Professional Documents
Culture Documents
HYPERTENSION.
INTRODUCTION:
Name of head of family :
No. of family members :
Diagnosis of client :
Activities of family care study: Health education, Diet planning, Physical
examination, Family assessment, Home procedure.
HISTORY COLLECTION
FAMILY ASSESSMENT:
Name of client :
Age:
Sex:
Religion:
Address:
Education:
Occupation:
Income:
Infants ( 0 to 1 year):
Children’s (1 to 5 years ):
Schoolars (5 to 14 years ):
Type of family :
Sr. Name Age( Education Relation Occupation Health status
No Yr)/ with
Sex HOF
V. Psycho-Social History:
4. Recreational Facilities:
a. Mahila Mandal :
b. Youth Groups :
c. Religious Group:
7. School dropouts:
a. Type of Diet:
e. Food pattern:
i. Aware about the principles of cooking and cleaning of the food stuff:
a. Type of House:
b. Number of Rooms:
d. Ventilation:
e. Light:
g. Disposal of waste:
h. Sewage disposal:
j. Pets :
k. Fuel used :
General appearance :
Body built :
Posture :
Height :
Weight :
Hygiene/Grooming :
VITAL SIGNS :
Temperature :
Pulse :
Respiration :
Blood pressure :
Eye :
Ear :
Sensory Aids :
Touch :
Taste and Smell :
INTEGUMENTORY SYSTEM:
Torgour :
Elasticity :
Cardio-Vascular System:
Heart Sounds :
Respiratory System:
Breathing sounds :
Chest Expansion :
Gastro-intestinal system:
Condition of oral cavity :
Appetite :
Hydration :
Bowel Habits :
Any related complaint :
Reproductive System:
DISEASE CONDITION
APPLICATION OF NURSING THEORY IN NURSING PROCESS
FAMILY COMPLAINTS WITH NURSING DIAGNOSIS
SR. PROBLEMS/ NURSING DIAGNOSIS
COMPLAINTS
NURSING IMPLEMENTATION
ASSESSMENT GOAL PLANNING RATIONALE EVALUATION
DIAGNOSIS
HEALTH EDUCATION of further
A. Education
B. Diet
C. Hygiene
D. Exercise
•
EVALUATION
Future Plan:
BIBLIOGRAPHY