ENFERMERÍA

“UNIVERSIDAD JOSÉ CARLOS MARIÁTEGUI”

FACULTAD DE CIENCIAS DE LA SALUD
CARRERA PROFESIONAL DE ENFERMERÍA

PLAN DE VISITA DOMICILIARIA

 Nombre de la familia: _____________________________________

 Dirección: ______________________________________________
 Fecha: _________________________________________________
 Objetivos:
____________________________________________________________
____________________________________________________________
____________________________________________________________
 Actividades:
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________

1
ENFERMERÍA

 Informe:
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________

MOQUEGUA-PERÚ

2019

2
ENFERMERÍA

3
ENFERMERÍA

4
ENFERMERÍA