NUR 1025Shane Peterson Care plan.docx

Miami Dade College – School of Nursing Fundamental of Nursing Plan of Patient Care Student’s Name: __Janessa Gonzalez______________ Date: _10/22/2020_ Time: __7:00 AM___ Client’s Initials: ___SP_______ Sex: _Male_______ Admission Date: 10/22/2020_____ DOB: _Not Provided____ Age: _15________ Race: _African American__ Admitting Medical Diagnosis (es): Annual physical Surgical Procedure (s) (include date): None. What brought you to the institution (Hospital, Home) Annual physical for school sports History of Present illness: None Client’s understanding of illness: N/A Past medical history: No issues. Just annual checkups. What medications are you currently taking, when/why? Medication Time Why N/A N/A N/A Are your medications causing you any discomfort? No medications being taken Medications( Topical, PO,IM, SQ,IV): Name/Dose Route/Frequency Safe/Range Mechanism of Action Indications Side Effects Nursing Considerations N/A N/A N/A N/A N/A N