A Wellness Program

A WELLNESS PROGRAM

Reynaldo O. Joson, M.D.

Copyright, 1993

 

A GENERAL DESCRIPTION OF THE WELLNESS PROGRAM

 

The WELLNESS PROGRAM of Dr. Reynaldo O. Joson is designed for individual human beings who want to promote and maintain a physical and mental well being in life.

 

The program utilizes personalized, practical, and cost effective approaches and methods in promoting and maintaining wellness in an individual.

 

The program is personalized in the sense that it is tailored to the individual human being’s idiosyncrasies as influenced by his genetic make-up, his past and present personal health history, his family history, his lifestyle and practices, and his beliefs toward health.

 

The program is personalized also in the sense that a well-rounded physician takes care of the well being of the individual from start to finish.

 

The program is practical in the sense that it utilizes simple, achievable, and at the same time effective and efficient methods, in promoting and maintaining the well being of an individual.

 

The program is cost-effective in the sense that it utilizes relatively inexpensive yet effective methods in achieving its aim.

 

For any inquiries, please write or call:

Ms. Ma. Lilibeth Ramos Tumambing

DSMT (Medical Arts Building) – Room 301

Manila Doctors Hospital

United Nations Avenue, Ermita, Manila

Tel. No. 5580888 Loc. 4100; 522-47-13

Email: rojosonmedclinic@gmail.com

 

 

A WELLNESS PROGRAM

Reynaldo O. Joson, M.D.

Copyright, 1993

 

STEPS IN THE WELLNESS PROGRAM

 

The program starts with an applicant manifesting intention to have a WELLNESS

PROGRAM.

 

A physician first inquires extensively into the personal and family health history of

the applicant with the aim of picking up information that may lead to the diagnosis of the

applicant’s health status. Likewise, for the same objective, the physician inquires on the

personal lifestyle, practices, and health beliefs of the applicant.

 

The physician then do a thorough physical examination of the applicant.

 

At the end of the physical examination, the physician makes a decision on the applicant’s health status, which may be one of the following:

 

  • With no apparent health problem.
  • With a potential health problem either because of the presence of unusual findings or risk factors.
  • With a definite health problem.

 

Based on the above clinical assessment, the physician then makes recommendation, which may include the following:

 

  • Paraclinical examinations for screening and/or for more definitive diagnosis.
  • Referral to other physicians for evaluation and/or for treatment.
  • Treatment by the physician
  • Health tips

 

At the end of the physician-applicant interaction, the applicant will receive a formal report which contains the following:

 

  • Assessment of present health status.
  • The recommendated WELLNESS PROGRAM.
  • Preventive/promotive program.
  • Curative program for those with a disease.
  • Rehabilitative program.
  • Recommended readings/learning in health promotion.
  • Recommended follow-up/check-up

 

A WELLNESS PROGRAM

Copyright, 1993, by Dr. Reynaldo O. Joson, M.D.

DESIGNED FOR:

 

Name (Last First Middle)

Age

Sex

 

Date

 

Occupation

Company

Address

Cellphone No.

 

Instructions to applicant: Please answer each item as accurately and as comprehensively as you can. Use the back page if needed.

 

Your responses will form part of your WELLNESS PROGRAM. Place NA if “not applicable.”

 

Instructions to physician: Please go over each item with the applicant providing

explanation of the items and jotting down the details of the answers as necessary.

 

  1. PERSONAL HEALTH HISTORY (Past and Present)

 

No Yes Details for YES answer

 

Have you ever been

  1. Hospitalized? ( ) ( )
  2. Operated on? ( ) ( )

 

Have you ever had

  1. Serious health problems? ( ) ( )
  2. Serious accidents? ( ) ( )

 

Have you ever had problems (what you deem as significant) referable to the

  1. Head? () ( )
  2. Neck? ( ) ( )

3, Chest? ( ) ( )

  1. Abdomen? ( ) ( )
  2. Back? ( ) ( )
  3. Upper extremity? ( ) ( )

7 Lower extremity? ( ) ( )

8 Other parts of the body? ( ) ( )

 

Have you ever consulted or been treated by a physician?  If YES, which specify. ( ) ( )

 

Have you ever had (which you think are significant)

  1. Frequent severe headache? ( ) ( )
  2. Mental lapses? ( ) ( )
  3. Loss of consciousness? ( ) ( )
  4. Convulsion? ( ) ( )
  5. Paralysis? ( ) ( )
  6. Frequent severe numbness? ( ) ( )
  7. Insomnia problem? ( ) ( )
  8. Excessive sleeping problem? ( ) ()
  9. Frequent severe depression? ( ) ( )
  10. Thoughts of suicide? . ( ) ( )
  11. Frequent disturbing cough? ( ) ( )
  12. Coughing out of blood? ( ) ( )
  13. Severe difficulty in breathing? ( ) ( )

14.Asthma? ( ) ( )

  1. Tuberculosis in the lung? ( ) ( )
  2. Frequent severe chest pain? ( ) ( )
  3. High blood pressure? ( ) ( )
  4. Heart disease? ( ) ( )
  5. Problems in swallowing? ( ) ( )
  6. Problems in defecating or constipation? ( ) ( )
  7. Vomiting of blood? ( ) ( )
  8. Blood in the stools? ( ) ( )
  9. Frequent severe diarrhea? ( ) ( )
  10. Frequent severe abdominal pain or discomfort? ( ) ( )
  11. Yellowing of the eye? ( ) ( )
  12. Excessive unexplain weight loss? ( ) ( )
  13. Obesity problem? ( ) ( )
  14. Frequent excessive urination?
  15. Frequent scanty urination?
  16. Painful urination?
  17. Blood in urine?
  18. Pus in urine?
  19. Kidney problem?
  20. Thyroid or goiter problem?
  21. Breast problem?
  22. Menstrual problem?
  23. Problems during pregnancy?
  24. Infertility problems?
  25. Sexual problems?
  26. Diabetes?
  27. Growth problems?
  28. Frequent severe pain in extremities?
  29. Frequent severe pain on the back?
  30. Disability problems ill the extremities?
  31. Paleness problem?
  32. Excessive bleeding problem?
  33. Hematoma problem?
  34. Eye problem?
  35. Ear problem?
  36. Skin problems?

51.Allergy (food, drugs, etc.)?

  1. Lump, tumor, mass, cancer?
  2. Congenital defects (hernia, others)?
  3. Stones (kidney, gallbladder)?
  4. Infectious diseases

Hepatitis?

Typhoid fever?

Amebiasis?

Sexually transmitted diseases?

AIDS?

Malaria?

Mumps?

German measles?

Chickenpox?

Measles?

Others?

 

Have you taken druqs (pills, injections)

  1. Prescribed by physicians?
  2. Prescribed by non-physicians?

 

Have you had vaccinations?

  1. Against hepatitis?
  2. Against tuberculosis? BCG?
  3. Against tetanus?
  4. Others?

 

 

  1. FAMILY HEALTH HISTORY

 

Have your parents and siblings had

  1. Congenital defects?
  2. Diabetes?
  3. Cancer?
  4. Infectious diseases?
  5. Others?

 

 

 

III. PERSONAL LIFE STYLE AND PRACTICES (past and present)

 

Smoking

Alcohol

Drug or substance abuse

 

Food Preferences

Fresh ones

Preserved ones

Raw

Fried

Steamed

Barbecued

Spicy salty

 

Regular Exercise and Sports?

 

Weight conscious?

Figure conscious?

 

Workaholic?

Time for relaxation?

 

Enjoy looking for health tips

From media, friends, or physician? () ()

 

Any health beliefs you want to share?

 

Any health beliefs you want to clarify?

 

Others?

 

 

Instructions: From hereon, every item should be and will be filled up by a physician.

  1. PHYSICAL EXAMINATION

Height

Weight

Blood pressure

Body temp

Pulse rate

Pulse rhythm

Respiratory rate

 

Body size:

( ) Normal

( ) Fat-obese

( ) Thin-cachectic

( ) Others _

 

Strength and disability:

( ) Strong ambulatory without disability

( ) Strong ambulatory with disability

( ) Weak ambulatory

( ) Non-ambulatory

( ) Others _

 

Mental status:

( ) Conscious

( ) Coherent

( ) Oriented

( ) Incoherent

( ) Disoriented

 

( ) Unconscious

( ) Others

 

FINDINGS

 

Usual Unusual Details of Findings

Head

Scalp

Face

Eyes

Sclerae

Conjunctivae

Vision

 

Far Near

OS  OS

Uncorrected 20/ 20/ J J

Corrected 20/ 20/ J J

 

Ears

Oral cavity

Teeth

Others

 

Neck

Thyroid gland

Lymph nodes

Others

 

 

Chest wall

 

Breast

 

Lungs

Breath sounds

Others

 

Heart

Heart sounds

Rhythm

Others

 

Abdomen

 

Extremity

 

Back

 

 

Anorectum

Genitalia

Pelvic organs

 

Crar.ial nerves ( )

Peripheral motor nerves ()

Peripheral sensory nerves ( )

Others

 

 

  1. PHYSICIAN’S CLINICAL ASSESSMENT

(   ) With no apparent health problem

 

(   ) With a potential health problem

(   ) With unusual findings

(   ) With risk factors

 

(   ) With a definite health problem

(   ) Others

 

 

Physician’s Signature

Over Printed Name/ Date

 

 

  1. PHYSICIAN’S RECOMMENDATIONS

 

  1. Paraclinical examinations

(  ) For screening

(   ) For more definitive diagnosis

 

(   ) 2. Referral to other physicians

(   ) For evaluation

(   ) For treatment

 

(   ) 3. Treatment by primary physician

 

(   ) 4. No treatment needed

(   ) 5. Health tips (see WELLNESS PROGRAM)

(   ) 6. Others

 

 

Physician’s Signature

Over Printed Name/ Date

 

 

VII DETAILS AND OUTCOME OF PHYSICIAN’S RECOMMENDATIONS

 

RECOMMENDATIONS

Ref.

No.

 

Details

 

Summary of Results and Outcomes

 

 

VIII. THE WELLNESS PROGRAM

 

ASSESSMENT OF PRESENT HEALTH STATUS:

(  ) With no apparent health problem

 

(  ) With a potential health problem

(  ) With unusual findings

(  ) With risk factors

 

(  ) With a definite health problem

(  ) Others

 

RECOMMENDED WELLNESS PROGRAM

Details

(  ) Preventive/promotive program

(  ) Hygienic practice

(  ) Infection prevention

(  ) Dietary practice

(  ) Exercises/sports

(  ) Environment

(  ) Substance

(  ) Others

(  ) Curative program

(   ) Rehabilitative program

 

RECOMMENDED READINGS/LEARNINGS FOR HEALTH PROMOTION:

 

 

(   ) Cancer Warning Signals

(   ) Breast Cancer

(   ) Breast Self-Examination

(   ) Maternal and Child Health

(   ) Infection Prevention Program

(   ) Health Promotion Program

(   ) How to Stop Smoking

 

RECOMMENDED FOLLOW-UP/CHECK-UP:

 

With:

Date:

Time:

Place:

Others

 

Physician’s Signature

Over Printed Name/ Date

 

 

 

After evaluation of the:

( ) personal and family health history;

( ) personal lifestyle and practices;

( ) physical examination findings;

( ) paraclinical examination findings;

( ) other physicians’ examination finding; and,

( ) others

the present health status of M _  is assessed to be

( ) with no apparent health problem

( ) with a potential health problem

( ) with unusual findings

( ) with risk factors

( ) with a definite health problem

( ) others

 

The following is a recommended WELLNESS PROGRAM for M _

( ) Preventive and Promotive Program

( ) Curative Program

( ) Rehabilitative Program

 

The following readings and learnings are recommended for health promotion:

 

Recommended follow-up and check-up:

 

Reynaldo O. Joson, M.D.

Date

 

ROJ@16feb24

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