Vous êtes sur la page 1sur 4

Psychosocial Assessment 1. Lifestyle Information: A.M. is a 19 year old Filipino and a Roman Catholic.

He is single and lives with his parents and five siblings. He is the sixth child of eight siblings. His father collects and sells scrap metals and junks, while her mother is a housewife. He has finished first year high school and has not continued his education due to his health and financial constraints. He has experienced working as a scrap collector and a fish ball vendor earning approximately 150-200 pesos per day. He lives Brgy. Calaparan in a one-storey house made out of wood and concrete. Houses in their neighbourhood are approximately two meters apart. His relationships with neighbours are good although there are some who makes fun of him because of his condition. The primary means of transportation are pedicab and jeepney. He is a devoted Catholic. He goes to church every Saturday with his family. He spends his leisure time playing computer games and hanging out with friends. He currently doesnt have any vices. He has never been addicted to smoking or drinking alcoholic beverages. 2. Normal Coping Patterns: According to A.M., he confides most of the time with his mother. He tells her all his problems. Sometimes he also confides with his brother and sisters. His most common subject of stress is his financial problem. But he usually finds a way to solve the problem on his own capacity.

3. Understanding of Current Illness: A.M. verbalized Sa akon nga pag-intsindi, nagkurbada akon nga spine tapos ginipit niya akon mayor nga ugat. Amo na nga-a wala ako mabatyagan kag hindi ko mahulag akon nga tiil. Tapos ang sakit ko kuno hambal sang doktor ay Potts disease. TB na siya daw sa akon nga spine.

4. Personality Style: A.M. claims that he is diligent when it comes to doing something that needs to be done. He is just simple and doesnt complain of things that are asked from him by his parents. After the interaction, we have observed that A.M. is a cheerful person. He smiles often and makes funny statements. He has verbalized that he considers talking as a fun way to spend time. He accepted without hesitation our request to interview and to assess him provided we do not move him from his position.

5. History of Psychiatric Disorder: He has no history neither of being diagnosed with any Psychiatric disorder nor have ever taken Psychiatric medications.

6. Recent Life Changes or Stressors:

Being not able to take care of him alone is his recent stressor. He is having difficulties of doing things without needing the help of others. He doesnt like to stay being idle but he has no choice. He is having problems of not being able to move freely or even just to sit upright. 7. Major Issues Raised by Current Illness: His major concern for now is his financial problem. He worries of the amount of money needed for his hospitalization. He is also troubled because of the fact that he cannot help his family to earn money in his current condition. And that his brother even has to stop his education just to help in earning money. 8. Mental Status Examination: a. Appearance: Neat Clean Contact Dishevelled Poor Grooming Erect Posture Good Eye

Inappropriate Makeup Description: A.M. is wearing diaper only and is covered by a clean blanket. He has no evident foul odour. Hair is uncombed and short. Nails are trimmed and clean. b. Behaviour Calm Actions Appropriate Restless Agitated Compulsions Unusual

Description: He is relaxed in his position and moves his upper arms and head minimally. No Excessive unnecessary movements observed. c. Speech Appropriate Pressured Loose Association Loud Soft Mute

Description: He speaks in a well-modulated voice in an appropriate pacing of words. He does not show any difficulty in communicating.

d. Mood/Affect Appropriate Hopeless Description: He shows appropriate facial expression according to the emotion of his thoughts. e. Thoughts Appropriate Low Self Esteem Suicidal Ideations Hallucinations Labile Flat Depressed Worried Anxious Angry

Delusions His

Phobias

Description: His thoughts are relevant to the topic as evidenced by what he is saying. Thoughts are spontaneous as what is observed in the interaction. f. Ability to abstract Impaired Yes No Description: He was able to explain in his own words the proverb Aanhin pa ang damo kung patay na ang kabayo with a spontaneous and comprehensible explanation. g. Memory Impaired Recent Memory Yes No Impaired Past Memory Ye No Number of objects able to remember after 5 minutes: ___4/4 __ Description: He was able to remember the four words provided effortlessly. He was able to recall the meals he had for the entire day and events during his childhood which was then verified by his sister. h. Estimated Intelligence: Below Average i. Concentration: Able to Focus Easily Distracted Average Above Average

Able to subtract backwards by 7s from 100 correctly until number: ___93___ j. Orientation Person: Time: Place: Situation: k. Judgement: Realistic Decision Making Yes No

Description: He was given a situation and asked what his actions would be. The situation was finding a wallet with lots of money and an identification card in it. He answered that if he would be able to find the owner, he will return it. But in the case where he wouldnt be able to find the owner, he will give the wallet to his mother. l. Insight Good Fair Poor

Description: He was asked of his plans after being discharged in the hospital and he

answered, manghadi kag mapasalamat gid sa Gino-o nga ginpa-ayo niya ako. dayon mapahuway ako asta nga magbalik ako sa dati.

Vous aimerez peut-être aussi