VISION Republic of the Philippines MISSION

A premier university in historic Cavite State University shall provide

Cavite recognized for excellence
in the development of morally
upright and globally competitive
individuals.
CAVITE STATE UNIVERSITY excellent, equitable and relevant
Don Severino Delas Alas Campus educational opportunities in the arts,
science and technology through quality
Indang, Cavite instruction and relevant research and
development activities. It shall produce
professional, skilled and morally
upright individuals for global

College of Nursing competitiveness.

Case study

Presented by:

First year / BSN 1-8 / GROUP #:1

Members

Presented to:

Prof.Jane Rona , RN, MAN

Prof.Joinito Ofracio, RN, MAN
Prof.Jamaica Rose Cerrero, RN, MAN
Clinical Instructors, Level II or III

Date:

February 24, 2019

In Partial Fulfillment of the Requirement in NURS 02 for the Degree Bachelor of Science in Nursing
I. DEMOGRAPHIC DATA
A. Initials of Clients’ Name:JKCC Date of Admission:feb 14 2019
B. Address:SVH Molino 7, Bacoor, Cavite Time of Admission:12:30 pm

C. Age:19 yrs old

D. Birth Date:July 19, 1999 Date of Interview:feb 14 2019

E. Birth Place:Bacoor, Cavite Primary Informant:

F. Gender:Male Secondary Informant:
G. Civil Status:single Other Data Sources:
H. Religion:Catholic
I. Highest Educational Attainment:1st year collage
J. Occupation:N/A
K. Monthly Income / Budget :2000
II. REASON FOR SEEKING HEALTH CARE
Asthma

III. HISTORY OF PRESENT ILLNESS

(Critical characteristics: setting, timing, location, quality, quantity, associated factors: aggravating /
alleviating; client’s perception)
-Bacoor cavite
-Heavy breathing
-Associated with cold environment
IV. PAST MEDICAL HISTORY
A. Childhood / Adult Diseases:Asthma
B. Injuries / Accidents:Fracture on left arm
C. Hospitalization:.April 7, 2015
D. Operation:N/A
E. Allergies:cold air and dust
F. Medication:N/A
A. Immunization:N/A
G. Last Examination: April 7, 2018

VI. HEREDO-FAMILIAL HISTORY

A. Genogram
Paternal Side Maternal Side
CT DU DM MR

64 y/o 65 y/o 59 y/o 55 y/o

A&W CVA CA A&W

JT LB unknown LEGENDS: will depend on what is used.
25 y/o 36 y/o
A&W PIH COPD

NDT ET GB

5 y/o 3 y/o 8 y/o

A&W A&W A&W