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CEBU NORMAL UNIVERSITY College of Nursing Osmea Blvd, Cebu City Name of Patient: Diagnosis: Doctor: PHASE OF NURSE

CLIENT RELATIONSHIP: PROBLEM/CUES Subjective Objective Age: Sex: Date Admitted:

NURSING DIAGNOSIS: THEORETICAL BASIS:

OUTCOME CRITERIA Short Term Goal Long Term Goal

NURSING STRATEGIES INDEPENDENT:

RATIONALE

DEPENDENT NURSING FUNCTION/STRATEGY

COLLABORATIVE NURSING FUNCTION/STRATEGY

EVALUATION:

BIBLIOGRAPHY: