USF College of Nursing ~ Nursing Process Worksheet
sudene «SCUNACURHC. Wiser : owe: Lo] 5}
instructor PS TUCK EN _
AveGenders MOLE SO ys idl Cultural Considerations-
Mistry of Present MnessAdmining Dinos Hehe Q.CEECLLIM WRUCLLIG, from
OKGMAD 4GMBA on BRE S/2S,
Aypouipiemme of S29, surqry
Pertinent Medical History-
‘NO -HUtO
Tauncens.
Tl 3
cya | SU
5 Baca
gers gous ro NOM PRES? S/2S TW HOS brace on 2 ICG
assesment From Wip_W Nm CClLE. many SHapies wn’ Ete
eeu SPUN RKKLLGOM HOLD ATU MEL MARIE cuncl IcheL accompcunied
Pho + Skaahng, S26, OggrCVaect va bY Dbrasions & tama fom Ad ash.
pciquny, MUSCAT mmo SOrp/stabhing. | WUE \S Wmmataned fom mn
erunce Range esttessness ON ibang (WON. Sug zt
Objective findings: "WN ewe” Eye | gy JOM, OW Rie
Ung, Soames 7 SKA NS woekte, @ as
1 assessed AAO X 3 , Shengin 20
PA OS
A +a hae oly
26._{pnuie pn occ) —
BV- 2X Yesterady oC bu po}
NOLOING Ye Ceour Yeilous
Cry fe Ge
with WLP j Sounds: tesnunt ELE
af Lod s ap ben a sree VS= T40-B pulses Be F218 YS 90, 245%
Problem List: [fine ceackies” cop ieblt was Guay 3 @DEoq > (quisiera
= RGA TesoNaNE te NUE Sounds: ypOo! (geo, bic We
eee OUTAGE AML ty hypoorhue yo) PEs olctuy Oe
DS: WHC G.F Vox No: BEGes “4 5
INUALAl ACHwIby tnfoler sunce 5 es
2A akan Ot R&C BF ow) quese wscay 2 AUB
lo Herne ag ab Tae)
Pan ish come FOIA OS HO AGS, POULIN OF Tho & Morne HEB: W) UG BAW
fcc Unt G wonert WALL A procedures Wing: vsentve Sowuter
tay (u/s) win PF JO¥- Var _
“Long Term “Tower pin Sfio wily PUAN WudS | yoldinig were B2rnke
xe OC A msbNe Independent —. a
Interventions (how are you going to make it happen):
Place an asterisk * by the interventions that may be carried out by those other than an RN
= WOH UAW PT d04 tp Ywove Curpunck W wlnetl UAC
Sane we poun nudicesen (oxycodone? acetunnmophut wmbina hon) to
AN “OAWLAGIG NG Saagled Wourcls I Ike CON! TOOK for elevated! wene)
1 WEL Cound evs FOURULCLT LLG , CCIE VEILS ‘
Evaluation (did it happen):
Lossess at Und LA ean @
ee es ee Gstlucite prusicat
as € WIS CAO ROLLA pach
a eee accepeabie 310 on Ge MPLA E Gj
ae me ae WTS UncUr WA WAP OF PT, ob ha tatntincel
@ Ov volMpLCLURL of Whe Stromatin uA @ cunn Gund
Llga White Ungarging chon