Initial Assessment Nursing Care Page 2
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23- LIFESTYLE
CATEGORIES
SPECIFICATIONS
(nature, frequency, changes, requirements)
Nutrition
(food groups, fats, sugar…)
Physical activity
(sports, exercise…)
Hygiene
(skin, hair, nails, teeth…)
Tobacco/alcohol/drugs
Work/recreation/other activities
Spirituality
(values, beliefs, practice…)
4- ENVIRONMENT
Social support network
Work environment
(stressor agents: psychological/physical/chemical…)
Living environment
(favourable, unfavourable)
Significant incidents
(family conflicts, economic difficulties, mourning, job loss, breakup…)
5- ADJUSTMENT TO STRESS
Previous hospitalization:
no
yes
(reaction, exceptations, repercussions…)
Hospitalization and current state of health:
(reaction, expectations, repercussions…)
Means used to reduce stress
6- ANALYSIS AND SYNOPSIS
Year
Month
Day
Nurse’s signature
Date
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Parent category: Medical