Health

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College of Allied Medicine Km 54 National Highway, Makiling, Calamba City, Laguna 4027 Tel. No. (049) 502-8946 loc 211 Telefax No. (049) 502-0974

In partial fulfillment of the requirements for

NCM 101 HEALTH ASSESSMENT Second Semester A.Y 2018-2019

COMPILATION OF COMPREHENSIVE ASSESSMENT

Under the guidance of: Mr. Edmar Elcarte, RN, LPT, CNN, FRIN Faculty, Nursing Department

Submitted by: Abila, Natasha C. BSN 1-1

This

26th April 2019 I.

Demographic Profile

Name Age Address Gender Religion Occupation Educational Attainment Chief Complaint II.

Patient’s Health History

A. History of Present Illness B. Past Medical History C. Genogram D. System Review: Gordon’s 11 Functional Health Patterns Assessment 1. HEALTH RECEPTION AND HEALTH MANAGEMENT PATTERN Identified issues/concerns/problems: 2. NUTRITIONAL AND METABOLIC PATTERN Identified issues/concerns/problems: 3. ELIMINATION PATTERN Identified issues/concerns/problems: 4. ACTIVITY-EXERCISE PATTERN Identified issues/concerns/problems: 5. SLEEP-REST PATTERN Identified issues/concerns/problems: 6. COGNITIVE-PERCEPTUAL PATTERN Identified issues/concerns/problems: 7. SELF-PERCEPTION AND SELF-CONCEPT PATTERN Identified issues/concerns/problems:

8. ROLE-RELATIONSHIP PATTERN Identified issues/concerns/problems: 9. SEXUALITY-REPRODUCTIVE PATTERN Identified issues/concerns/problems: 10. COPING - STRESS TOLERANCE PATTERN Identified issues/concerns/problems: 11. VALUE - BELIEF PATTERN Identified issues/concerns/problems: SUMMARY OF PROBLEM LISTS identified with the patient (Please follow the format in writing Nursing Diagnosis: PES format=Problem, Etiology, Signs and Sympytoms)