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Revised Problem List

The patient has experienced multiple neonatal deaths and is experiencing emotional disturbances including post-traumatic stress, chronic low self-esteem, and thoughts of suicide. She verbalized feelings of guilt over the child deaths and family conflicts arising from them. Her medical history involves 5 pregnancies with 3 live births, 2 abortions, and multiple neonatal deaths. Her most recent ultrasound showed possible fetal hydrocephalus. She presents with crying, staring blankly, soft speech, and elevated white blood cell count.

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Cheska Mae Palic
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87 views5 pages

Revised Problem List

The patient has experienced multiple neonatal deaths and is experiencing emotional disturbances including post-traumatic stress, chronic low self-esteem, and thoughts of suicide. She verbalized feelings of guilt over the child deaths and family conflicts arising from them. Her medical history involves 5 pregnancies with 3 live births, 2 abortions, and multiple neonatal deaths. Her most recent ultrasound showed possible fetal hydrocephalus. She presents with crying, staring blankly, soft speech, and elevated white blood cell count.

Uploaded by

Cheska Mae Palic
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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IV.

PROBLEM LIST

Problem List
Cues Date Prioritize Problem Physiologic Behavioral
Identified Rank Focus Problem Actual Potential Actual Potential
Subjective: Emotional
The following October 1 disturbances Post trauma Risk for Chronic low Risk for
were verbalized 24, 2019 syndrome fatigue self esteem suicide
by the patient: related to related to related to related to
events depression ineffective guilt
“Kapila na ko involving coping with
nahulugan kag multiple child loss
patyan bata, neonatal
angayan pa ko child deaths
bala ayhan
mangin iloy?”
Family conflict Impaired Risk for Dysfunctional Risk for
“Subong nga 2 parenting impaired family stress
napatyan related to attachment process overload
naman ko bata death of related to related to related to
matyag ko akon neonate parent-child feelings of repeated
gid ya sala” separation abandonment stressors:
multiple child
“Antis ko death
magkanobyo,
ginpaminsar ko
na nga gusto ko
magkabata”

“Nakulbaan ko
magbusong
liwat dayun kay
basi mahulog 3 Knowledge
naman liwat” deficit Deficient Risk for Noncomplianc Risk for
knowledge ineffective e related to powerlessne
“Magbusong ko related to health insufficient ss related to
ginahalungan ko insufficient manageme knowledge insufficient
man pero ngaa information nt related to about knowledge to
ikalima ko na ni about health insufficient regimen manage a
nga busong condition knowledge situation
pero ngaa indi of
magdugay” therapeutic
regimen
“Wala ko kabalo
ngaa amo ni
ang gakatabo
sa akon”
“Nagsulod na na
gani sa ulo ko
nga mahikog
pero
ginapanumdom
ko man akon
bata”

“Subong lang ko
ka agi pa
ultrasound”

“Ginasakit ko
samg bana ko
sang una”

“Bata pa
Ang ko
gnbayaan na ko
ni mama, wala
na siya
nagapakita sa
amon”

“Ara sa iya nga


amay ang akon
isa ka bata.
Nasubuan ko
gani kay kaagi
na nga
ginhambalan
nila akon bata
nga patay na
kuno ako.”

Objective:
Stares blankly in
space
Crying on
interview
Stuttering, soft
voice
Vital Signs:
Temp- 36.6 C
RR- 19 cpm
BP- 110/70
mmHg
PR-92 bpm
WBC: 22.5 x
10^9/L
(normal:4.5 -11
x 10^9/L)
Gravida : 5
Para: 3
Abortion: 2
Living: 1
6 prenatal visits
1 visit to
traditional birth
attendant (hilot)
Ultrasound
result (Aug 23
2019):
Fetal
biparietal
diameter not
ideal
Consider
hydrocephal
us

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