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From Records – Medical H&P, Progress Notes. 1. None for Hypertension 2. None except blood sugar elevated on testing 3. None 4. R Hip pain when walking further than 1 block, back pain on awakening. Ignatavicious Med-Surg or whatever book you are using to research above diagnoses.
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From Records – Medical H&P, Progress Notes 1. None for Hypertension 2. None except blood sugar elevated on testing 3. None 4. R Hip pain when walking further than 1 block, back pain on awakening Ignatavicious Med-Surg or whatever book you are using to research above diagnoses Nsg Assmt and other parts of chart
Must be comprehensive, these DRIVE the care plan Any history related by patient Physical examination data plus labs Look in NANDA book for diagnosis that fits the situation
From Med-Surg or Fundamentals book OR written by nurse Be specific to diagnoses Be specific to Interventions
