Healthy history family analysis

Health History Form

Relationship: Grandmother (Paternal)

Gender: Female

Age: 71 years

Date of Birth: 15th June 1947

Date of Death (if applicable): NA

Cause of Death (if applicable): NA

Medical History: Diabetes, Bone Tuberculosis, High cholesterol, has a hard time waking, Obesity

Psychiatric History (optional): Mild depression

Behavioral Factors: Unhealthy diet, no exercise

Psychosocial Risk Factors: Doesn’t really have any social support, tends to feel lonely most of the time. She is very short tempered. She doesn’t tend to let people be around her for a longer period of time. Doesn’t like social interactions.