Introductory Information: Initials, age, gender, etc. 2) Chief…
Question Answered step-by-step Introductory Information: Initials, age, gender, etc. 2) Chief… Introductory Information:Initials, age, gender, etc. 2) Chief Complaint:Reason for seeking care3) History of Present Illness:Disease Process with pathophysiology: Clear chronological account of the problem for which the patient is seeking care: 4) Past Health History: General Health:Primary Diagnosis (if applicable): Operations/Past surgical history: Past Hospitalizations: Psychiatric History: Obstetrical History/Contraceptive History: Injuries and Accidents: 5) Current Health Status:Current Medications: Allergies: Habits (ie smoking, alcohol): Screening Tests: Immunizations: Environmental Hazards: Use of safety measures: Advanced Directives: 6) Social History:Social (grade in school, education, profession, family): Travel:Transportation: Religious beliefs: 7) Functional History:Sleep Patterns: Exercise/Leisure activities: Diet: 7) Family History:Maternal:Paternal:Siblings: Review of Systems: – Growth & Development:- Skin:- HEENT:- Respiratory: – Cardiovascular: – Gastrointestinal: – Genitourinary: – Genitalia: – Endocrine:- Hematologic:- Musculoskeletal: – Neurological: Physical Assessment: – Weight, length or height, BMI, head circumference (if applicable), percentiles- Vitals: HR, BP, RR, O2 (if applicable), temperature, pain- Growth & Development:- Skin:- HEENT:- Respiratory: – Cardiovascular: – Gastrointestinal: – Genitourinary: – Genitalia: – Endocrine:- Hematologic:- Musculoskeletal: – Neurological: How to use this information to do care plan for a child with a third-degree burn? Health Science Science Nursing NURS MISC Share QuestionEmailCopy link Comments (0)
