GROUP 1 GERIATICS
Members; Llorente, Daganato, Montero, Oca, Nazareno, Espadera, Surigao
Guide Questions
Biographical data
Name
Address
Age
Birthday/birthplace
Religion
Marital Status
Occupation
Level of education
Chief Complaints
have you notice any changes in your body?
does your sickness go off sometimes and then come back later on? These past few
days or few weeks?
Have this happened before?
when did this start? or how long have you been experiencing this?
Does your mood change a few times in a day?
Do you have any difficulty doing simple tasks? Like sweeping or washing the dishes
Do you have any difficulty seeing clearly? Or is your eyesight comfortable?
Do you feel any pain?
If so, what kind of pain?
How is your sleep quality?
Are you experiencing any issues with insomnia, restless nights, or excessive
sleepiness?
Are you facing challenges with your hearing, such as difficulty hearing
conversations, ringing in the ears, or earaches?
Present Health Status
Medication (maintenance)
Allergies
hours of sleep (time for bed/wake up)
Exercise (activities/daily routine)
Nutrition (diet)
Past Health History
Immunization status
Childhood illnesses
Adult illnesses
Admission (reason for hospitalization)
Surgical and diagnostic procedures (if undergone with)
Medication History
Use of alcohol and other drugs
Psychosocial
Have you seen any significant changes in your sleep, appetite, or overall mood that
you find important or worrying?
How stressed do you feel right now, and what's making you feel that way?
What activities or hobbies do you engage in to relax or unwind from daily pressures?
Are there any specific sources of emotional support you turn to during challenging
times?
How do you typically cope with stress, and are there specific strategies you find
effective?
Have you ever been treated for an emotional or psychiatric problem?
Have you been diagnosed with a mental illness?
Have you ever been a patient in a psychiatric hospital?
Have you ever taken prescribed medications for an emotional problem or mental
illness? Did you ever have ECT?
If so, did the medications or ECT help your symptoms/problem?
How frequently do your symptoms occur? (About every 6 months? Once a year?
Every 5 years? First episode?)
How long are you generally able to function well in between onset of symptoms?
(Weeks? Months? Years?)
What do you feel, if anything, may have contributed to your symptoms? (Nothing?
Stopped taking medications? Began using alcohol? Street drugs?)
How did you do in school?
How did you feel about school?
Have you ever been in trouble with the law?
How do you feel about your marriage? (If client is married.)
How would you describe your relationship with your children? (If client has children.)
What kinds of things do you do as a family?
Tell me about your friends, your social activities.
How would you describe your relationship with your friends?
What kinds of things give you comfort and peace of mind?
Will those things be helpful to you now?
Family History
Age/current health status of parents, siblings and grandparents
Genetic disease/condition present in the family (from 3rd generation)
- Cancer
- Hypertension
- Heart disease
- Diabetes
- Epilepsy
- Mental illness
- Tuberculosis
- Kidney disease
- Arthritis
- Asthma
- Alcoholism
- Obesity
Review of Systems
Can you please tell me about any specific symptoms or changes you've noticed in
your body?
Have you experienced any discomfort or issues in any particular areas of your body
recently?
Can you describe your overall feeling of health lately?
Have you experienced any changes in your energy levels or stamina?
Have you noticed any chest pain, pressure, or discomfort?
Do you ever feel short of breath, especially during physical activity?
Have you experienced any coughing, wheezing, or shortness of breath?
Do you have any history of respiratory infections or allergies?
Have you noticed any changes in your appetite, digestion, or bowel movements?
Have you experienced any abdominal pain, bloating, or discomfort?
Do you have any joint pain, stiffness, or swelling?
Have you experienced any muscle weakness or limitations in movement?
Have you noticed any changes in your sensation, coordination, or balance?
Do you experience any headaches, dizziness, or fainting spells?
Have you noticed any changes in your skin, such as rashes, lesions, or
discoloration?
Do you have any history of skin conditions or allergies?
Have you experienced any changes in urinary frequency, urgency, or discomfort?
Have you noticed any changes in your sexual function or reproductive health?
Have you experienced any changes in weight, appetite, or thirst?
Do you have any history of hormonal imbalances or thyroid disorders?
