I. II. III. IV.
Readings Anatomy and Physiology Pertinent Data Health History - Family - Past - Present V. Physical Assessment VI. Pathophysiology VII. Developmental Task - Tasks/Achieved or Not/Justification VIII. Patterns of Functioning (Before hospitalization/During Hospitalization/Analysis) - Eating - Drinking - Bladder - Bowel - Bathing - Sleeping IX. Level of Competencies (Before hospitalization/During Hospitalization/Analysis) - Physical - Social - Emotional - Mental - Spiritual X. On –Going- Appraisal (Narrative form) XI. Laboratory and diagnostic procedures XII. Medical management XIII. Drug study XIV. NCP XV. General evaluation