Scribd Logo
Upload

Welcome to Scribd!

  • My Nursing Care Format

    Uploaded by

    Bhawna Asrani
    24 views13 pages
    This document appears to be a medical history form containing the following sections: 1) Identification data 2) Chief complaints at time of admission 3) History of present illness 4) History of past illness 5) Allergies and immunization status 6) Family history 7) Environmental history 8) Psychological history 9) Economic status 10) Physical examination 11) Systems review 12) Investigations The document collects medical information about a patient through filling in forms pertaining to their identification, health history, allergies, family history, physical exam, and test/lab results.

    Original Description:

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document appears to be a medical history form containing the following sections: 1) Identification data 2) Chief complaints at time of admission 3) History of present illness 4) History of past illness 5) Allergies and immunization status 6) Family history 7) Environmental history 8) Psychological history 9) Economic status 10) Physical examination 11) Systems review 12) Investigations The document collects medical information about a patient through filling in forms pertaining to their identification, health history, allergies, family history, physical exam, and test/lab results.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    24 views13 pages

    My Nursing Care Format

    Uploaded by

    Bhawna Asrani
    This document appears to be a medical history form containing the following sections: 1) Identification data 2) Chief complaints at time of admission 3) History of present illness 4) History of past illness 5) Allergies and immunization status 6) Family history 7) Environmental history 8) Psychological history 9) Economic status 10) Physical examination 11) Systems review 12) Investigations The document collects medical information about a patient through filling in forms pertaining to their identification, health history, allergies, family history, physical exam, and test/lab results.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 13

    (

    IIDENTIFICAT ON DATA;-
    o) Nawme

    )Sex
    Kougiv
    e Address
    8 Wad
    g Maita Stahu
    wce normation
    i) a adusaiou
    iDaguais

    TCHIEF cOMAINTS AT THE TiME OF


    of
    ADMISS1ON

    TL HISToRy of PkesENT IINESS


    I HISToRy of PaST {NESS :
    a ZIINESS:
    Mayor uess md reatmed taken

    .(uldhood Inus
    Injuaie

    65AuERG1ES
    mmuniazpbion Jtotus
    vGamiyWistory:-
    no.fauuily Membe Klaiun AGE dutahon |Healt
    5 tokus
    O
    2
    .
    WO.
    oted oheoNoumu dra Athim
    Ti

    YI Environment istory
    a) Ceawimas-
    ) dads
    )Soudes oaa sltly

    e) rauce a wosquitoes;-
    TmsyeolegicalAistoy
    a) Ay adjut wed woblem
    uderakion ota ondAriends
    EcoNOMIC STATUS
    a) Total utomme
    bsoure Sucsne i

    2 GaENERAL APPEARENCE
    a)bod phe
    bostus
    e-Heigld

    o o kuoe wnt:
    e
    0
    -

    A Meuwa Slaks

    X1ysical Assess MENT


    |A.. VITALS
    a T e m e la h e : -

    6)g e
    ) spivatrou -

    .... HEAD amd FAcE


    a)Stal amd Hair:-

    6-) Face
    EYES
    a as e Exmination-
    6 e bruos

    81elas
    GAaases

    9Coudat Savse
    4Connuehva
    bumina
    Kplopia
    lay
    w Juaww.aliou

    0a

    DEavs
    a-) Heowmg arw
    4Taeeazi Ar

    eTimit
    ENos
    ) FreguRAn
    ess
    4

    e)istxis
    tSimsi4is

    f> Mot amd Turoat


    a last das tromnaton

    -) t o s s
    erui Hadis

    u)oun
    ) awati
    Laio
    k) e e zovds
    A Touils

    G Meck
    4 wod es
    4 r o i d Glamds
    C o wohio

    Hkeairadoryoystem
    a Nov wal hesirado
    Kati

    Youi
    L9 Hemosis
    1 Cordgvascular
    )am
    dy laltato
    e) tAemma
    K) wbueis
    ) o m g u teouv

    )Dirguess

    J Grastvo nteslina
    a )Appeste

    C)avrkea
    d ) Mekena

    K Genioidestina
    a rostat ro6le
    A Cotheter

    . S n Coiunce
    e Reatouria

    LNaarologica:-
    |%) o e a k n ess

    C wwuwlsims
    Ayaraanis
    elaAesia
    ) Read a u
    4nCo diuatieu-
    M>Mustoskeleloy
    a)Nowm
    p stem
    | losture
    .Oaknus
    xereise (atorn
    N Ski :
    hasus
    G) 1ugor
    ) Tertusu -
    Color i
    ircast Coves -
    %Tenesaha
    XI Vitiqus
    noTeubaakse| lse Kehivai lood lresaou knakrs
    XI wvestiqai ps
    Laborafory imveatigaions
    Wo. Specieu t Name e idoymal fematks
    values valms
    Jwveateahou

    .Kodiological Juveatigotious
    o Ma

    You might also like