USF College of Nursing ~ Nursing Process Worksheet 7 eeilemt jL70! student: Rolbecca Ntyes oate:_1\y 01 | Instructor; MeN g. SAO Team? EE 1a % a ov wer 5 History of Present iliness (HPI): Vew4, ved woe Se —fanint iS BUG Wsar oI Pole ogdahin often preacd HT Ea mt v Al 2 ah | Vani = y= mint w to Prion 42 ene apo. pen 1 aG.a2m fg bkenincs + pull —Odmissica potent wi RM CORE) Py Yet Og gS ie?’ Ry keel Wey istaien Of Ati en {Talbert 0 swe, | a + avent s i va Wed ko CUS Onter Connioactwre PA SAAR Joamen for mannasmert of inte LAT oi ny, Pt “has Wn nie ni teat OWA wor exrvoakd on 1fs0l. Curnenthky PFS Stanie O, Vinee Sbecrie Machete: REE 1G auth epileiehe waucicanern. Py will pe Pian, nl Ee ME, a ‘ Lay PES “ypornnaake r-po teal LORDVEVC ACA 1 chat Sus nad not been FOMing Lae For “lage > pasa se “Bast Medical History (PMH): TN a SUSY ROO ETOH wouse “Subjective Findings: PF Wad i Sei wihy Thi i Misaitn ta her, OFiee O1 fectag a ; Gaeluhee ip alate Pt oh jut Say" | want Ki US to” “ave, Ua dentned to ‘Objective Findings: © wm OVE TAO HR: AL 8P:{32/15 rr: | 02:AZ % viaroom Glucose: IS pay, Assessment: “ “euro: _Mlevt t9 cult dnl Time, inkuwwidantey 40 ge PERRCA, “Cardiac: S, Sa Wager Atgunaer vO axel rmytnm, fadrel and pedae Zt ,bl— : 2 Pulmonary: AA\_\o\ Q. Or akd Onleviols Chis a 00) Ont AW a 2 eee Fulgy Catheter, no _dastevhen naka, eNO punde tbat Road aeso- nol pe Suni Sl veo and aq Tines/Deviees: Pain: OF pene pahent vapor Biker = V yplind Doha AsAent 0 teat Tae nd no BDmU fh - 0 dL Abmnnizvehon Of Soh west Wegeiaty. 40 Wilaterat, per Exhumiht, 40 prunent ph Arowng V+ Whey tlKesults/Findings/interpretations: NO drone infithy are. Urueral Cortex ahophy Small versed \SOmrc While Maley dAgare Sap Pupwlomaracua finn lobr 2 NO UWI Wurth Wr o, iNMe. , Tp OF “TET tue satis lectont! eeepc. = t = daily eva Sno aasaldahan ;Yemlae ey “Common istveluen “Disease Specific ab Values: (19-20 roreme’) Hye Na Cr gw ~ pranyt “ih | ae ‘ wee Go OO pg, SOY | APG! 1S ns a at a ‘rae 8 “se Baa| ot Wea er As Cy “Fodays Problem List: tar EEG = eee ae a “Aursing DiagnosesiMOantoyrnenr? of Jk tAi anon noncompante alo of Sevres aAchwil - of State nro) vb tere poe es Qe al vs 0 wate Cane “é OO eens ooo e sae bane one Shon Term blemning: “Sag” Ye. aeens— ie wofemed Pontes elicuace. Pea A, O42 nts wp igre ee _shibt. ne mernic unto SDL wilt not nemeove 1th ot coral) | “hort Term interventions: 1V placecl + uw Teudicaten sw itened we spe oe oe eae “Communica wf dr tp T doaie. * of ve [ivAtan__ an schedig akproe? Sie _ “ “Short Term Evaluation: Ply DS ty i Ly Ole hy Wound 4 pO “Long Term/Discharge Planning: Educaton ahut med tp 4 Compliance Edvtanan 40 pi 1 Fam Qt | Seiten praca