CENTRO UNIVERSITÁRIO DO PLANALTO DE ARAXÁ

PSICOLOGIA
PROF. BARBARA ABRAHÃO

ALCIDESIO HELIO DE SANTANA FILHO

ANDREZA MAIRA SILVA
EMILLY CRISTINA SILVA
MARIA CLARA SILVA ALVES
VIVIAN CAROLLINE DE OLIVEIRA GOMES

ANAMNESE – UTI CORONARIANA

ARAXÁ – MG
2022
 ALCIDESIO HELIO DE SANTANA FILHO
ANDREZA MAIRA SILVA
EMILLY CRISTINA SILVA
MARIA CLARA SILVA ALVES
VIVIAN CAROLLINE DE OLIVEIRA GOMES

ANAMNESE – UTI CORONARIANA

Trabalho Discente Efetivo apresentado ao

Centro Universitário do Planalto de Araxá do
componente curricular de Psicologia
Hospitalar, do curso de Psicologia.

Orientador: Barbara Abrahão

ARAXÁ - MG

2022
 ANAMNESE UTI CORONARIANA

Data do atendimento: ___/____/_____

1 – IDENTIFICAÇÃO:

Nome: ______________________________________________________________

Idade: ______________________________________________________________

Sexo: ______________________ Nacionalidade: ______________

Estado Civil: ____________________ Data de nascimento: ____/____/_____

Grau de instrução: _____________________________________________________

Profissão: ___________________________________________________________

Endereço: ___________________________________________________________

Cidade - Estado: _____________________________________________________

Telefones para contato: _____________________/__________________________

2 – ATENDIMENTO:

Data de entrada:___/___/___ Data de transferência:___/___/___

Data de saída: ___/___/___

Paciente se encontra: ( ) Orientado ( ) Sedado ( ) Inconsciente

Queixa:
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Intensidade:
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Sintomas:
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3 – HISTÓRICO DA DOENÇA ATUAL:

Início da patologia:
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Frequência:
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Tratamentos anteriores:
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Medicamentos:
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4 - HISTÓRICO PESSOAL:

Gestação:
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Infância:
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Rotina:
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Vícios:
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Outras comorbidades:
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Trabalho:
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5 - HISTÓRICO FAMILIAR:

Pais:
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Irmãos:
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Filhos:
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4 – EXAME PSÍQUICO:

Já fez acompanhamento psicológicoantes:

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Emocional:
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Comportamento:
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Observações:

Atenção:
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Vigilância:
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Tenacidade:
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Memória
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Inteligência:
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Negação do eu:
Hipocondríaco
negação e transformação corporal
Auto acusação
Culpa
Ruína
Niilismo
Tendência ao suicídio
Outros:________________________________________________

5 – HIPÓTESE DIAGNÓSTICA:
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6 – EVOLUÇÃO DA DOENÇA (todos os medicamentos, tratamentos, observações):

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7 – EVOLUÇÃO DIARIA:
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