TIME                                                                    PATIENT PROGRESS RECORD
_______________________________________________________________________________________
                       PATIENT
                       EDUCATION
______________________________________________________________________________________________________
                               LEARNING NEED  Patient tired  unable to teach at this time

                               PT./S.O. INSTRUCTED ACCORDING TO/TOOLS USED:
                                               TEACHING PROTOCOL                                                   VIDEO
                                               CLASS                                                                                  HAND-OUTS
_______________________________________________________________________________________
                                WAS S.O. PRESENT?            YES        NO         RELATIONSHIP
_______________________________________________________________________________________
            OUTCOMES:                                                        
            VERBALIZED UNDERSTANDING        YES        NO                    
            DEMONSTRATED SKILLS             YES        NO                    
            REQUIRES FOLLOW-UP / REFERRAL   YES        NO                   
8P    Patient sleeping but easily arousable
        only complaint is being tired
        father present at bedside   spoke with Doctor
        Li  regarding patient's status---------
10P  Patient sleeping    No distress Noted   Status
        unchanged.  Medication given
11P  Order for IV fluid increased 50cc/hour   (?x2hours)
12M Patient in No apparent distress,
12A Urine sent for Lyte (electrolytes)  Osmol(ality)
        Collection (?)
  2A  Status unchanged   No distress  Patient
        sleeping, calm state
  4A  Order for Normal Saline (500cc/hour x 2 hours)
         increased and infusing  Patient awake  asking
         about person that he claims to see in the wall
         No one present.   REality focusing done----
5:30A   AM care given   Patient continues to see
         people present.
6am  X-Ray, & AM bloods drawn and sent
7am  Report given.  Status unchanged.
                                 Esmira Johnson, R.N.

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