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... Do not repeat a diagnosis.
Medical Diagnosis: Closed Head Injury
1. ...
Kansas City Kansas Area Technical School
Practical Nursing I
NURSING PROCESS PAPER
Student Kim Swisher¬¬¬¬¬__ Dates on Unit 8 & 9 July 2004__
Name of staff member to whom you reported on/off:
Day 1 Denise, LPN / Denise, LPN
Day 2 ____________/___________
Initials and room number of patient with whom you worked RW 101A___
I. ... Planning
Write one short-term, measurable, desired patient outcome that coincides
with your nursing diagnosis. ...
Nursing Care Plan
1. Develop one nursing diagnosis from your assessment/data collection
These may be actual or high risk problems. Use Nanda nursing
diagnoses only. Do not repeat a diagnosis. ... List all signs and symptoms assessed for this nursing problem. ... Write 2 important, appropriate nursing interventions for your patient and
this diagnosis. ... Write 2 corresponding rationale to explain how the intervention will
assess and/or treat the nursing problem.
Nursing Dx Signs/Symptoms Nursing Intervention Rationale
Activity Intolerance 1. ...
Fundamental Skills and Concepts in Patient Care
Davis Drug Guide
Nurses Pocket Guide
Mosby’s Medical Dictionary
Medical Surgical Nursing.
Approximate Word count = 905
Approximate Pages = 3.6
(250 words per page double spaced)
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