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Patient Outcome and Care Plan

This medical document records information about a patient's consultation. It includes sections for the patient's personal details and medical history, a description of their current symptoms and condition, potential nursing interventions that could help with the patient's issues, and an evaluation of the treatment. The document aims to comprehensively document the patient's present health state and care.

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MelDred Cajes Bolando
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49 views2 pages

Patient Outcome and Care Plan

This medical document records information about a patient's consultation. It includes sections for the patient's personal details and medical history, a description of their current symptoms and condition, potential nursing interventions that could help with the patient's issues, and an evaluation of the treatment. The document aims to comprehensively document the patient's present health state and care.

Uploaded by

MelDred Cajes Bolando
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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OUTCOME PRESENT STATE TEST

Name of Patient: Religion:


Age: Ward/Clinic:
Sex: Date of Consultation:
Address: Attending Physician:
Civil Status: Client complaint:
Nationality: Diagnosis:
CLIENT IN CONTEXT PRESENT STATE NURSING INTERVENTION RATIONALE EVALUATION
Patient History: Subjective Cues: Independent:

History of Present Illness:

Objective Cues:
History of Health:

Dependent:

Socio-economic:

Key Issues:
Organ involved:

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