Table of Contents

Introduction ................................................................................................................... 1
I. Statement of Objectives ............................................................................ 4
II. Clients Profile.............................................................................................. 4
III. Chief Complaint ......................................................................................... 5
IV. History of Present Illness ............................................................................. 5
V. Past History of Illness ................................................................................... 5
VI. Family Health History ................................................................................. 5
VII. Developmental History ............................................................................... 5
VIII. Social and Environmental History .............................................................. 6
IX. Lifestyle and Health Practice ..................................................................... 6
X. Health Assessment ..................................................................................... 6
a. General Survey ..................................................................................... 6
b. Head to Toe ........................................................................................... 7
c. 13 Areas of Assessment ........................................................................ 8
XI. Diagnostics................................................................................................ 13
XII. Treatment /Management ........................................................................ 20
XIII. Pathophysiology..25
XIV. Prioritization of Problems ...................................................................... 27
a. List of Problems ..................................................................................... 27
b. Basis of Prioritization ............................................................................. 27
c. Nursing Care Plans .............................................................................. 28

d. Discharge Plan ..................................................................................... 41

XV. Conclusion and Recommendations ..................................................42

XVI. List of References ....................................................................................... 44