FAMILY HISTORY• (+) HPN – mother• (+) stroke – mother• (+) heart disease, PUD – father• (+) alcohol dependence – father• (?) nervous breakdown – great grandmother

PERSONAL HISTORY• Non-smoker• Non-alcoholic beverage drinker• Denies use of any prohibited drugs

ANAMNESIS

PRENATAL AND PERINATAL HISTORY

• Born to 23 y/o G2P1 (1001); NSD at home– By traditional birth attendant– No prenatal or postnatal complications– Neuro-developmental milestones at par with age

EARLY-MIDDLE CHILDHOOD

Lived with parents and three siblings Family owns a small grocery store Left in the care of the father, an alcoholic Father had occasional fights with his wife Patient admits his father had his

“weaknesses” but was very affectionate and loving

Patient grew-up closer to her father and siblings

MIDDLE CHILDHOOD

• Primary education at Malubog-lubog Elementary School in Capiz

• Average student and had very few friends• 6th grade - father died which caused extreme

sadness and felt that a big part of her was lost with the passing

• Left in the care of the eldest sibling (Gina)– Gina confided of being overprotective of her younger

siblings

ADOLESCENCE

• Family Relationship– after father’s death, mother married a policeman– Siblings were against the marriage at first– Patient felt that the mother betrayed her father– According to the patient, she had a harmonious

relationship with stepfather and stepsiblings– Stepfather did not impose himself on the

stepchildren• was kind and approachable and was readily

approachable when they need him

ADOLESCENCE

• Social Relationships– Claimed to have a number of friends– stayed at home on weekends because mother would not

allow her to go out with friends• School History– Attended high school in FLAIMER Christian Institute in

Capiz– Wanted to take up AB Philosophy – forced by mother to take up BS Nursing– Graduated on time

ADOLESCENCE

• Academic Achievement– failed Nursing Board Exams (1990)– failure due to “poor preparation”

• Worked as an assistant nurse in a small clinic while waiting for the next board exams

• took the boards in Manila and passed with high marks (1992)

• Did not work at once because she was waiting for her petition from her maternal aunt to work in Germany

• After some time worked as a ticketing supervisor at Ever Gotesco Cinema– Resigned after 2 months, thinking she was not ready to

work yet• Learned that her petition was declined

YOUNG ADULTHOOD

• 1993 - nurse in Capiz and resigned after 6 months– Felt bad in an incident when a patient

deteriorated infront of her– According to sister: • Patient was pious and hardworking• Gave portion of salary to patients

YOUNG ADULTHOOD

YOUNG ADULTHOOD

• 1994- went back to Manila and stayed with sister

• Meaningful Long-term Relationship

• met Norman and married him after two years (1996)

- Stayed with husband’s family (Cavite)

• After a few months, husband flew to Abu Dhabi

• Patient got pregnant and went back to Capiz– Had difficult pregnancy

- 1997 – CSD with her 1st child (Paul Christian)

• 1998 – went to Abu Dhabi with husband and had no difficulty in adjusting– Worked as sales clerk in a pharmacy

• December 1999 – decided to return to Philippines due to 2nd pregnancy

• 2000 – gave birth to second child (Patricia Lois)• Stayed with her mother, who sometimes

helped out with her grandchildren• Longed for her husband

YOUNG ADULTHOOD

• 2001 – returned to UAE with her children because of argument with mother

• Was baptized to a ALL Nations FULL GOSPEL, a Born Again Christian group

• Planned to work as a nurse however got pregnant with her 3rd child

YOUNG ADULTHOOD

WORK EXPERIENCE

• First worked as an assistant nurse • Very little compensation while waiting for the next board

exams• resigned to take 2nd board exam• Worked as Ticketing supervisor and resigned after 2 mos • Petition by her maternal aunt was declined by the German

Embassy• 1998 - sales clerk in a pharmacy in Abu Dhabi• 1999 - resigned because of 2nd pregnancy– No difficulty adapting to new environment– No difficulty adjusting to new role as mother

8

Cesar

Gina

Paul Christian12

Patricia Lois

9

L35

Norman

1996

Minerva58

4

LEGENDHeart attack

Stroke

PUD

HPN

FAMILY PROFILE

• Cesar- father– Died of “heart attack” at 45– An elementary graduate– Came from a well off family in Capiz– Alcoholic since 20 y/o

• Drank gin (? amount) almost everyday usually alone or with friends

– Patient regards him as loving and kind father– Patient claims she got her talent from him

• He usually sang with her

• Bitin• Kulang yung copy natin• Dapat may mom etc pa