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Name: Chief Complaint: Age: Physician: Room Number: Diagnosis

This document appears to be a nursing assessment form containing fields for a patient's name, age, room number, chief complaint, physician, diagnosis, date and time. It also lists sections for cues, nursing diagnosis, need, objective of care, nursing interventions and evaluation, suggesting it is used to assess a patient and plan nursing care.

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Al-nazer Azer Al
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© Attribution Non-Commercial (BY-NC)
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Download as DOCX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
66 views

Name: Chief Complaint: Age: Physician: Room Number: Diagnosis

This document appears to be a nursing assessment form containing fields for a patient's name, age, room number, chief complaint, physician, diagnosis, date and time. It also lists sections for cues, nursing diagnosis, need, objective of care, nursing interventions and evaluation, suggesting it is used to assess a patient and plan nursing care.

Uploaded by

Al-nazer Azer Al
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Name: Age: Room Number:

Chief Complaint: Physician: Diagnosis:

Date & Time

Cues

Nursing Diagnosis

Need

Objective of Care

Nursing Interventions

Evaluation

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