Comprehensive Nursing Assessment Tool Client report I. GENERAL register OF CLIENT Name ML old age 65 trip out Female Racial and cultural data: Caucasian Marital status: Widowed wee-wee and ages of children/siblings: 2 adult children, 1 sister, 2 brothers all animation lifespan arrangements: Alone Occupation: Retired school teacher study: College Religious affiliation: Baptist PRESENTING PROBLEM A. line of reasoning in the clients own words of why he or she is hospitalized or seeking help Patient stated she was here because her family extract she was a risk to herself due to her being depressed from the cultivation of her husband earlier in the year. B. Recent difficulties/alterations in ________________________________________________________ 1. Relationships 2. general level of functioning 3. Behavior 4. Perceptions or cognitive abilities C. increase feelings of _________________________________________________________ ________ 1. Depression 2. Anxiety 3. Hopelessness 4. Being overwhelmed 5. Suspiciousness 6. perplexity D. corporeal changes, such as _______________________________________________________ 1. Constipation 2. Insomnia 3. Lethargy 4. Weight expiry or gain 5.

Palpitations III. applicable HISTORY PERSONAL A. preceding(prenominal) hospitalizations and illnesses: History of Bipolar, HTN, and DM. Previous hospitalizations for bipolar phrenetic episodes, childbirth, tubal ligation. B. educational background: Masters degree in education C. occupat ional background ___________________________! _______________________________ 1. If employed, where? Retired 2. How long at that job? 30 historic period 3. Previous positions and reasons for leaving: retired from teaching 4. Special skills ____________________________________________________________________ D. Social patterns 1. intimate friends. Patient states she does not have any...If you want to get a full essay, order it on our website:
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