DATA BASE

PATIENTS PROFILE

PATIENTS PROFILE

MEDICAL DATA
Fiscal Year: 2014
File and Record no.:117924
Admitting Physician: Dr. Victor Mateo
Hospital: Rizal Provincial Hospital
Ward: Medical ward
Bed no: 20
Date of admission: September 12, 2014
Time of admission: 11:45 am

Diagnosis: Mastitis Breast feeding

Chief complaint: Left Breast pain

GORDONS FUNCTINAL
HEALTH PATTERN

1. Health Perception and

management

2. Nutritional/Metabolic

3. Elimination

4. Activity and Exercise

5. Cognitive/ Perceptual

6. Sleep and Rest

7. Self Perception/Self Concept

8. Roles and Relationship

9.Sexual Reproductive
menarche at 14 years old
GTPAL score 1001
via NSD delivery

10. coping/Stress Tolerance

11.Value/Belief

HISTORY PAST
ILLNESS

HISTORY PRESENT
ILLNESS

GENOGRAM
Mother
Grand
mother

Grandfather

Brother

Father

Brother
Mother

Grandfather

Grand
mother

Brother

Sister
Sister

Sister
Brother

GENOGRAM
Mother

Sister

Father

Sister

Brother

Miss I
Brother

LEGEND:
Brother

Female

Dis
ease