The Assessment

Cebu Normal University College of Nursing NURSING HISTORY AND PHYSICAL ASSESSMENT I. BIOGRAPHICAL DATA patients Name: ________________________________________Age: ___________ accompaniment: ______________ Address: ______________________________________________Date of Birth: ____________________________ Contact Number: _______________________________________Birthplace: ______________________________ Insurance: _____________________________________________ pedigree: _____________________________ Usual Source of Healthcare: _______________________________Civil Status: _____________________________ piety: ______________________________________________Race/Nationality: ________________________ Source of Referral: ______________________________________Date of Interview: ________________________ Source and reliability of Information: ________________________________________________________________ Diagnosis: ______________________________________________________________________________________ II. HEALTH ASSESSMENT INTERVIEW A. Current Medications: _________________________________________________________________________ B. gone Medical-Surgical, Traumatic histories 1. Medical: _________________________________________________________________________________ 2.

Surgical: _________________________________________________________________________________ 3. Traumatic: _______________________________________________________________________________ 4. Others: 4.1 Immunizations: ________________________________________________________________________ 4.2 Childhood disease: ______________________________________________________________________ 4.3 Blood Transfusions: _____________________________________________________________________ 4.4 Military Service: ________________________________________________________________________ C. Health Perception and... If you call for to get a full essay, order it on our website: Orderessay

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