Professional Documents
Culture Documents
Name:
Date:
Section:
Patient:
Assessment Nursing Planning Intervention Rationale Evaluation
Diagnosis
Subjective Cues: Risk for trauma Goal: >Determine >Influences scope After the nursing
related to After the nursing factors related to and intensity of intervention the
Objective cues: neuromuscular intervention the individual interventions to client is free from
impairment(seizu client will be free situation, as manage threat to trauma during
re) from trauma listed in Risk safety. the shift
during the shift Factors, and
extent of risk. >Affects clients
Goal met
ability to protect
>Note clients self and others,
age, gender, and influences
developmental choice of
age, decision- interventions and
making ability, teaching.
level of cognition
or competence.