International Patient Summary Flat 1 1 Brooklyn Road Claudelands Hamilton 3214 NZ Iosefa Test-Fuimaono Samoan Fairfield Medical Centre Newdoctor Dr James Test-Smith Dr James Test-Smith Flat 1 1 Brooklyn Road Claudelands Hamilton 3214 NZ Cindy Test-Fuimaono Flat 1 1 Brooklyn Road Claudelands Hamilton 3214 NZ Cindy Test-Fuimaono
Allergies
Allergen Reaction Type Date(s)
Flucloxacillin-containing product Penicillin adverse reaction Medicine 2019
Diazepam-containing product Diazepam adverse reaction Medicine 2018
Problem List
Problem Date of Onset Date of Resolution Status Age Onset Confidence Severity Sequelae Recorded By Recorded On Comments
Postconcussion Active
Diabetes type 2 on insulin Active
Gout Active
Benign essential hypertension Active
Anxiety disorder due to a general medical condition 2019 2020 Inactive
Fracture of neck of femur 2020 2020 Inactive
Medications Profile
Drug Qty/Freq Route Instructions Status Date(s) Supply/Admin
insulin glargine 100 international units/mL injection, 10 mL vial 20 unit / 1 x per day subcutaneous route Inject 20 units per day into your upper arms, abdomen or thights.You should vary the site where you inject each dose of Lantus. This helps reduce your risk of certain side effects, such as pits or lumps in your skin. continued Start: 12/02/2023 30 d : unit
dulaglutide 1.5 mg/0.5 mL injection, prefilled injection device subcutaneous route Inject once a week, on the same day each week, into the skin of your stomach, thigh or upper arm. You can use the same area of your body each time, but choose a different place within that area. You can inject it any time of the day, with or without meals. continued Start: 12/02/2023 10 w : Prefilled syringe
metformin hydrochloride 1000 mg tablet 1 Tablet - unit of product usage / 2 x per day Oral route Take ONE tablet, two times a day, with meals. continued Start: 12/02/2023 90 tbl : Tablet
amlodipine 5 mg tablet 1 Tablet - unit of product usage / 1 x per day Oral route Take ONE tablet at any time of day, but try to make sure it's around the same time every day. continued Start: 12/02/2023 30 tbl : Tablet
losartan potassium 50 mg tablet 1 Tablet - unit of product usage / 1 x per day Oral route Take ONE tablet daily continued Start: 12/02/2023 100 tbl : Tablet
aspirin 75 mg tablet: enteric-coated 1 Tablet - unit of product usage / 1 x per day Oral route Take ONE tablet daily continued Start: 12/02/2023 90 tbl : Tablet
allopurinol 300 mg tablet 1 Tablet - unit of product usage / 1 x per day Oral route Take ONE tablet daily, after meals continued Start: 12/02/2023 56 tbl : Tablet
Inject 20 units per day into your upper arms, abdomen or thights.You should vary the site where you inject each dose of Lantus. This helps reduce your risk of certain side effects, such as pits or lumps in your skin. continued Inject once a week, on the same day each week, into the skin of your stomach, thigh or upper arm. You can use the same area of your body each time, but choose a different place within that area. You can inject it any time of the day, with or without meals. continued Take ONE tablet, two times a day, with meals. continued Take ONE tablet at any time of day, but try to make sure it's around the same time every day. continued Take ONE tablet daily continued Take ONE tablet daily continued Take ONE tablet daily, after meals continued
Procedures
Date(s) Procedure Location Performer Comments
01/09/2020 to 01/09/2020 Operative procedure on hip Waikato Hospital
31/03/2018 to 31/03/2018 Hand closure Samoa
Operative procedure on hip Waikato Hospital Hand closure Samoa
Immunisations
Vaccine Date Seq Route Site Indication Status
Pfizer/BioNtech 01/02/2022 2 Injection, intramuscular Structure of left deltoid muscle At risk, no previous history Complete
Pfizer/BioNtech 05/08/2021 1 Injection, intramuscular Structure of left deltoid muscle At risk, no previous history Complete
Influenza 20/05/2019 1 Injection, intramuscular Structure of left deltoid muscle Over 65 years (Influenza) Complete
DTaP 24/04/2019 1 Injection, intramuscular Structure of left deltoid muscle Booster Complete
Tetanus booster (given as DT) 05/04/2018 1 Injection, intramuscular Structure of left deltoid muscle Booster Complete
PCV13 25/09/2015 1 Injection, intramuscular Structure of left deltoid muscle PCV catch up Complete
Influenza 01/05/2015 1 Injection, intramuscular Structure of left deltoid muscle Over 65 years (Influenza) Complete
Tetanus booster (given as DT)
Diagnostic Reports
Result Group: Lipids Result Date: 05 Mar 2023 00:00 Result Status: completed
Result Name Value Reference Range Abnormal Indicator Comments
Total cholesterol:HDL ratio 5.1 mmol/L <4 mmol/L (high risk) H
HDL Cholesterol 1.5 mmol/L >1 mmol/L N
LDL Cholesterol 3.4 mmol/L <1.8 mmol/L H
Result Group: HbA1C Result Date: 05 Mar 2023 00:00 Result Status: completed
Result Name Value Reference Range Abnormal Indicator Comments
HbA1c 60 mmol/mol 50 – 55 mmol/mol (diabetes) H
Lipids Total cholesterol:HDL ratio <4 mmol/L (high risk) HDL Cholesterol >1 mmol/L LDL Cholesterol <1.8 mmol/L HbA1C HbA1c 50 – 55 mmol/mol (diabetes)
Vitals
Result Group: Vital signs, weight, height, head circumference, oxygen saturation and BMI panel Result Date: 29 Sep 2023 00:00 Result Status: completed
Result Name Value
Body temperature 37.5 C
Heart rate 84 beats/minute
Respiratory rate 18 breaths/minute
Systolic blood pressure 136 mm[Hg]
Diastolic blood pressure 88 mm[Hg]
Body height 1.84 cm
Body weight 104 kg
Result Group: Vital signs, weight, height, head circumference, oxygen saturation and BMI panel Result Date: 05 Mar 2023 00:00 Result Status: completed
Result Name Value
Body temperature 37.2 C
Heart rate 86 beats/minute
Respiratory rate 14 breaths/minute
Systolic blood pressure 130 mm[Hg]
Diastolic blood pressure 82 mm[Hg]
Body weight 103 kg
Social History
Type Item Date(s) Comment
other Lives at home Lives at home with family including Cindy(primary caregiver), Maria and Toma(daughter and son -in -law) and their five children, including Tali who is non - verbal autistic. 9 people in a 3 - bedroom house.
smoking Ex-smoker 30/06/2005 30 - pack - year smoking history, quit smoking ~2005.
other Widowed in 2000 11/09/2000 Widowed in 2000
other Worked as a forestry worker. Worked as a forestry worker. Was always physically active until 2020 fall.Has had subsequent falls. Now depends on a walker or scooter.
Lives at home Lives at home with family including Cindy(primary caregiver), Maria and Toma(daughter and son -in -law) and their five children, including Tali who is non - verbal autistic. 9 people in a 3 - bedroom house. 30 - pack - year smoking history, quit smoking ~2005. 30 - pack - year smoking history, quit smoking ~2005. Widowed in 2000 Widowed in 2000 Worked as a forestry worker. Worked as a forestry worker. Was always physically active until 2020 fall.Has had subsequent falls. Now depends on a walker or scooter.
Functional Status
Functional Condition Effective Dates Condition Status
Often confused, struggles to communicate in English Active
Depends on a walking frame or electric scooter to get around. Active
Doesn’t leave the house much. Active
Relies on caregiver Cindy for assistance with many activities of daily living. Active
Family has made the decision to transfer Iosefa to residential care soon, arrangements currently being finalised. Active