HINDS COMMUNITY COLLEGE

ASSOCIATE DEGREE NURSING

NURSING PROCESS TOOL

Dates of Care: _ Student Name _

Client Room No. _ Age Gender Admit Date _

Primary Diagnosis: ------------C------------------

Reason for Hospitalization/Nursing Home Placement: ~ _

Other Diagnoses _

Other Health Problems:

Past Surgeries and Dates: _

Allergies & Type Reaction: _

Activity Level: _

DNR: _ Advance Directives: _

Day
Day 13
Day4
Day 25

TPR
Pain 0 - 10
Intake
Output

Home Medications Discharge / Needs

Teaching / Referrals
Learning Needs ofRelative to Current
Client and/or health
Primary Status
Caregiver

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