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Student Initials_RMS
Occupation retired Religion/Culture Christian
ALLERGIES anti-coagulants
Medical Diagnoses Stage IV colorectal CA metastasized to vaginal mucosa, Diabetes Mellitus, Cataracts and retinopathy, CHF,
Hypertension, Morbid obesity, Asthma, Anemia secondary to CA tx
Surgery (if applicable) colon resection 3/08
Subjective and Objective Patient Goals/Outcomes Interventions based on Goals/Outcomes Implemented Evaluation based on
Assessments with with Rationale, including reference Goals/Outcomes
Related Nursing Diagnosis measurable criteria with page numbers
Subjective and Objective Patient Goals/Outcomes Interventions based on Goals/Outcomes Implemented Evaluation based on
Assessments with with Rationale, including reference with Goals/Outcomes
Related Nursing Diagnosis measurable criteria page numbers