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中山大学现代远程教育护理学专业(Zhongshan University, modern distance education, nursing profession)
中山大学现代远程教育护理学专业(Zhongshan University, modern distance education, nursing profession)
Zhongshan University, modern distance education, nursing profession
Clinical nursing practice
protect
reason
illness
calendar
Learning Center: Shenzhen Medical Continuing Education Center
Grade:
Major:
Student number:
Full name:
The home - nursing records: single evaluation
Inpatient care assessment record
Name ward, bed number, hospitalization number
Sex: Male / female - age national religion: yes no occupation.
Education: Primary School - middle school - illiterate - College - marriage: unmarried married divorced / widowed / - origin: home address: _ hospital way: walk - hold - - - send wheelchair lathe
Admission time: ________ years ___ month ___ on data collection time: ________ ___ ___ day month year
Hospital medical diagnosis: Presenter: ___________
The main reason for admission and after onset: _______________________________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________
Past history: ___________________________________
Allergies: Yes / no, allergens: symptoms: not clear.
Family history: _______ ________ personal hobby: ____________ reproductive history: _____________
Understanding of disease: understanding - understanding - Part - dont know without being told.
Emotional state: Balance - - - - excited nervous anxiety - Depression - fear of other ________
Family status: Care - do not care about / over care - family relations: Harmony - General - not harmonious.
Language ability: normal pronunciation - - vague language difficulties - others ___________ aphasia
Willingness to communicate: active / passive - other ______________
Nutritional status: good - - - bad - General surplus food: Ge
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