JUVENILE DERMATOMYOSITIS (JDM) IHP

Student's Name *
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DoB
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Address
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Treating Physician
Physician Phone Number
Physician Fax Number
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Nursing Diagnosis: Impaired Physical Mobility
Nursing Diagnosis: Fatigue Related to Chronic Inflammatory Disease
Nursing Diagnosis: Risk for Infection
Nursing Diagnosis: Chronic Pain
Nursing Diagnosis: Impaired Skin Integrity
Nursing Diagnosis: Activity Intolerance
Nursing Diagnosis: Risk for Altered Self-Esteem
Nursing Diagnosis: Deficient Knowledge
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IHP Developed By

Name
Date
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