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CENTRUL DE EXAMEN : ŞCOALA POSTLICEALĂ ,, HENRI COANDĂ “

CONSTANŢA

PREZENTARE DE CAZ CLINIC

SPITALUL: CANDIDAT:
SECŢIA:
SALON NR. :
SEMNĂTURA:

 PREZENTAREA GENERALĂ A PACIENTULUI ( PROFILUL PACIENTULUI)

NUME / PRENUME PACIENT : ______________________

VÂRSTA :______________________

STARE CIVILĂ : casatorit(ă)[ ] necasatorit(ă) [ ] divortat(ă) [ ] vaduv( ă) [ ]

SITUAŢIA SOCIALĂ : angajat(ă) [ ] casnic(ă) [ ]pensionar(ă) [ ] şomer(ă) [ ] altele [ ]

PROFESIA : ______________________________________________________________________

DOMICILUL :____________________________________________________________________

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DATA INTERNĂRII : …. ../……/…………………..

MOTIVELE INTERNĂRII :_________________________________________________________


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DIAGNOSTICUL LA INTERNARE: __________________________________________________

ISTORICUL BOLII :______________________________________________________________

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NUME: SECŢIA:
PRENUME: DIAGNOSTIC:

PLAN GENERAL DE ÎNGRIJIRE AL PACIENTULUI

NEVOIA DIAGNOSTIC DE ÎNGRIJIRE OBIECTIVE INTERVENŢII EVALUARE

AFECTATĂ AUTONOME ŞI DELEGATE

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NEVOIA DIAGNOSTIC DE ÎNGRIJIRE OBIECTIVE INTERVENŢII EVALUARE

AFECTATĂ AUTONOME ŞI DELEGATE

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NEVOIA DIAGNOSTIC DE ÎNGRIJIRE OBIECTIVE INTERVENŢII EVALUARE

AFECTATĂ AUTONOME ŞI DELEGATE

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NEVOIA DIAGNOSTIC DE ÎNGRIJIRE OBIECTIVE INTERVENŢII EVALUARE

AFECTATĂ AUTONOME ŞI DELEGATE

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NEVOIA DIAGNOSTIC DE ÎNGRIJIRE OBIECTIVE INTERVENŢII EVALUARE

AFECTATĂ AUTONOME ŞI DELEGATE

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