1. Assignment: Patient and problem
Assignment: Patient and problemAssignment: Patient and problemIntroduction (patient
and problem)? Explain who the patient is (Age, gender, etc.)? Explain what the problem is
(What was he/she diagnosed with, or what happened?)? Introduce your main argument
(What should you as a nurse focus on or do?)Pathophysiology? Explain the disease (What
are the symptoms? What causes it?)History? Explain what health problems the patient has
(Has she/he been diagnosed with otherdiseases?)? Detail any and all previous treatments
(Has she/he had any prior surgeries or is he/she onmedication?)Nursing Physical
Assessment? List all the patient’s health stats in sentences with specific numbers/levels
(Bloodpressure, bowel sounds, ambulation, etc.)Related Treatments? Explain what
treatments the patient is receiving because of his/her diseaseNursing Diagnosis & Patient
Goal? Explain what your nursing diagnosis is (What is the main problem for this patient?
Whatneed to be addressed?)? Explain what your goal is for helping the patient recover
(What do you want to changefor the patient?)Nursing Interventions? Explain how you will
accomplish your nursing goals, and this with citations(Reference the
literature)Evaluation? Explain how effective the nursing intervention was (What happened
after your nursingintervention? Did the patient get better?)Recommendations? Explain
what the patient or nurse should do in the future to continuerecovery/improvementORDER
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