Essay About Personal Status And History Of Present Illness

Sebedede
Sebedede
BIOGRAPHIC DATA
NAME: Maria Rosalie D. Minoza
GENDER: Female
ADDRESS: Brgy.Lawa Purok 3 Calamba Laguna
TELEPHONE: 09217844803
BIRTHDATE: October 02,1983
BIRTHPLACE: Fort Bonifacio Makati Hospital
RELIGION: Catholic
MARITAL STATUS: Married
OCCUPATION: Student
CONTACT PERSON: Ricky Louie Cortez,husband
REASON FOR SEEKING CARE
” Ive been feeling tired lately”.
HISTORY OF PRESENT ILLNESS/PRESENT HEALTH STATUS
Says shes been feeling tired.She states that she has busier at school.Thinks fatigue
may be related to a busy schedule rather than a physical problem.Last had a complete physical including a Pap Smear.
PAST HEALTH HISTORY
Allergies:No allergy to drugs or food.
Immunization:BCG,doses of DPT,OPV,Hepa B,and measles.Flu shot every year
Last Examination:Physical annually,Pap smear 2yrs ago
Obstetric History:No complication during pregnancy and delivery.
FAMILY HISTORY
Patient age 27,alive and well;Spouse age 33,alive and well;Son age 2,alive and well;
Mother age 56,alive and well;Father deceased age 54,high blood.
PERSONAL AND PSYCHOSOCIAL HISTORY
Personal Status:Client states that she feels good about herself most of the time.
Her cultural affiliation is self-described as middle-class.She still studying at age 27.
Hobbies