Pediatric Health Nursing

NUR 4225- Pediatric Health Nursing

GROWTH AND DEVELOPMENT CARE PLAN

Student Name: Week: Dates of Care:

Patient Demographics and Medical Diagnosis

Patient

 

 

Sex Age Date of Birth Room Medical Diagnosis:

 

 

Birth History:

 

 

Prior Hospitalizations:
Prior Surgeries:

 

 

Immunization Status:

 

 

Allergies:

 

 

Code Status: BMI:

 

 

Height with Percentile:

 

 

Weight with Percentile:

 

 

Head Circumference (if age appropriate) with Percentile:

 

 

Language Barriers:

 

 

Ethnic Origin and Race:

 

 

Spiritual/Religious influences:

 

 

Tests, treatments and interventions impacting clinical day’s care:
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