instructions attached
Pertinent Medical diagnoses/Reason for hospitalization:
Student name: ______________________
Date: ______________________
Client initials:__________ Age: ________________
Male/Female/Nonbinary
High priority NANDA diagnosis
NANDA diagnosis
Psychosocial NANDA diagnosis
Short term (ST) goal:
Long term (LT) goal:
Short term(ST) goal:
Long term (LT) goal:
Short term (ST) goal:
Long term (LT) goal:
ST interventions
1.
2.
3.
LT interventions
1.
2.
3.
ST interventions
1.
2.
3.
LT interventions
1.
2.
3.
ST interventions
1.
2.
3.
LT interventions
1.
2.
3.
Evaluation
Evaluation
Evaluation
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