REPÚBLICA BOLIVARIANA DE VENEZUELA

UNIVERSIDAD NACIONAL EXPERIMENTAL

POLITÉCNICA DE LA FUERZA ARMADA NACIONAL BOLIVARIANA
UNEFA
NÚCLEO CARABOBO – EXTENSIÓN BEJUMA

REVISTA DE ENFERMERIA PSIQUIATRICA

1. DATOS DEMOGRAFICOS:
NOMBRE Y APELLIDO DEL USUARIO:___________EDAD:______SEXO:____PROFESION:__________
DIRECCION:________________________________________NACIONALIDAD:__________________
NIVEL EDUCATIVO:_____________________________UNIDAD:_____________________________
FECHA DE INGRESO: ________________________________

2. MOTIVO DE INGRESO:
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3. HISTORIA DE LA ENFERMEDAD ACTUAL:

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4. DIAGNOSTICO MEDICO:
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5. DATOS SUBJETIVOS: VALORACION DE LOS PATRONES FUNCIONALES (PATRONES ALTERADOS)

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6. PARACLINICOS
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7. DATOS OBJETIVOS (ENTORNO AL PACIENTE)

 EXAMEN FISICO GENERAL:

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 EXAMEN NEUROLOGICO:

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 EXAMEN MENTAL:

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8. DIAGNOSTICOS DE ENFERMERIA
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9. ACTIVIDADES PENDIENTES
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10. CONCLUSIONES Y RECOMENDACIONES:

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NOMBRE DEL ESTUDIANTE: ___________________________________

FECHA:____________________________
NOMBRE Y APELLIDO:__________________EDAD:______SEXO:______FECHA:______________
HORA:________ SERVICIO:__________________ SALA:_______ CAMA:_______
Dx MEDICO:______________________________________________________________________

Evaluación de enfermería
S.O.A.P.I.E.
S:
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O:
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A:
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P/I:
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E:
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