DATE: 01/01/2024

TIME: 1700H

NURSING DIAGNOSIS:

SUPPORTIVE DATA:

 OBJECTIVE DATA
o Patient’s age 80 years old.
o Loss of muscle strength due to abdominal pain.
o Patient’s blood pressure is 155/67 mmHg.
o Patient’s heart rate is 68 bpm.
 SUBJECTIVE DATA
o .

GOAL: .

NURSING INTERVENTION:

1. .

Rational:

Implementation:

2. .

Rational:

Implementation:

3. .

Rational: .

Implementation: .

4. .

Rational: .
 Implementation: .

5. .

Rational: .

Implementation: .

6. .

Rational: .

Implementation: .

7. .

Rational: .

Implementation: .

Rational: .

Implementation: .

8. .

Rational: .

Implementation:

Date and Time:

EVALUATION:

OBJECTIVE DATA:

SUBJECTIVE DATA:

Date and Time:

RE-EVALUATION:

OBJECTIVE DATA:

SUBJECTIVE DATA: