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Legend:
Good (5
)
Fair (3
)
Poor (1
)
(1
)
CRITERIA
Physiologic response of
the body to the disease
JUSTIFICATION
process.
disease condition
Performance of daily
given.
The patient has no problem coping
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therapy.
Adequacy of rest periods
and sleep
Consumption of the
patient with the
medications on time.
medications and
therapeutic regimen
Patients watcher's
Patients perception to
teaching done.
The patient understand her illness
the illness
Patients social
well.
interaction
FORMULA:
(Total Number / total number of criteria (90)) * 50+50 = Total Percentage (%)
GOOD
FAIR
5 (5)
4 (3)
25
12
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POOR
Total Percentage
0 (1)
0
(37/45)*50+50 = 91.3%
PROGNOSIS: GOOD
78