nursing process worksheet

 

I provided an example 

B.D

Dob 

04/26/1933 

91 YEARS OLD

WEIGHT 115

BP 112/77

PULSE 89

TEMP 97.7

RR 18

HEIGHT 60 INCHES

Always start with B.D, the 91-year-old female, when talking about patient

ADMITTING Diagnosis

Urinary tract infection

Diabetes 

Hypertension

Chief complaint B.D, the 91-year-old female, is non verbal and unable to get info about the chief complaint and is not mentioned in chart, but Pt is having symptoms of uti,diabetes and hypertension 

B.D, the 91-year-old female with vascular dementia 

Patient has 

Urinary tract infection

Diabetes 

Hypertension

Allergic to milk and milk products 

experiencing atopic dermatitis in both her right and left knees.

be very detailed and talk like a nurse 

nursing process worksheet

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