Valoracion Adulto

INSTRUMENTO 1 VALORACIN DEL ADULTO A TRAVS DE PATRONES FUNCIONALES DE SALUD DE LA DRA. MARJORY GORDON INFORMACIN GENERAL Nombre (Iniciales)___________ Edad_________ Sexo_____ Estado Civil_____________ Escolaridad_____________________Procedencia ________________________________ Ocupacin____________________ Nombre del Cuidador/es________________________ Parentesco______________________Afiliacin a seguridad social___________________ Diagnstico Mdico Actual __________________________________________________ Fecha de Ingreso______________________ Servicio______________________________ Antecedentes personales y familiares ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Situacin actual_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Tratamiento Farmacolgico_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Resumen de la Historia Clnica Mdica_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Presentacin personal_____________________________________________________________________________________________________________________________________________________________________________________________________ PATRN PERCEPCIN DE SALUD-MANEJO DE LA SALUD Cmo ha sido su salud en general ____________________________________________ __________________________________________________________________________________________________________________________________________________Qu realiza usted para mantener su salud___________________________________________________________________________________________________________________________________________________________________________________________________________________________Fuma especifique__________________________________________________________ Consume bebidas alcohlicas_________________________________________________ Drogas_______________________ Remedioscaseros_____________________________ Ha sufrido accidentes especifique _____________________________________________ Que medidas toma para prevenir accidentes _____________________________________ __________________________________________________________________________________________________________________________________________________Qu cree que desencadeno suenfermedad______________________________________ Qu medidas tomo cuando sinti los sntomas__________________________________ _________________________________________________________________________Conoce su diagnstico_____________________________________________________ _________________________________________________________________________Qu entiende acerca de este_________________________________________________...