishtian

Presenting complaints:

This patient is suffering with disease vesicle stone or bladder stone a few days

Initial observation

He is11 year old child .the physical appearance is weak. The color of his face pale due to
the severe pain .the pulse rate is high.

History of present problem

The patient is suffering with bladder stone last few days .a few days back, its urine
stopped suddenly. Ultra sound found a small piece of stone present in urine bladder. This is the
common disease which can happen any one and any stage of life .according to his family history
there are two or more member of his family victimized this disease.

Psychological Assessment

His psychological assessment of HFD shows that poor coordination, Intellectual

Inadequacy anxiety and delusion of grandiosity.

He scored 107 in self-esteem. His self-esteem assessment shows that average self-esteem.

Behavior observation:

Her facial expression is ups and down during interview due to pain .the patient was very
cooperative. Sometime patient behavior irritable.

Case formulation

The patient was suffering with bladder stone. This disease may affect their behavior and
he shows aggression toward other and have a low self-esteem and may also affect their
socialization .the patient had bio psychological and medical problem.

Management and planning

Counseling:

His counseling is needed to be done .CBT can be used for his behavior modification.

Recommendation / Suggestions

Take medicine properly

Take a good diet

Take a surgery plane if necessary

Limitations:

Avoid milk and milk product

Use boil and clean water

APPENDEX
Bio Data:

Name Shahzad Iqbal

Father Name Muhammad Ali

Occupation Private Employee

Age 14 year

Birth Order 2nd

Education 9th

Religion Islam

Socio-economic-status Middle
Source and Reason of Referral:

This patient was admit in dawood surgical hospital chishtian

Presenting complaints:

This patient is suffering with chicken pox and fever. High temperature (fever), aches and
headache often start a day or so before a rash appears. Spots (rash). Spots appear in crops. They
develop into small blisters and are itchy. They can be anywhere on the body. Several crops may
develop over several days. Loss of appetite or feeding problems.

Initial observation

The physical appearance is weak. The color of his face red due to the rashes .the pulse
rate is high. The patient is very depressing. According to the initial reading fever is high grade.

History of present problem

The patient is suffering with chicken pox last few days a few days back. Chickenpox can
be serious, especially in babies, adolescents, adults, pregnant women, and people with a
weakened immune system. This is the common disease which can happen any one and any stage
of life .according to his family history there mother was also suffered with chicken pox many
years ago.

Psychological Assessment

His psychological assessment of HFD shows that poor coordination, Intellectual

Inadequacy anxiety.

He scored 88 in self-esteem. His self-esteem assessment shows that approximately average.

Behavior observation:

Her facial expression is ups and down during interview due to rashes .The patient was
cooperative. But sometime patient behavior was rude.

Case formulation

The patient was suffering with small chicken pox. This disease may affect their behavior
and he shows aggression toward other and have a low self-esteem and may also affect their
socialization .the patient had bio psychological and medical problem.
Management and planning

Counseling:

His counseling is needed to be done .CBT can be used for his behavior modification.

Recommendation / Suggestions

Take medicine properly

Take a good diet

Take a complete bed rest

Limitations:

Avoid fast food or spicy food

Avoid the direct sunlight

APPENDEX
Bio Data:

Name Muhammad Moazam

Father Name Muhammad Javad

Occupation Private Employee

Age 29 year

Birth Order 2nd

Education B.A

Religion Islam

Socio-economic-status Middle
Source and Reason of Referral:

This patient was admit in dawood surgical hospital chishtian

Presenting complaints:

Pain in the back, belly, or side

Blood in the urine

Cloudy or smelly urine

Going a small amount at a time

Nausea and vomiting
Fever and chills

Initial observation

The physical appearance is weak. The color of his face pale due to the severe pain and
vomiting .the pulse rate is irregular. The patient is very depressing. According to the initial
reading fever is also monitoring.

History of present problem

The patient is suffering with renal stone last two weeks .when suddenly he feels blood
come with urine and output of urine is very small. According to family history there was no
person affected with renal stone.

Psychological Assessment

His psychological assessment of HFD shows that poor coordination, anxiety, aggressive
in ability to think straight.

He scored 79 in self-esteem. His self-esteem assessment shows that low self-esteem.

Behavior observation:

Her facial expression is ups and down during interview due to pain .The patient was non
cooperative. Patient behavior was rude and very depressive.

Case formulation

The patient was suffering with renal stone. This disease may affect their behavior and he
shows aggression toward other and have a low self-esteem and may also affect their socialization
.the patient had bio psychological and medical problem.
Management and planning

Counseling:

His counseling is needed to be done .CBT can be used for his behavior modification.

Recommendation / Suggestions

Take medicine properly

Take a good diet

Take a complete bed rest

Limitations:

Avoid rice and oily food

Avoid the energy drinks such as coke etc

APPENDEX
Bio Data:

Name Imtiaz Hussain

Father Name Muhammad Deen

Occupation Private Employee

Age 27year

Birth Order 2nd

Education B.A

Religion Islam

Socio-economic-status Middle
 Source and Reason of Referral:

This patient was admit in dawood surgical hospital chishtian

Presenting complaints:

 Severe and sudden pain in the upper right abdomen and possibly extending to the upper back.
 Fever and shivering.
 Severe nausea and vomiting.
 Jaundice (yellowing of the skin or eyes)
 Clay colored stools or dark urine.

Initial observation

The physical appearance is weak. The color of his face pale due to the severe pain and
vomiting .the pulse rate is irregular. The patient is very depressing. According to the initial
reading fever is also monitoring.

History of present problem

The patient is suffering with gall stone last one week .when he feels the color of urine is
yellow and severe pain in abdomen area According to family history there was no person
affected with gall stone.

Psychological Assessment

His psychological assessment of HFD shows that poor coordination, anxiety, aggressive
and physical impairment depression.

He scored 110 in self-esteem. His self-esteem assessment shows that good self-esteem.

Behavior observation:

Her facial expression is ups and down during interview due to pain .The patient was non
cooperative. Patient behavior was rude and very depressive.

Case formulation

The patient was suffering with gall stone. This disease may affect their behavior and he
shows aggression toward other and have a low self-esteem and may also affect their socialization
.the patient had psychological and medical problem.
Management and planning

Counseling:

His counseling is needed to be done .CBT can be used for his behavior modification.

Recommendation / Suggestions

Take medicine properly

Take a good diet

Take a complete bed rest

Take natural sweet things such as sugar cane juice

Limitations:

Avoid oily food

Avoid the energy drinks such as coke etc.

Avoid the fast food

APPENDEX
Bio Data:

Name Imran

Father Name Muhammad Saleem

Occupation shop

Age 35year

Birth Order 2nd

Education F.A

Religion Islam

Socio-economic-status Middle
 Source and Reason of Referral:

This patient was admit in dawood surgical hospital chishtian

Presenting complaints:

 Fever.
 Constipation.
 Severe abdominal pain and tenderness.
 Nausea and vomiting.
 A bulging lump in the abdomen.
 Redness or other discoloration.

Initial observation

The physical appearance is weak. The color of his face pale due to the severe pain and
vomiting .the pulse rate is irregular. The patient is very depressing. According to the initial
reading fever is also monitoring.

History of present problem

The patient is suffering with umbilical Hernia last one year .but now he had severe pain
and vomiting. Constipation also occurs. According t the patient history asked that two years ago
it was operated due to which this problem was made

Psychological Assessment

His psychological assessment of HFD shows that poor coordination, anxiety, aggressive
and neurologically impairment depression. And poor self-concept and anxiety.

He scored 84 in self-esteem. His self-esteem assessment shows that average self-esteem.

Behavior observation:

Her facial expression is very depressive .The patient was non cooperative. Patient
behavior was rude and very emmotional.

Case formulation
 The patient was suffering with umbilical hernia. This disease may affect their behavior
and he shows aggression toward other and have a low self-esteem and may also affect their
socialization .the patient had psychological and medical problem.

Management and planning

Counseling:

His counseling is needed to be done .CBT can be used for his behavior modification.

Recommendation / Suggestions

Take medicine properly

Take a good diet

Take a complete bed rest

Limitations:

Avoid hard work

Avoid the fast running and jumping

APPENDEX