Generic Medical ature Requiring Co-Signature [DateSni ADDRESSOGRAPH DESIRED OUTCOMES D=DAYS E=EVENINGS N= NIGHTS D]E|N] Problem? DE] N = Noods [Patientfamiy verbalzes understanding of Knonledge _ |diagnosis and plan of care, paricpates in Deficit related decision making. foplan of care Problem? Needs Pain Woe or verbalaoe pain Tolat afer Pain intervention. ‘Management {Pain managerient esablsned Tor lischarge, Te to petfoom AOL S wih Chocae one) Alterations In DL'S due to: Tae Disenarge lan IRamans uy tesa awe Patient Safety [environment INo evidence of sah breakdown ‘Skin integrity ———Pateramiy verbalaee satstecion Patient Family |with hospital stayleare Satistaction INS (continued on back) Patient Care D]E]N | Pationt Care DIE]N Categories Categories ore Discharge ‘Nutrition Plan oF det consumed Breakfast. % Lunch % Dinner % enw ase- Day tere es aaa aw 1260erm Maly back MR INTERVENTIONS (continued) Pationt Care ETN] Patient Care EW Categories Categories Viel signs qs [Assess palientTamly eatacton, Assessment Teaching & 80a ne & [Encourage verbalzation fears Treatments Psychosocial |concems. F Teternety Ce [Learning needs teaching pan Medication For baat: Bet oaiiabie Rbk Factors [other [Cab /dagnosts results evewsd, NO] noe if indicated, F Tests / Procedures als protocol maintained | Ratwiy ver Figgiene & Conon Protocol Peipheral lV Therapy Protoool [Pressure Ucar Provenion Pretecot F Respiratory Care proved (See Respiratoy Care Record) Trivarsity Medical Centar ineeates mecca orders eeceO