SECTION A TALLY

Sex:
Male- 27
Female- 43
Civil Status:
Single- 5
Married- 46
Widowed- 19
Age:
60-6566-7071-7576-8081-8586-90-

27
21
9
9
3
1

FULMER:
S
P
I
C
E
S
Mini Cog:
0-2: 6
3-5: 66

Educational Attainment:
Elementary- 17
High School- 9
College-7

HPLP:
Health Resp
High: 51
Low: 19

Income:
0-1000 -7
1000-4999 - 12
5000-9999 - 11
10,000-14,999 -7
15,000-20,000 4
20,000 and above 1

Physical Act:
High: 19
Low: 51

General Health:
Poor- 3
Fair- 22
Good- 36
Very Good- 9
Excellent- 0

Spiritual:
High: 67
Low: 3

Sleep Quality:
Very Bad-1
Fairly Bad- 10
Fairly Good- 45
Very Good- 14
Present Medical Condition:
None- 12
Rheumatism- 18
Hypertension- 34
DM- 15
Heart Disease- 1
Osteoporosis-2
Others:
Psych- 1
Asthma- 3
Scabies- 1
BPH- 1
Kidney Stones- 2
Cataract-1
Arthritis-1

Immunization:
Pneumococcal- 47
Influenza- 31

Y
16
5
5
6
16
12

Nutrition:
High: 64
Low: 6

Interpersonal
High: 67
Low: 3
Stress Mgt:
High: 61
Low: 9
Total:
High: 70
Katz:
5-6: 68
3-4: 2
2 or less: 0
Lawton:
7-8: 48
4-6: 17
3 or less: 5
Mini Nutritional
12-14: 47
8-11: 23
0-7: None
Hearing
0-8: 54
10-24: 16
26-40: None

N
54
65
61
64
54
58

Geriatric Depression Scale:

>15: None
>10: None
>5: 11
1-4: 59

SEXUALITY
Question 1

Question 2

Fall Risk:
0: 30
1-4: 38
>5: 2

May sex life 1

Wala sex life 69
No concern 70

Question 3

No interventions - 70