Clinical Worksheet: Nursing Process Care Plan

FLORIDA INTERNATIONAL UNIVERSITY
COLLEGE OF HEALTH AND URBAN AFFAIRS
SCHOOL OF NURSING

CLINICAL WORKSHEET: NURSING PROCESS CARE PLAN

STUDENT NAME DATE

|Client Initials A.R |Culture/Ethnicity White |Support system Mother, Father |
|Unit Telemetry Room/Bed 478D |Religion Catholic | |
|Age 45 Sex Male |Language English | |
|Weight 142 lbs/ 64.5 kg |Marital status Single | |
|Height 5’4”/ 162.56 cm | | |
|Current medical diagnosis Syncope, Severe anemia, GI bleeding |Occupation Stock boy |Siblings None |
| |Health insurance Blue Cross/ Blue Shield |Name of significant other/primary caregiver: |
| |Current work status Employed |M.R. |
| |Highest grade completed High School |Genogram: Use back of page |
|

References: Blais, K.K., Hayes, J.S., Kozier, B., & Erb, G. (2006). Professional nursing practice: Concepts and perspectives (5th ed). Upper Saddle River, NJ: Pearson Prentice Hall. D’Amico, D., & Barbarito, C. (2007). Health & physical assessment in nursing. Upper Saddle River, NJ: Pearson Prentice Hall. Deglin, H., & Vallerand, H. A. (2010). Davis’s drug guide for nurses. Retrieved via PDA from www.skyscape.com Gulanick, M., & Myers, J.L. (2007). Nursing care plans: Nursing diagnosis and intervention (6th ed). St. Louis, MO: Mosby Elsevier. Hogan, M.A., Bower, M., Hill, K., & Holm, K. S. (2008). Prentice hall nursing reviews & rationales: Pathophysiology (2nd ed). Upper Saddle River, NJ: Pearson Prentice Hall. Porth, C, (2007). Essentials of pathophysiology (2th ed). Philadelphia, PA: Lippincott Williams & Wilkins. Potter, P. A., & Perry, A. G. (2009). Fundamentals of nursing (7th ed). St. Louis, MO: Mosby Elsevier.