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Submitted by cableGUY_163 on July 12, 2007
Category: Miscellaneous
Words: 2325 | Pages: 10
Views: 217
Popularity Rank: 54,177
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PSYCHIATRIC NURSING HISTORY
I- GENERAL DATA
A. Personal Data
Name: Mr. A.E.G. Age: 25 Sex: Male
Civil Status: Single Religion: Roman Catholic
Address: 140 Molave St., Kayquit, Indang, Cavite.
Birthplace: V. Luna Hospital, Quezon City
Birthdate: October 5, 1981 Occupation: None
B. Source of Information
(x) patient (x) medical record
( ) relative, specify________________ ( )referral letter
( ) friend/s ( ) others
C. Chief Complaints
"gala ng gala"
"may bumubulong"
"salita ng salita", as verbalized by the mother
D. Condition on Admission
Date of admission: July 5, 2005
July 12, 2005
July 18, 2005
September 26, 2005
October 20, 2006
November 6, 2006
Accompanied by: Lorna Erni Gablan (mother)
Admitted for: Mental and behavior disorder due to alcohol
General Condition Upon Admission:
the patient assumes slouched posture, wide-eyed, cleans right ear with fingers, cooperative, without violent behaviors noted, without other signs of anxiety, constricted affect not congruent with mood, clear normal spontaneous and continuous speech, without delusions compulsions and obsession, intact memory.
II- SOCIAL FUNCTIONING
1. Family Constellation
2. Living Arrangements
The patient lives with her mother in a rented house in Cavite.
3. Occupation and Educational Status
High School Graduate
Claims to have taken units in both B.S. HRM and B.S. Agriculture but due to financial difficulties, he wasn't able to pursue his studies.
Former collector for a lending company
Former...
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