1. Family Group November 2009

2. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans LOMOHAN 939 Dos Castillas St. Sampaloc, Manila #0908 5204944 Mini-Nutrirional Assessment: malnourished Unilaterally extended Family in later life 1.Breadwinner Mary Jane (daughter) 2.Decision maker Lourdes Lomohan (wife) 3. 1˚ Caregiver Lourdes Lomohan (wife) 4.MCSI Madalas- 3 Minsan- 3 Halos hindi- 4 Fernando Lomohan Male 64 y/o s/p CVA, R MCA (June 2008) HPN st.II controlled Amlodipine 5mg/tab 1 tab OD Aspirin 80mg/tab 1 tab OD pc Multivitamins 1 tab OD Medical: 1.Update immunization (pneumococcal, influenza, tetanus) 2.Daily BP monitoring 3.Maintain good personal hygiene Rehabilitative: 1.Passive ROM exercises c/o caretakers 2. Refer to Rehab Med for PT Wellness: 1.Encourage diet rich in protein, low salt, high fiber (green leafy vegetables, citrus fruits) 2.Strict compliance with medications 3.Ensure 2 glasses and encourage 8 glasses of water a day Psychosocial: 1.Seek and maintain personal interests (listening to the radio, reading the newspaper, watching TV) 2.Encourage involvement with friends

3. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans LOPEZ 957 Dos Catillas St. Sampaloc, Manila # 7313224 Mini-Nutrirional Assessment malnourished Unilaterally extended Family in later years 1.Breadwinner Eden Lopez (wife) 2.Decision maker Eden Lopez (wife) 3. 1˚ Caregiver Eden Lopez (wife) 4.MCSI Madalas- 1 Minsan- 10 Halos hindi- 1 Dominador Lopez Male 76 y/o Parkinson’s disease s/p tracheostomy s/p PEG insertion Biperidine 2mg OD Levodopa/Carbid opa 200/50mg/tab 1 tab OD Multivitamins 1 tab OD Acetylcytsteine prn Medical: 1.Continue strict compliance with medications 2.Regular follow up 3.Maintain position that provides optimum ventilation 4.Continue strict turning schedule to avoid bed sore formation 5.Perform passive ROM exercises 6. Suctioning of secretions from tracheostomy tube as needed 7.Asepsis and anti sepsis technique in handling and cleaning tracheostomy tube and PEG Wellness: 1.Continue vitamin supplementation 2. Ensure two glasses daily Psychosocial 1.Sharing of responsibilities in taking care of patient

4. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans SAN PEDRO 965 Adelina St. Sampaloc Manila Phone # 735-6775 Mini- Nutritional assessment:: not at risk for malnutrition GDS - normal MMSE- Extended Life Cycle Stage 1.Breadwinner Beatriz San Pedro 2.Decision maker Magdalena Amoranto (sister) Beatriz San Pedro Female 83 y/o Hypertension St. I, controlled Bronchial asthma, NIAE Osteoarthritis, both knees Hypothyroidism s/p total thyroidectomy (1988) s/p CVA (2004) Vitamin B Complex OD Nifedipine 20 mg OD Levothyroxine 100 mg OD Cilostazol 50 mg BID Calcium BID Simvastatin 40 mg ½ tab OD Medical 1. Continue present medications 2. BP monitoring 3. Follow-up with physician 4. Refer to Rehab 5. Vaccination (Pneumococcal, Tetanus, Influenza) Wellness 1. Advice balanced diet, with low fat, low salt, high fiber diet (green leafy vegetables and citrus fruits) 2. Encourage to drink 8-10 glasses of water daily 3. Educate patients on benefit of healthy living and seeking to improve one’s health 4. Multivitamins 1 tab OD

5. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans SAN PEDRO 965 Adelina St. Sampaloc Manila # 735-6775 Nutritional assessment: not at risk for malnutrition GDS- normal MMSE Extended1.Breadwinner self 2.Decision maker Self Magdalena San Pedro- Amoranto female 79 y/o St. II, controlled Cataract s/p EOL,OS Felodipine 5mg/tab, 1 tab BID Medical 1. Continue medications 2. BP monitoring 3. Vaccination (Tetanus, Influenza, Pneumococcal) Wellness 1. Advice balanced diet, with low fat, low salt, high fiber diet (green leafy vegetables, citrus fruits) 2. Encourage to drink 8-10 glasses of water daily 3. Educate patients on benefit of healthy living and seeking to improve one’s health

6. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans ROSALES Address 1070 Don Quijote St. Sampaloc, Manila Phone # Nutritional assessment: At risk of malnutrition Blended Life Cycle Stage Launching Family 1.Breadwinn er Teresita Rosales 2.Decision maker Genaro Rosales 3. Caregiver Lauro 4.MCSI Jerry Rosales Gender: Male Age: 53 y/o DM type 2 SAH Stage 1, controlled CKD sec to DM nephropathy s/p AKA, L secondary to Diabetic foot Amlodipine 5mg/tab OD Amlodipine 10mg/tab OD Acarbose 50mg/tab TID HN 18 ‘u’/SC pre-BF and 8 ‘u’/SC pre dinner Medical 1. Assure of compliance with medications 2. Assure of compliance with thrice a week hemodialysis 3. Regular follow-ups Wellness 1.Strict compliance to diet provided by physician/ dietician 2.Suggest improvement of home ventilation 3.Regular BP monitoring 4.Annual Lipid profile/Renal profile/Cardiac profile 5.Annual Ophthalmologic consult Psychosocial 1.Suggest involvement in social groups 2.Encourage more outdoor activities

7. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans Cudal 1016 Eloisa St. Sampaloc Manila #735-7539 Mini-Nutritional Assessment Score: at risk of malnutrition GDS: cannot be assessed MMSE: cannot be assessed Communal Family in Later life 1. Breadwinner: Dra. Efegenia Soliven- daughter who is living in the USA 2. Decision- maker: Dra. Efegenia Soliven- daughter who is living in the USA 3. 1˚ Caregiver: Cecilia Cabais 4.MCSI Madalas-2 Minsan-5 Halos hindi-4 Cudal, Dorothea Female 97 y/o Dementia Hearing Loss, AU s/p hip replacement (2004) Multivitamins, 1 tab OD Calcium Carbonate, 1 tab BID Medical 1. Continue Multivitamins and Calcium 2. Osteoporosis screening 3. Maintain low salt and low fat diet 4. Encourage passive ROM exercises Psychosocial 1. Patient has good personal relationship with caregivers. 2. She is able to talk to her daughter who lives in USA by telephone. She sees her daughter and family once a year. 3. We can encourage the family to make their visit more often and call her more often.

8. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans Miguel 1016 Eloisa St.Sampaloc Manila #735-7539 Mini-Nutritional Assessment Score: not at risk GDS: MMSE: Communal Family in Later years 1. Breadwinner : Lydia Miguel 2. Decision maker: Lydia Miguel 3. Caregiver: none *Patient owns the house and rents it to boarders. It is her source of income. Miguel, Lydia 60/F SAH Stage II, poorly controlled Atenolol (Therabloc) 50mg, 1 tab OD Multivitamins, 1 tab OD Folic Acid, 1 tab OD Medical 1. Continue current medications. *Patient is currently in Ilocos for renovation of their house. Caregiver said that they talk to her often on the phone and claims that she has good BP control. Psychosocial 1. Maintain good relationship with caregiver. 2. Encourage her to vent feelings regarding the unexpected financial burden of rebuilding her house which was destructed because of the typhoon Pepeng.

9. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans LANOT 1134 Prudencio St. Sampaloc Manila #0907 162 8213 Mini Nutritional Assessment Score: GDS & MMSE: cannot be assessed Unilaterally extended Family in Later years 1. Breadwinner : Susan Lanot (daughter) 2. Decision maker: Susan Lanot – daughter 3. 1˚Caregiver: Bella (informal caregiver) 4.MCSI Madalas-1 Minsan-1 Halos hindi-9 Lanot, Anicia Female 76 y/o Diabetes Mellitus type 2, uncontrolled SAH stage II, controlled ASHD, CAD, LVH, NIF, Class IIB s/p CVA (2003) s/p UGI endoscopy 11/3/08 s/p AKI secondary to Acute Blood loss, resolving Metoprolol 50mg/tab, 1 tab BID Amlodipine 5mg/tab, 1 tab OD Insulin 26 U am and 14 U pm Medical 1. Continue current medications 2. Daily BP monitoring 3. Glucose monitoring TID 4. Follow-up referral to ENT (hearing loss) and Ophthalmology (blurring of vision). *She is being seen by Endo- Med as well, for her DM. Her caregiver already consulted the dietary for nutrition counseling is following their advice. *Patient had episodes of epigastric pain and was given Domperidone which gave relief. 5. Encourage passive ROM exercises by caregiver Psychosocial 1. Maintain good interpersonal relationship with caregivers and relatives in the household

10. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans LABRADOR 930 Quezon Blvd St. Sampaloc Manila #0921- 7802097 Mini Nutritional Assessment Score: at risk GDS: MMSE: Unilaterally extended Family in Later life 1. Breadwinner: Virgilio Jacob (son-in-law) 2. Decision maker: Angelita Jacob (daughter) 3. Primary Caregiver: Angelita Jacob (daughter) 4.MCSI Madalas-1 Minsan-4 Halos hindi-6 Labrador, Luciana Female 76 y/o Alzheimer's disease Xerosis Multivitamins, 1 tab OD Medical 1.Continue MVP 2.Update immunizations: Pneumococcal, Influenza, Tetanus 3.Fall precaution 4.For Osteoporosis screening Psychosocial 1. Maintain good interpersonal relationship with her daughter and her family.

11. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans VICTORIA 948 Adelina St. Sampaloc, Manila # 735 1459 Mini Nutritional Assessment Score: at risk GDS: normal MMSE: Nuclear Family in Later life 1.Breadwinner: Supina Victoria (Daughter in law) 2. Decision maker: Supina Victoria 3. Primary Caregiver: none Victoria, Beatriz Female 85 y/o SAH stage II, poorly controlled Gouty Arthritis Amlodipine 5mg/tab, 1 tab OD Metoprolol 50mg/tab, 1 tab OD Petroleum Jelly, apply TID on affected areas *Patient’s medications are not being taken regularly because of financial constraints. Medical 1.Continue current medications 2.MVP, 1 tab OD 3.For Ophthalmology referral (blurring of vision not fully corrected by glasses) 4.Update immunization (Pneumococcal, tetanus, Influenza) Psychosocial 1.Smoking cessation 2.Improve relationship with her daughter –in-law and her siblings. 3.Proper budgeting

12. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans RALLOS 940 Quezon Blvd. Sampaloc Manila #704-5083 Mini Nutritional Assessment Score: GDS: 7 (suggests depression) MMSE: Nuclear Family with adolescents 1.Breadwinner: Romeo Rallos 2. Decision maker: Romeo Rallos 3. Primary Caregiver:Madel ine Rallos (wife) MCSI: Madalas- Minsan- Halos Hindi- Family gets monthly disability pension. Rallos, Romeo Male 51 y/o DM type 2, poorly controlled Diabetic foot, left; s/p AKA May 2008 in PGH Metformin 500mg/tab, 1 tab TID *Patient’s medications are being taken only BID because of financial constraints. There is no regular CBG monitoring. Medical 1.Continue current medications 2.MVP, 1 tab OD 3.For Ophthalmology referral – baseline evaluation of Dm complications 4.Update immunization (Pneumococcal, tetanus, Influenza) 5.Labs: BUN, crea, HBA1C Psychosocial 1.Patient is currently in constant communication with their parish priest. 2.Maintain good interpersonal relationship with his wife and children. 3.Further exploration of possible depression

13. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans GRAVANSOS 1041 Adelina St. Sampaloc Manila Phone # GDS: normal MMSE: cannot be fully assessed Extended Life Cycle Stage Launching Family 1.Breadwinner Zaldy, Polly, Myrna 2.Decision maker Zaldy 3. Caregiver Employed by patients daughter Myrna MCSI: Madalas :0 Minsan: 9 Halos hindi 1 Soledad Gravansos Female 79 y/o Parkinson’s disease Psychosocial problems Biperidine (Akineton) 2mg/tab BID Medical Continue present medications Vaccination (Influenza, Tetanus, Pneumococcal) Multivitamins 1 tab OD Refer to neurology Wellness Advice balanced diet, with low fat, low salt, high fiber diet Encourage to drink 8-10 glasses of water daily Increase oral fluid intake Encourage to ambulate (w/assistance) Educate patient on benefit of healthy living and seeking to improve one’s health Psychosocial caregiver-focused social support Encourage good and healthy relationship with family members and peers Encourage each family member to spend quality time with the patient

14. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans LAGANZUA 1209 A.J. Barlin St Sampaloc, Manila Phone # Nutritional assessment: GDS-normal Unilaterally extended Life Cycle Stage Family in later years 1.Breadwinner: patient 2.Decision maker: patient 3. Caregiver: None Flora Laganzua Female 81 y/o Osteoporosis Fracture R hip Senile Cataract OU Dextroscoliosis Underweight Psychosocial problems Patient currently has no caregiver Medicines: Multivitamins Mefenamic Acid 500 mg/tab Calcium gluconate 1 tab OD Medical Multivitamins 1 tab OD Calcium gluconate 1 tab OD Mefenamic Acid 500 mg/tab Refer to Orthopedics Refer to Rehab Refer to Ophthalmology Vaccination – Tetanus, Pneumococcal, Influenza For hypertensive work-up Wellness Advice balanced diet, with low fat, low salt, high fiber diet Encourage to drink 8-10 glasses of water daily Encourage to ambulate with assistance Educate patients on benefit of healthy living and seeking to improve one’s health Psychosocial Encourage good and healthy relationship with borders Encourage borders to spend quality time with the patient

15. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans CAABAY 1029 Adelina St. Sampaloc Manila Phone # 493-7918 GDS-normal Extended Life Cycle Stage: Launching Family 1.Breadwinner Marlon Dela Cruz 2.Decision maker Marlon Dela Cruz 3. No Caregiver Cristy Caabay Female 66 y/o Hypertension St. 2, uncontrolled t/c cataract Psychosocial problems Losartan 100mg/tab OD Amlodipine 5mg/tab OD Medical Continue with present medications BP monitoring CBC with platelet, Urinalysis, Lipid Profile, 12L-ECG, Chest X-ray, FBS Vaccination – Pneumococcal, Influenza, Tetanus Ophthalmology referral Wellness Advice balanced diet, with low fat, low salt, high fiber diet Encourage to drink 8-10 glasses of water daily Encourage to ambulate (w/assistance) Continue vitamins supplementation Educate patients on benefit of healthy living and seeking to improve one’s health Psychosocial Encourage good and healthy relationship with family members and peers Encourage each family member to spend quality time with the patient

16. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans RAGAZA 932 R. Papa St. Manila 733-1297 Mini Nutritional assessment Total assessment 16 GDS: normal Bilaterally Extended Family in later life Crispin Ragaza Male 80 y/o 1. Breadwinner Marilou (daughter) 2. Decision- makers Crispin and Marilou 3. No caregiver SAH stage 1, controlled Malnourished Amlodipine 10mgtab OD MVP 1 tab OD Medical Daily BP monitoring at health center Continue current medications Referral to dietary for counseling Wellness Ensure 2 glasses/day and low salt and low fat diet Immunizations: tetanus, influenza and pneumococcal Psychosocial Encourage family support and daily hygiene

17. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans RAGAZA 932 R. Papa St. Manila 733-1297 Mini Nutritional assessment Total assessment: 15 Bilaterally Extended Family in later life Flaviana Ragaza Female 81 y/o 1. Breadwinner Marilou (daughter) 2. Decision- makers Crispin and Marilou 3.Caregiver Crispin and Marilou MCSI: Madalas:4 Minsan: 4 Halos hindi: 3 Alzheimer’s disease, Cataract, OD Malnourished MVP 1 tab OD Medical Referral to Neurology Referral to Ophthalmology Referral to dietary for counseling Wellness Ensure 2 glasses/day Immunizations: tetanus, influenza and pneumococcal Psychosocial Encourage family support and daily hygiene

18. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans RICARDO 1829B Sisa St, Sampaloc, Manila #09272442408 Family Wellness Plan Mini Nutritional Assessment: Unilaterally extended Launching Family 1.Breadwinner Vivian (patient) 2.Decision maker Vivian (patient) Vivian Ricardo Female 55 y/o SAH St 2, uncontrolled ASHD, CAD, LVH t/c Musculoskeletal strain t/c Gastritis 2 to chronic ASA use Metoprolol 50mg BID ISMN 30mg OD ASA 80mg OD Simvastatin 20mg ODHS Losartan 50mg + Hydrochlorothiazi de 12.5mg OD Omeprazole 20mg OD Medical: 1.Daily BP monitoring 2.For 12L ECG, lipid profile, FBS 3.For ophthalmologic examination Wellness: 1.Recommend light snacks every 2 hours for waking hours 2. Recommend DASH diet 3.Strict compliance with medications 3. Reading daily * Patient and her relatives have been refusing visits due to scheduling conflicts. Suggest discharge

19. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans RICARDO 1722 Ibarra St, Sampaloc, Manila #09194236146 Family Wellness Plan Mini Nutritional Assessment Mini Mental State Exam Bilaterally extended Launching Family Breadwinner daughter 2.Decision maker Daughter Concepcion Ricardo Female 81 y/o SAH St 2, controlled t/c Senile cataract OD s/p cataract surgery OS Allergic Contact Dermatitis 2 to Rubber Sandals, both feet Amlodipine10mg + Valsartan 160mg OD ASA 80mg OD Petroleum jelly OD and prn Medical: 1.Daily BP monitoring and recording 2.For ophthalmologic examination (offered and refused) 3. Screening for peptic ulcer disease Wellness: 1.Recommend light snacks every 2 hours for waking hours 2. Recommend DASH diet 3.Strict compliance with medications 4. Increase ADL Psychosocial: 1.Encourage involvement with friends

20. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans ROFO 1726B Ibarra St, Sampaloc, Manila #7116657 Family Wellness Plan Mini Nutritional Assessment Mini Mental State Exam Bilaterally Extended Family in Later Life Breadwinner Son in law Decision maker Son in law Lydia Rofo Female 79 y/o SAH St 1, controlled Gouty arthritis ASIS fracture, left, s/p skeletal traction Amlodipine 5mg BID Verapamil 80mg OD Medical: Daily BP monitoring and recording For ophthalmologic examination Wellness: Recommend DASH diet and avoidance of organ meats, sardines, mussels At least 8 glasses of water a day Reading daily Increase activities of daily living Psychosocial: 2.Encourage involvement with friends

21. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans SANCHEZ 1855 Sulu St., Sampaloc, Manila Family Wellness Plan Mini Nutritional Assessment Geriatric Depression Scale Mini Mental State Exam Modified Caregiver Index Bilaterally Extended Launching Family Breadwinner Son Decision maker Son 1˚ Caregiver Son Filemon Sanchez Male 70 y/o Diabetes Mellitus type 2, controlled, s/p BKA, right (2008) SAH St. 1, controlled Tinea versicolor, upper back Venous Insufficiency, Left foot Tobacco addiction Amlodipine 5mg OD Metformin 500mg OD Medical: Daily BP and CBG monitoring and recording and daily foot examination Referral to DM center for glucometer calibration For yearly ophthalmologic and serum creatinine examination and HbA1c and FLP every 3-6 months Suggest shift to ACE inhibitor Ketoconazole 2% shampoo as a body wash For comprehensive Duplex ultrasound Smoking cessation counselling Referral to Rehabilitation Medicine Wellness: Recommend DASH diet For daily home exercises Strict compliance with medications Educate patients on benefit of healthy Reading daily Psychosocial: Encourage involvement with friends who don’t smoke

22. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans SOLIONGCO 1114 Carola st. Sampaloc, Manila Mini-Nutrirional Assessment Geriartric Depression Scale Mini Mental State Exam Modified Caregiver Strain Index Unilaterally extended Family in later life Aurora Soliongco Female 95 y/o HPN st.II controlled Bronchial Asthma, not in Acute Exacerbation Telmisartan HCl (Pritor Plus) 500mg/tab ODHS Medical: 1. Continue present medications 2. BP monitoring 3. Avoid airborne allergens, air pollutants and irritants, cold air, streinous exercise Wellness: 1.Recommend DASH diet 2.Strict compliance with medications 3.Ensure 2 glasses and encourage 8 glasses of water a day Psychosocial: 1.Encourage involvement with friends

23. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans DELA CRUZ 1035 Miguelin St. Sampaloc, Manila Mini-Nutrirional Assessment Geriartric Depression Scale Mini Mental State Exam Modified Caregiver Strain Index Unilaterally Extended Family in later years 1.Breadwinner Eugenia Dela Cruz (daughter-in- law) 2.Decision maker 3. 1˚ Caregiver Eugenia Dela Cruz (daughter-in- law) Librada Dela Cruz Female 769y/o HPN st.II controlled ASHD, CAD NIF, Chronic Stable Angina Class IIB Osteoarthritis Metoprolol 100mg/tab 1 tab ODHS Trimetazidine 35mg/tab 1 tab BID Imidapril 5mg/tab 1 tab OD ISDN 5mg/tab 1 tab prn for chest pain Clopidogrel 75mg/tab 1 tab ODHS Digoxin (Lenoxin) 250mg/tab 1tab OD Celicoxib 200mg/tab 1 tab prn for pain Omeprazole 20mg/tab 1tab OD Medical: 1.Continue strict compliance with medications 2. BP monitoring 3. Follow-up with physicians Wellness: 1. Recommend DASH diet 2. Encourage to drink 8-10 glasses of water daily 3. Educate patients on benefit of healthy living and seeking to improve one’s health Psychosocial 1.Sharing of responsibilities in taking care of patient 2.Encourage good and healthy relationship with family members and peers

24. Family name Address and Telephone number Type of Family Life cycle stage Role and Functions Index PatientDiagnosis Latest Lab Results and Medications Plans QUEROL 1089 Don Quijote St. Sampaloc Manila Tel# 731-1328 Mini-Nutritional Assessment Geriartric Depression Scale Mini Mental State Exam Modified Caregiver Strain Index Family in later years 1.Breadwinner 2.Decision maker 3. 1˚ Caregiver Remedios Querol Female 85 y/o HPN st.II, uncontrolled DM type II, controlled Gouty Arthritis Malnourished Amlodipine 10 mg/tab 1 tab OD Allopurinol 300mg/tab 1 tab OD Amiodarone 200mg/tab 1 tab OD Clopidogrel 75mg/tab 1 tab OD Medical 1. Continue present medications 2. BP monitoring 3. Continue CBG monitoring 4. Follow-up with physician Wellness Recommend DASH diet Ensure two glasses daily Encourage to drink 8-10 glasses of water daily Educate patients on benefit of healthy living and seeking to improve one’s health