On
Chronic Obstructive Pulmonary Disease
In Partial Fulfillment of the Requirements for the degree
Master of Arts in Nursing
Major in Medical-Surgical Nursing
Submitted To:
Prof. Regie B. Tumala
Submitted By:
Aiceledne M. Else
BIOGRAPHIC DATA
Name: DR
Age: 3 years & 8 months
Gender: Male
Date of birth: May 2, 2005
Existing Diagnosis: Acute Glomerulonephritis, Post infection
Past Medical History:
Mother claimed that it’s DR’s 3rd hospitalization: first, was last 2008 for a diagnosis of Dengue; second was last February 16, 2009 for a kidney infection and presently for his condition of Acute Glomerulonephritis.
Immunizations:
* Hepatitis B – 3x (complete) * DPT – 3x (complete) * BCG – complete * OPV – complete * Measles- complete
Habits and Lifestyles:
Personal Habits: Takes a bath daily, brushes his teeth once a day after breakfast, and likes to bite his nails.
Diet: Eats three times a day with dried fish and rice as the main course. He also likes to eat pork if available as claimed by mother. He loves to eat junk foods and softdrinks often.
Sleep/rest patterns: Sleeps 8-10 hours a day.
Recreation/hobbies: Plays with his friends and cousins, often watches TV
Psychosocial History:
Patient lives with her grandmother and mother as a single parent. He regularly plays with her cousins who live in the same place. He stays indoors most of the time being cared for by mother or grandmother.
History of Present Illness:
Patient was admitted last February 16, 2009 due to a kidney infection and discharged on February 21, 2009 with home medications of Cotrimoxazole and Phenoxymethyl and Multivitamins. Mother claimed she forgot how often the medicines were given. 1 day PTA had low grade fever with edema on face. Mother noticed the edema but took the child’s condition for granted thinking that it was just an allergic reaction to some foods he might have eaten. He was made to
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