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IDENTIFYING SUBJECTIVE AND OBJECTIVE CUES FROM THE CASE STUDY

IDENTIFYING SUBJECTIVE AND OBJECTIVE CUES FROM THE CASE STUDY

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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  1. IDENTIFYING SUBJECTIVE AND OBJECTIVE CUES FROM THE CASE STUDY


    SUBJECTIVE DATA

    OBJECTIVE DATA

     

    		  




REVIEW OF SYSTEMS Psychological The client views herself as a simple person, gifted with a peaceful life. Even though she lives all alone by herself, she thinks that it is good enough for her. Sometimes she feels lonely when listening to love songs since she never had a chance to meet the man if her life. She also prefers to be alone for some time and does not want to socialize when she is sad since most of her neighbor have their own family. Elimination The client urinates 5-6 times a day scanty in amount, yellowish color with no accompanying discomfort. She defecates 2 times a week, brown in color, scanty in amount and is hard. According to her, this is the usual characteristic of her bowel. She perspires a lot. Rest and Activity She used to watch television and listens to the radio whenever she gets tired. Her usual activities of daily living Include cleaning her house, doing the chores and gardening. She expresses concern like learning simple exercises that she can do inside the house but she does not know where or who to seek information. Safe Environment Ms. Sy feels secure in her place since the Barangay Hall is just adjacent to her house. According to her, she seldom hears troubles in their place since the Baranggay Tanods are very active. She lives in a house made of concrete material. There are no allergies to food, drugs and to the environment. Oxygenation She does not have any signs of respiratory distress and never had symptoms of difficulty in breathing.
Transcribed Image Text:REVIEW OF SYSTEMS Psychological The client views herself as a simple person, gifted with a peaceful life. Even though she lives all alone by herself, she thinks that it is good enough for her. Sometimes she feels lonely when listening to love songs since she never had a chance to meet the man if her life. She also prefers to be alone for some time and does not want to socialize when she is sad since most of her neighbor have their own family. Elimination The client urinates 5-6 times a day scanty in amount, yellowish color with no accompanying discomfort. She defecates 2 times a week, brown in color, scanty in amount and is hard. According to her, this is the usual characteristic of her bowel. She perspires a lot. Rest and Activity She used to watch television and listens to the radio whenever she gets tired. Her usual activities of daily living Include cleaning her house, doing the chores and gardening. She expresses concern like learning simple exercises that she can do inside the house but she does not know where or who to seek information. Safe Environment Ms. Sy feels secure in her place since the Barangay Hall is just adjacent to her house. According to her, she seldom hears troubles in their place since the Baranggay Tanods are very active. She lives in a house made of concrete material. There are no allergies to food, drugs and to the environment. Oxygenation She does not have any signs of respiratory distress and never had symptoms of difficulty in breathing.
CASE 5 - COMMUNITY CASE STUDY A. NURSING HEALTH HISTORY Personal Data: Ms. Sy is a 65 years old, female, and residing at Quiapo, Manila. She is single, a Flipino citizen and a Roman Catholic believer. Her usual source of health care is at the Barangay Health Center. Chief Complaint: "My joints are painful and it seems so hard to move especially when I get stuck in one position and I don't know why." History of Present Illness: The client cannot remember the exact date when the symptoms started. But according to her it started gradually since she turned 60 years old. The symptoms seem to worsen especially when it's cold at night. Past Medical History Ms. Sy had a complete immunization when she was a child. Common illnesses include fever, flu, then cough and colds, which are usually relieved at home. She never experienced any injuries. No records of hospitalization and she does not take any form of medication. Family History No heredo-familial diseases such as asthma, diabetes, hypertension etc. Social History She lives alone in her house and believes in the effects of herbal medications. She does not have any superstitious belief that can affect her health status. Ms. Sy finished her primary education in Cebu and used to work as a sewer, up to present. According to her, she never had any conflicts with her neighbor. She also receives monthly pension from SSS and Philamlife.
Transcribed Image Text:CASE 5 - COMMUNITY CASE STUDY A. NURSING HEALTH HISTORY Personal Data: Ms. Sy is a 65 years old, female, and residing at Quiapo, Manila. She is single, a Flipino citizen and a Roman Catholic believer. Her usual source of health care is at the Barangay Health Center. Chief Complaint: "My joints are painful and it seems so hard to move especially when I get stuck in one position and I don't know why." History of Present Illness: The client cannot remember the exact date when the symptoms started. But according to her it started gradually since she turned 60 years old. The symptoms seem to worsen especially when it's cold at night. Past Medical History Ms. Sy had a complete immunization when she was a child. Common illnesses include fever, flu, then cough and colds, which are usually relieved at home. She never experienced any injuries. No records of hospitalization and she does not take any form of medication. Family History No heredo-familial diseases such as asthma, diabetes, hypertension etc. Social History She lives alone in her house and believes in the effects of herbal medications. She does not have any superstitious belief that can affect her health status. Ms. Sy finished her primary education in Cebu and used to work as a sewer, up to present. According to her, she never had any conflicts with her neighbor. She also receives monthly pension from SSS and Philamlife.
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