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instructions attached Pertinent Medical diagnoses/Reason for hospitalization: Student name: ______________________ Date:

June 4, 2024

instructions attached

Pertinent Medical diagnoses/Reason for hospitalization:

Student name: ______________________

Date: ______________________

Client initials:__________ Age: ________________

Male/Female/Nonbinary

High priority NANDA diagnosis

NANDA diagnosis

Psychosocial NANDA diagnosis

Short term (ST) goal:

Long term (LT) goal:

Short term(ST) goal:

Long term (LT) goal:

Short term (ST) goal:

Long term (LT) goal:

ST interventions

LT interventions

ST interventions

LT interventions

ST interventions

LT interventions

Evaluation

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