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  • Teaching Plan (Adult)

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    Nikki Coleen Santin
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    The document provides a summary of an adult assessment conducted by a nursing student. It includes demographic data, medical history, physical examination findings, diagnostic tests, and a proposed nursing care plan for the patient. Key information includes the patient's reason for the home visit, past medical history of hypertension and diabetes, a family history notable for the same conditions, a physical exam noting normal findings and stable vital signs, diagnostic labs within normal limits, and a care plan focused on medication management and health education to address the patient's conditions.

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    The document provides a summary of an adult assessment conducted by a nursing student. It includes demographic data, medical history, physical examination findings, diagnostic tests, and a proposed nursing care plan for the patient. Key information includes the patient's reason for the home visit, past medical history of hypertension and diabetes, a family history notable for the same conditions, a physical exam noting normal findings and stable vital signs, diagnostic labs within normal limits, and a care plan focused on medication management and health education to address the patient's conditions.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    14 views2 pages

    Teaching Plan (Adult)

    Uploaded by

    Nikki Coleen Santin
    The document provides a summary of an adult assessment conducted by a nursing student. It includes demographic data, medical history, physical examination findings, diagnostic tests, and a proposed nursing care plan for the patient. Key information includes the patient's reason for the home visit, past medical history of hypertension and diabetes, a family history notable for the same conditions, a physical exam noting normal findings and stable vital signs, diagnostic labs within normal limits, and a care plan focused on medication management and health education to address the patient's conditions.

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    © All Rights Reserved
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    of 2

    MISSION

    VISION Cavite State University shall provide


    A premier university in historic Republic of the Philippines excellent, equitable and relevant
    Cavite recognized for educational opportunities in the arts,
    excellence in the development CAVITE STATE UNIVERSITY science and technology through
    of morally upright and globally Don Severino Delas Alas Campus quality instruction and relevant
    competitive individuals. research and development activities.
    Indang, Cavite
    It shall produce professional, skilled
    and morally upright individuals for
    global competitiveness.

    College of Nursing

    ADULT ASSESSMENT

    Presented by:
    Mendoza, Krizia Mae A.

    LEVEL II / BSN 2-1 / GROUP #: 4


    Members

    Presented to:

    Prof. Leticia M. Del Rosario , RN, MAN


    Clinical Instructor, Level II

    Date: November, 26 2019

    In Partial Fulfillment of the Requirement in NURS 08 for the Degree Bachelor of Science in
    Nursing

    TABLE OF CONTENTS

    I. Demographic Data……………………………………………………………...…………………1

    II. Reason for Home Visiting……………………………………………………………………..…1

    III. History of Present Condition…………………………..………………………………………..1

    IV. Past Medical History………………………………………………………………..…………...1

    V. Heredo-familial History ……………………………………………………..………….…….….2

    VI. Gordon’s Functional Health Patterns……………………………………………………….....2-9

    VII. Physical Examination ……………….………………………….…………...…………...…….9-20

    VIII. Diagnostic Test……………………………….…….…………………………………..…..….21-23

    IX. Review of Systems……………………………………….…………………………….….…....23-24

    X. Concept Maps…………………………………………………………………………………….25

    XI. Case Management……………..…………………………………………………………………..


    A. Medical…………………………………………...………………………………………..…

    1. Pharmacologic Intervention………………………………………………….…….……26

    2. Prioritization of nursing problems…………………………………………….……..…26-27

    3. Nursing Care Plan…………………………………………………………………….…28-30

    B. Teaching Plan……………………………………………………………………………31-36

    XII. Documentation…………………………………………………………………………...……37

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