• Identify the information that will be gathered from the patient. • Explain how the information gathered is connected to human development and how it will be useful to the medical
1. What is your age? Were you born premature or with any health conditions?
Hispanic 58-year-old man, not born premature and no known health conditions
2. What was your birth weight? What are your current height and weight?
8llb at birth, Current Height: "5'8" Weight: 200
3. What is your ethnic background?
Catholic, Salvadorian
4. Which city and which neighborhood did you grow up in?
Morazán El Salvador, in a suburban
5. How many schools have you attended and why?
I attended one school, which was elementary because their culture was to send kids to school up to fourth grade and work on the farm. Education was not a big part of their life.
6. Who lived in the home with you where you were raised?
Mother and Father, ten siblings, including the PT
7. What is your parent's education level?
No education
8. How would you classify your relationship with your parents?
Great/Healthy
9. What was the income range of the person/people who raised you?
$0-$20,000/year
10. Have you ever been abused (sexually, physically, or emotionally)?/
Pt has not been abused sexually, physically, or emotionally
11. What challenges have you had to overcome in your life? How do you think these challenges have impacted you?
The biggest challenge he had to overcome was coming to the United States and making a living at just 14 years old. The challenges have impacted the patient in a positive outcome since he has three beautiful children and a wife, a house over his head, and a great stable job. He also stated he matured at a young age and helped him get through life by himself.
12. What physical disabilities do you have?
No physical disabilities
13. What mental health conditions have you been diagnosed with or feel you may have?
Pt doesn't present with any health conditions or feels like he has any
14. What grades did you earn in stages K-12?
The furthest grade patient attended was second, and from what he could remember, he earned A's and B's
15. Which extracurricular activities did you participate in?
I did not participate in any extracurricular due to work after school
16. What is your highest level of education?
Second grade
17. List each job you have had and how long you worked there.
- Field Step Farm: Groomer- 11 years
- Thunder Brooke Farm: Farm Manager- 10
- Hot Corner Farm: Farm Manager- 13
- Herring Brook Farm Manager- current (5 months)
18. What religion were you raised in? What is your faith now?
Catholic and currently still a strong Catholic
19. Which of the following illnesses or diseases run in your family:
- High Cholesterol
- Cancer
20. How often do you socialize with friends each month?
Every Week
21. Describe your diet and exercise throughout your life:
Birth to age 18
- Neutral (some fruits, vegetables, protein, dairy, and carbohydrates, but some junk food and fast food)
22. How would you describe your personality? (i.e., optimistic/pessimistic, angry/happy, easy-going/high-strung, etc.)
Bright, Loving, Caring, Social, Easygoing, calm, humble, selfless, helping, and happy
23. Were you exposed to asbestos, lead paint, second-hand smoke, or poor water quality?
No exposure to anything harmful
24. Did you go to annual medical, dental, and vision appointments growing up? When were your last charges for these?
No, he was not growing up just. Just when he came to the United States and could afford to go to medical and dental. The last medical appointment was three weeks ago, the dental was two days ago, and the vision was a year ago.
25. Have you experienced or witnessed domestic violence?
No domestic violence experienced or witnessed
26. How many and which languages were spoken in your home growing up?
Only one language, which was Spanish
27. Did your parents read to you as a child? What was your access to books and toys?
No parents did not read a book to him. Access to books was minimal and to toys was moderate.
28. Did your parents drink alcohol or use drugs while you were growing up?
Both parents did not drink and use alcohol.
29. Did your mother drink or use drugs while pregnant with you?
The patient's mother did not drink or use drugs while using alcohol
30. Were you ever neglected or abandoned?
The patient was never Neglected or abandoned.
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