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Nurses Documentation Examples. If anyone knows of any please let me know. This old nursing adage applicable to all nursing documentation examples has to be one of the oldest and most frequently used teaching tools in nursing education yet it remains as valid today as it was a century ago. Has had no change in breathing in last 6 months or 2 years. Vickyrn msn dnp rn.
Bowel habits once daily formed brown stool change with diet change or travel. View documentation example for nurses docx from nurs misc at biju patnaik university of technology. Posted dec 17 2006. The following is sample documentation from health assessment of the respiratory system of a healthy adult. This old nursing adage applicable to all nursing documentation examples has to be one of the oldest and most frequently used teaching tools in nursing education yet it remains as valid today as it was a century ago. Appetite has al ways been healthy.
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The following is sample documentation from health assessment of the respiratory system of a healthy adult. On your nurses notes templates you jot down important information based on the scribblings and notations you gather during your visits with the patients. No history of vascular problems heart disease diabetes or obesity. Sleeps with one pillow. The following is a sample narrative documentation for health assessment of the peripheral vascular system in an 18 year old healthy female. No medications no tobacco use.