Women's Health Clinic

In order to protect the client's privacy, she will be named as Mrs. Z and all other names will be represented by a respective letter to maintain confidentiality. This encounter happened at the Jewish General Hospital's Women's Health Clinic. Mrs. Z is a 34 year old female from a Filipino ethnic background. She works as a housekeeper. Mrs. Z is pregnant with her 2nd child and her estimated date of confinement is November 21st 2015. The fetus is active at home. She currently has gestational diabetes (GD) which is being treated for by diet control and insulin, both Humulin R and Humulin N. Otherwise, no thyroid or blood pressure health issues have been reported. Her past medical history includes a history of hepatitis B positive in 2012. She does not smoke nor drink alcohol. Her first pregnancy did not include GD, the delivery was a spontaneous vaginal delivery with a moderate amount of blood loss. Her current situation is that she is married to Mr. X. They live together but having , within the past few days, been victim of spousal violence, police was involved and a restraining order has been placed against her husband.
Genogram and Ecomap (see appendix page 7)
Strengths
One of her strengths is her internal locus of control. She believes that she can
I have not had a chance to meet the patient again after the first encounter. However, in the next appointment, I will take a look at the CGBM monitoring sheet that was provided to her. It will allow me to see with the patient if the interventions have worked and to see if she is able to maintain her GD under control. The sheet also indicates whether she took her insulin dose regularly or not. Given that she was truthful in her results and omissions the previous visit, it is fair to believe that the results indicated on paper could be