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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