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Gordons NCP Diagnostic Format

The Nursing Related Learning Experience Manual provides a structured format for nursing students to document their clinical experiences, including assessments based on Gordon's Functional Health Patterns. It includes sections for problem identification, prioritization of nursing diagnoses, and a nursing care plan with desired outcomes and interventions. The manual is designed to facilitate the learning process and enhance patient care documentation.

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19 views6 pages

Gordons NCP Diagnostic Format

The Nursing Related Learning Experience Manual provides a structured format for nursing students to document their clinical experiences, including assessments based on Gordon's Functional Health Patterns. It includes sections for problem identification, prioritization of nursing diagnoses, and a nursing care plan with desired outcomes and interventions. The manual is designed to facilitate the learning process and enhance patient care documentation.

Uploaded by

Mr. A
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Nursing Related Learning Experience Manual

Name of Student Yr & Sec


Clinical Instructor Area
Date of Exposure Hospital

GORDON’S FUNCTIONAL HEALTH PATTERN


Functional Health Cue Cluster Inference Diagnostic Priority Rationale
Pattern Statement
1. Health
Perception &
Management

2. Nutrition /
Metabolism

3. Elimination
Pattern

4. Activity /
Exercise

5. Sleep / Rest

6. Cognitive /
Perceptual

7. Self –
College of Health Sciences Department of Nursing NOTRE DAME OF DADIANGAS UNIVERSITY
Nursing Related Learning Experience Manual

Perception / Self
- Concept

8. Role /
Relationship

9. Sexuality /
Reproductive

10. Coping – Stress


Tolerance

11. Value Belief

PROBLEM IDENTIFICATION

Problem (PES) Date Identified Time Date Resolved

College of Health Sciences Department of Nursing NOTRE DAME OF DADIANGAS UNIVERSITY


Nursing Related Learning Experience Manual

PRIORITIZATION OF PROBLEMS

Nursing Diagnosis Prioritization Rationale

NURSING CARE PLAN


Name of Patient Rm/Bed No. Age Chief Complaints
Address Admission Date Sex Diagnosis

ASSESSMENT HEALTH NURSING DIAGNOSIS DESIRED OUTCOME INTERVENTION EVALUATION REMARKS


PATTERN
Subjective Cues: Note: Use P-E-S format

Background Knowledge

College of Health Sciences Department of Nursing NOTRE DAME OF DADIANGAS UNIVERSITY


Nursing Related Learning Experience Manual

Objective Cues

ASSESSMENT HEALTH NURSING DIAGNOSIS DESIRED OUTCOME INTERVENTION EVALUATION REMARKS


PATTERN

College of Health Sciences Department of Nursing NOTRE DAME OF DADIANGAS UNIVERSITY


Nursing Related Learning Experience Manual

Name of Student Yr & Sec


Clinical Instructor Area
Date of Exposure Hospital

DIAGNOSTIC EXAMINATIONS
Name of Patient Rm/Bed No. Age Chief Complaints
Address Admission Date Sex Diagnosis

Diagnostic Normal
Date Ordered Result Significance
Examination Values

College of Health Sciences Department of Nursing NOTRE DAME OF DADIANGAS UNIVERSITY


Nursing Related Learning Experience Manual

Name of Student Yr & Sec


Clinical Instructor Area
Date of Exposure Hospital

College of Health Sciences Department of Nursing NOTRE DAME OF DADIANGAS UNIVERSITY

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