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Chronologie : Echelle. Recherche parmi 304 000+ dissertations

Par   •  27 Mars 2017  •  Chronologie  •  1 525 Mots (7 Pages)  •  1 073 Vues

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  1. Besoin de respirer :

ENTRETIEN AVEC LE SOIGNE :

Informations supplémentaires

Ressentez- vous habituellement des difficultés pour respirer?

❑Non   ❑ Oui

              Si oui : précisez : …………………………………………………………………………………………………………………………..……..

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  • Que faites-vous pour améliorer votre respiration (autre que médicamenteux) ?

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………………………………………………………………………………………………………………….…………………………………………………………………………………………………………………………….……………………

Quelle est votre tension artérielle habituelle ?....................................cm/Hg

Ressentez – vous parfois des palpitations au domicile ?

❑Non  ❑Oui   

              Si oui : précisez : ………………………………………………………………………………………………………………..………………..

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…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………


OBSERVATION DU SOIGNE :

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  1. Besoin de boire et manger :

ENTRETIEN AVEC LE SOIGNE :

Informations supplémentaires

Votre alimentation vous paraît-elle équilibrée ?     ❑Oui      ❑ non

Expliquez : ............................................................................................................................................... ...............................................................................................................................................

Le contexte actuel vous perturbe-t-il ?      ❑Oui      ❑ Non

Précisez :…………………………………………………………………………………………………………………………

Suivez-vous un régime ?       ❑Non      ❑Oui :

Lequel ? :…………………………………………………………………………………………………………………………

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BMI :…………….… et interprétation…………………….………….........................................................

Comment a évolué votre poids ces derniers temps et pourquoi ?

……………………………………………………………………………………………………………………………………………

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Que buvez- vous pendant et entre les repas et en quelle quantité ?

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Avez-vous des difficultés pour vous alimenter?     ❑ Non     ❑ Oui

Si oui : précisez :    

……………………………………………………………………………………………………………………………………………

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Votre humeur influence-t-elle votre appétit ?

Précisez :

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OBSERVATION DU SOIGNE :

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  1. Besoin d’éliminer :

ENTRETIEN AVEC LE SOIGNE :

Informations supplémentaires

1) Elimination intestinale :

Avez-vous des difficultés au niveau de l’élimination intestinale ?        ❑ Non  ❑ Oui

Cela a-t-il changé récemment?    ❑ Non  ❑ Oui

précisez :         ................................................................................................................

…………………………………………………………………………………………………………..

2) Elimination urinaire :

Avez-vous des difficultés au niveau de l’élimination urinaire ?

❑ Non  ❑ Oui

Cela a-t-il changé récemment?  ❑ Non  ❑ Oui

précisez :         ……………………………………………………………………………………………………………

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