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CLINICO-SOCIAL CASE STUDY UNDER PHC AREA,PANGAPPARA. PERSONAL HISTORY. Name of patient : Rahma Beevi Age : 62 yr Sex : Female Religion : Muslim House No. : 535 Ward No. : 8 Panchayath : Sreekaryam. FAMILY HISTORY. Type of family : extended
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PERSONAL HISTORY • Name of patient : Rahma Beevi • Age : 62 yr • Sex : Female • Religion : Muslim • House No. : 535 • Ward No. : 8 • Panchayath : Sreekaryam
Type of family : extended • Total family income : Rs.9000 per month • Economic status : middle class
MEDICAL HISTORY • Rehma Beevi, hypertensive for 3 yrs • On Allopathic treatment with Amlodipine(5 mg) + Atenolol(50 mg) , 1 tablet per day • Taking treatment from private hospital • Routine investigations were done • Treatment costs around Rs.1320 per year • Regular treatment with periodic medical check-up and blood pressure well controlled • No other illness
MEDICAL EXAMINATION • GENERAL EXAMINATION Moderately build and nourished no pallor, icterus, cyanosis, clubbing,lymphadenopathy PR – 82/min RR – 16/min • SYSTEMIC EXAMINATION within normal limits
Total calories taken per day = 1858.03 kcal • Total protein taken per day = 73.76 g
EFFECTS OF ILLNESS • Attitude of patient towards illness and treatment • Attitude of family towards illness and treatment • Effects of illness on family and community • Inter relationships in the family • Adjustment in the home due to illness
GENERAL • No health problems in other members of family • Well aware of existing health facilities and utilise them • No rehabilitation measures
SANITARY ASSESSMENT OF HOUSE AND ENVIRONMENT • Owned , Pukka house • Easily accessible by road transport facilities • 2 bedrooms, 1hall, 1 sitting room, 1 kitchen and 1 bathroom, which is located outside • No overcrowding • Kitchen floor cemented; LPG used as fuel; enough smoke outlet • Water supply from wells, protected • Latrine is sanitary water sealed type • Good environmental sanitation • Inadequate waste disposal