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The patient was born via normal spontaneous vaginal delivery. The
patient is on its first time hospitalization. According to the client’s
mother she doesn’t still experience any chickenpox, mumps, &
German measles. Ms. Fei has completed the immunization vaccines
according to what the mother recalled—BCG, DPT, OPV, Hepa-B,
Measles, were noted. She did not have any minor and major
operations. When it comes to childhood eating habits, Ms. Fei
prefers to drink milk than to eat. She has no known allergies.
.
Social History
The patient is always inside the house because her parents
are afraid for their child to acquire some disease. She was always
visited by her grandmother and play with her cousin. The members
of the family are open to share when there is a problem within the
family or personal problems. They are very close to each other.
Lifestyle
The patient loves to watch television and play inside their
house. She prefers to drink her milk than eating solid foods.
Psychological data
The patient is always crying when her mother is not near with
her. When she can’t get what she wants she cry and stamp her
feet. She shows a little scared when we try to talk to her and take
her vital sign’s but as the assessment took longer she feels alright.
Review of the Systems
Urinary System
“wala naman siyang masakit na sinasabi pag umihi”as verbalized by
the mother
Digestive system
“Tapos ayaw pa kumain....Parang singaw tapos mapula.” As verbalized by the mother
Musculoskeletal system
“wala naman siyang ginagawang iba kundi manuod ng t.v at
maglaro sa loob ng bahay.” as verbalized by the mother
Integumentary System
“Wala naman..kahit anong allergies wala.…” as verbalized by the
mother
Respiratory system
“Hindi naman siya hirap huminga..normal lang” as verbalized by the
mother